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Volume 28(1); February 2012
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Editorials
Robotic Colorectal Surgery: Is It Still on the Way to a Landmark?
Nam Kyu Kim
J Korean Soc Coloproctol. 2012;28(1):1-2.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.1
  • 2,842 View
  • 34 Download
  • 1 Citations
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  • Robot-Assisted Colectomy for Left-Sided Colon Cancer: Comparison of Reduced-Port and Conventional Multi-Port Robotic Surgery
    Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2017; 27(4): 398.     CrossRef
Will the Stroma-derived Factor-1α (CXCL12)/CXCR4 Pathway Become a Major Concern for Advanced Colorectal Cancer?
Hungdai Kim
J Korean Soc Coloproctol. 2012;28(1):3-4.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.3
  • 2,289 View
  • 23 Download
  • 2 Citations
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  • Chemokine receptor 7 mediates miRNA‐182 to regulate cerebral ischemia/reperfusion injury in rats
    Qi Wang, Sifan Xu, Bin Wang, Yu Qin, Yachen Ji, Qian Yang, Yang Xu, Zhiming Zhou
    CNS Neuroscience & Therapeutics.2023; 29(2): 712.     CrossRef
  • Clinicopathologic Significance of CXCL12 and CXCR4 Expressions in Patients with Colorectal Cancer
    Naomi Yoshuantari, Didik Setyo Heriyanto, Susanna Hilda Hutajulu, Johan Kurnianda, Ahmad Ghozali
    Gastroenterology Research and Practice.2018; 2018: 1.     CrossRef
Laparoscopic Right Hemicolectomy for Colon Cancer: Technically Feasible and Safe to Perform in Terms of Oncologic Outcomes
Moo Jun Baek
J Korean Soc Coloproctol. 2012;28(1):5-5.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.5
  • 2,322 View
  • 20 Download
  • 1 Citations
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  • Procedural and post-operative complications associated with laparoscopic versus open abdominal surgery for right-sided colonic cancer resection
    Yong Sheng Li, Fan Chun Meng, Jun Kai Lin
    Medicine.2020; 99(40): e22431.     CrossRef
Early Detection of Colorectal Cancer, Is It a Guarantee for the Cure of Cancer?
Kang Young Lee
J Korean Soc Coloproctol. 2012;28(1):6-6.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.6
  • 2,290 View
  • 21 Download
  • 1 Citations
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  • Diminutif ve Küçük Kolorektal Poliplerde Kanser Riskinin Değerlendirilmesi
    Nurhan DEMİR
    Artuklu International Journal of Health Sciences.2022; 2(3): 20.     CrossRef
Review
New Techniques for Treating an Anal Fistula
Kee Ho Song
J Korean Soc Coloproctol. 2012;28(1):7-12.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.7
  • 13,220 View
  • 120 Download
  • 19 Citations
AbstractAbstract PDF

Surgery for an anal fistula may result in recurrence or impairment of continence. The ideal treatment for an anal fistula should be associated with low recurrence rates, minimal incontinence and good quality of life. Because of the risk of a change in continence with conventional techniques, sphincter-preserving techniques for the management complex anal fistulae have been evaluated. First, the anal fistula plug is made of lyophilized porcine intestinal submucosa. The anal fistula plug is expected to provide a collagen scaffold to promote tissue in growth and fistula healing. Another addition to the sphincter-preserving options is the ligation of intersphincteric fistula tract procedure. This technique is based on the concept of secure closure of the internal opening and concomitant removal of infected cryptoglandular tissue in the intersphincteric plane. Recently, cell therapy for an anal fistula has been described. Adipose-derived stem cells have two biologic properties, namely, ability to suppress inflammation and differentiation potential. These properties are useful for the regeneration or the repair of damaged tissues. This article discusses the rationales for, the estimated efficacies of, and the limitations of new sphincter-preserving techniques for the treatment of anal fistulae.

