scholarly journals Current practice in Australia and New Zealand for defunctioning ileostomy after rectal cancer surgery with anastomosis: Analysis of the Bi‐National Colorectal Cancer Audit (BCCA)

2021 ◽  
Author(s):  
Vera E.M. Grupa ◽  
Hidde M. Kroon ◽  
Izel Ozmen ◽  
Sergei Bedrikovetski ◽  
Nagendra N. Dudi‐Venkata ◽  
...  
2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
L. Borly ◽  
M. B. Ellebæk ◽  
N. Qvist

Purpose. Anastomotic leakage accounts for up to 1/3 of all fatalities after rectal cancer surgery. Evidence suggests that anastomotic leakage has a negative prognostic impact on local cancer recurrence and long-term cancer specific survival. The reported leakage rate in 2011 in Denmark varied from 7 to 45 percent. The objective was to clarify if the reporting of anastomotic leakage to the Danish Colorectal Cancer Group was rigorous and unequivocal.Methods. An Internet-based questionnaire was e-mailed to all Danish surgical departments, who reported to Danish Colorectal Cancer Group (DCCG) in 2011. There were 23 questions. Four core questions were whether pelvic collection, fecal appearance in a pelvic drain, rectovaginal fistula, and “watchfull” waiting patients were reported as anastomotic leakage.Results. Fourteen out of 17 departments, who in 2011 according to DDCG performed rectal cancer surgery, answered the questionnaire. This gave a response rate of 82%. In three of four core questions there was disagreement in what should be reported as anastomotic leakage.Conclusion. The reporting of anastomotic leakage to the Danish Colorectal Cancer Group was not rigorous and unequivocal. The reported anastomotic leakage rate in Danish Colorectal Cancer Group should be interpreted with caution.


2011 ◽  
Vol 96 (2) ◽  
pp. 120-126 ◽  
Author(s):  
Art Hiranyakas ◽  
Yik-Hong Ho

Abstract The rapid in development of surgical technology has had a major effect in surgical treatment of colorectal cancer. Laparoscopic colon cancer surgery has been proven to provide better short-term clinical and oncologic outcomes. However this quickly accepted surgical approach is still performed by a minority of colorectal surgeons. The more technically challenging procedure of laparoscopic rectal cancer surgery is also on its way to demonstrating perhaps similar short-term benefits. This article reviews current evidences of both short-term and long-term outcomes of laparoscopic colorectal cancer surgery, including the overall costs comparison between laparoscopic surgery and conventional open surgery. In addition, different surgical techniques for laparoscopic colon and rectal cancer are compared. Also the relevant future challenge of colorectal cancer robotic surgery is reviewed.


2019 ◽  
Author(s):  
Winson Jianhong Tan ◽  
Martin R. Weiser

Despite advances in systemic chemotherapy, surgery remains the mainstay of treatment in colorectal cancer. While there are similarities in the principles of colon and rectal cancer surgery, there are specific considerations that are unique to the surgical management of rectal cancer. In this chapter, we discuss the surgical management of colon and rectal cancer and highlight pertinent differences in the surgical management of rectal cancer. This review contains 9 figures, 2 tables, and 76 references. Keywords: Colon, Rectal, Colorectal Cancer, Adenocarcinoma, Surgery, Management


Oncotarget ◽  
2018 ◽  
Vol 9 (29) ◽  
pp. 20816-20825 ◽  
Author(s):  
Magdalena Pisarska ◽  
Natalia Gajewska ◽  
Piotr Małczak ◽  
Michał Wysocki ◽  
Jan Witowski ◽  
...  

Endoscopy ◽  
2004 ◽  
Vol 36 (10) ◽  
Author(s):  
AL Gidwani ◽  
RS Date ◽  
D Hughes ◽  
P Neilly ◽  
R Gilliland

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