Citations

Citations to this article as recorded by  
  • Sensitivity of Diffusion-Weighted Image Combined with T2 Turbo Inversion Recovery Magnitude Sequence and as an Alternative to Contrast-Enhanced MRI in the Detection of Perianal Fistula
    Noor Fadhil Baqir, Rasha Sabeeh Ahmed, Khaleel Ibraheem Mohsen
    Advanced Engineering Research (Rostov-on-Don).2023; 23(3): 307.     CrossRef
  • A PILOT STUDY on the Clinical and Functional Outcomes of an Improvised Technique of Core-cut Fistulectomy for Fistula-in-ano
    Masoom Parwez, Tanweerul Huda, Moorat S. Yadav, Kamal Gupta, Kushal Mital, Bharati Pandya
    Surgical Innovation.2022; 29(3): 426.     CrossRef
  • Diagnostic Accuracy of Magnetic Resonance Imaging in Detection of Perianal Fistula keeping Surgical Findings as Gold Standard
    Haider Ali, Uzma Azmat, Manoj Kumar , Khadijah Abid
    Pakistan Journal of Health Sciences.2022; : 181.     CrossRef
  • Surgical technique: an improvisation in application of the technique of core-cut fistulectomy for fistula-in-ano
    Masoom Parwez, Tanweerul Huda, Kushal Mital, Bharati Pandya
    Journal of Surgical Case Reports.2021;[Epub]     CrossRef
  • External sphincter-sparing anal fistulotomy (ESSAF): a simplified technique for the treatment of fistula-in-ano
    S. Y. Parnasa, B. Helou, I. Mizrahi, R. Gefen, M. Abu-Gazala, A. J. Pikarsky, N. Shussman
    Techniques in Coloproctology.2021; 25(12): 1311.     CrossRef
  • Management of transsphincteric fistula-in-ano by modified conventional Ksharasutra therapy
    Khusboo Faridi, P. Sreenadh, Vyasadeva Mahanta, Rahul Sherkhane
    Journal of Ayurveda Case Reports.2021; 4(3): 95.     CrossRef
  • Video-Assisted Anal Fistula Treatment (VAAFT) for complex anorectal fistula: efficacy and risk factors for failure at 3-year follow-up
    L. Regusci, F. Fasolini, P. Meinero, G. Caccia, G. Ruggeri, M. Serati, A. Braga
    Techniques in Coloproctology.2020; 24(7): 741.     CrossRef
  • Video-assisted Treatment of Rectal Fistulas: the Experience and Treatment Results
    Vitalii S. Groshilin, Viktoria G. Brizhak, Evgeny Y. Khoronko, Petr V. Tsygankov, Yuri V. Khoronko
    Lietuvos chirurgija.2020; 19(1-2): 27.     CrossRef
  • Innovative Use of Endotracheal Tube to Find Out Internal Opening in Fistula in Ano
    Anil Kumar, Ajeet Kumar, Bindey Kumar, Shiv Kishor
    SN Comprehensive Clinical Medicine.2019; 1(9): 712.     CrossRef
  • Ayurvedic Management of Fistula in Ano
    KM Pratap Shankar, GN SreeDeepthi, Rohit KS, GK Swamy
    Journal of Research in Ayurvedic Sciences.2019; 3(3): 100.     CrossRef
  • Decellularized and matured esophageal scaffold for circumferential esophagus replacement: Proof of concept in a pig model
    Guillaume Luc, Guillaume Charles, Caroline Gronnier, Magali Cabau, Charlotte Kalisky, Mallory Meulle, Reine Bareille, Samantha Roques, Lionel Couraud, Johanna Rannou, Laurence Bordenave, Denis Collet, Marlène Durand
    Biomaterials.2018; 175: 1.     CrossRef
  • Ligation of the intersphincteric fistula tract procedure and its modifications
    Ahmed Mohamed Elsayed Metwalli Ali Gendia, Mahmmad Ahmad Abd-erRazik, Hanna Habib Hanna
    Journal of Coloproctology.2018; 38(04): 324.     CrossRef
  • High ligation of the anal fistula tract by lateral approach: A prospective cohort study on a modification of the ligation of the intersphincteric fistula tract (LIFT) technique
    Wook Ho Kang, Hyung Kyu Yang, Han Jeong Chang, Yong Taek Ko, Byung Eun Yoo, Cheong Ho Lim, Jae Kwan Hwang, Young Chan Lee, Hyeon Keun Shin, Hae Jung Son
    International Journal of Surgery.2018; 60: 9.     CrossRef
  • S3-Leitlinie: Kryptoglanduläre Analfisteln
    A. Ommer, A. Herold, E. Berg, S. Farke, A. Fürst, F. Hetzer, A. Köhler, S. Post, R. Ruppert, M. Sailer, T. Schiedeck, O. Schwandner, B. Strittmatter, B. H. Lenhard, W. Bader, S. Krege, H. Krammer, E. Stange
    coloproctology.2017; 39(1): 16.     CrossRef
  • What happens after a failed LIFT for anal fistula?
    Moriah Wright, Alan Thorson, Garnet Blatchford, Maniamparampil Shashidharan, Jennifer Beaty, Noelle Bertelson, Piyush Aggrawal, Lindsay Taylor, Charles A. Ternent
    The American Journal of Surgery.2017; 214(6): 1210.     CrossRef
  • Fistula tract curettage and the use of biological dermal plugs improve high transsphincteric fistula healing in an animal model
    Cigdem Benlice, Merve Yildiz, Semih Baghaki, Ilknur Erguner, Deniz Cebi Olgun, Sebnem Batur, Sibel Erdamar, Pinar Ambarcioglu, Ismail Hamzaoglu, Tayfun Karahasanoglu, Bilgi Baca
    International Journal of Colorectal Disease.2016; 31(2): 291.     CrossRef
  • Management of complex anorectal fistulas with seton drainage plus partial fistulotomy and subsequent ligation of intersphincteric fistula tract (LIFT)
    B. Schulze, Y.-H. Ho
    Techniques in Coloproctology.2015; 19(2): 89.     CrossRef
  • New Techniques in Anal Fistula Management
    Rasoul Azizi, Saman Mohammadipour
    Annals of Colorectal Research.2014;[Epub]     CrossRef
  • Adipose-Derived Stem Cells in Tissue Regeneration: A Review
    Patricia Zuk
    ISRN Stem Cells.2013; 2013: 1.     CrossRef
Original Articles
Delorme's Procedure for Complete Rectal Prolapse: Does It Still Have It's Own Role?
Sooho Lee, Bong-Hyeon Kye, Hyung-Jin Kim, Hyeon-Min Cho, Jun-Gi Kim
J Korean Soc Coloproctol. 2012;28(1):13-18.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.13
  • 9,769 View
  • 38 Download
  • 8 Citations
AbstractAbstract PDF
Purpose

Although there are more than a hundred techniques, including the transabdominal and the perineal approaches, for the repair of the rectal prolapsed, none of them is perfect. The best repair should be chosen not only to correct the prolapse but also to restore defecatory function and to improve fecal incontinence throughout the patient's lifetime. The aim of this retrospective review is to evaluate clinical outcomes of the Delorme's procedure for the management of the complete rectal prolapse.

Methods

A total of 19 patients (13 females and 6 males) with complete rectal prolapses were treated by using the Delorme's procedure in St. Vincent's Hospital, The Catholic University of Korea, from February 1997 to February 2007. Postoperative anal incontinence was evaluated using the Cleveland Clinic Incontinence Score.

Results

All 19 patients had incontinence to liquid stool, solid stool, and/or flatus preoperatively. Three (15.8%) patients reported recurrence of the rectal prolapse (at 6, 18, 29 months, respectively, after the operation). Information on postoperative incontinence was available for 16 of the 19 patients. Twelve of the 16 patients (75%) reported improved continence (5 [31.3%] were improved and 7 [43.7%] completely recovered from incontinence) while 4 patients had unchanged incontinence symptoms. One (6.3%) patient who did not have constipation preoperatively developed constipation after the operation.

Conclusion

The Delorme's procedure is associated with a marked improvement in anal continence, relatively low recurrence rates, and low incidence of postoperative constipation. This allows us to conclude that this procedure still has its own role in selected patients.

Citations

Citations to this article as recorded by  
  • Transanal rectopexy for external rectal prolapse
    Shantikumar Dhondiram Chivate, Meghana Vinay Chougule, Rahul Shantikumar Chivate, Palak Harshuk Thakrar
    Annals of Coloproctology.2022; 38(6): 415.     CrossRef
  • Epidemiological trends in surgery for rectal prolapse in England 2001–2012: an adult hospital population‐based study
    Y. El‐Dhuwaib, A. Pandyan, C. H. Knowles
    Colorectal Disease.2020; 22(10): 1359.     CrossRef
  • Surgical Treatment of Rectal Prolapse in the Laparoscopic Era; A Review of the Literature
    Akira Tsunoda
    Journal of the Anus, Rectum and Colon.2020; 4(3): 89.     CrossRef
  • Laparoscopic ventral mesh rectopexy vs Delorme's operation in management of complete rectal prolapse: a prospective randomized study
    S. H. Emile, H. Elbanna, M. Youssef, W. Thabet, W. Omar, A. Elshobaky, T. M. Abd El‐Hamed, M. Farid
    Colorectal Disease.2017; 19(1): 50.     CrossRef
  • Perineal resectional procedures for the treatment of complete rectal prolapse: A systematic review of the literature
    Sameh Hany Emile, Hossam Elfeki, Mostafa Shalaby, Ahmad Sakr, Pierpaolo Sileri, Steven D. Wexner
    International Journal of Surgery.2017; 46: 146.     CrossRef
  • Delorme’s Procedure for Complete Rectal Prolapse: A Study of Recurrence Patterns in the Long Term
    Carlos Placer, Jose M. Enriquez-Navascués, Ander Timoteo, Garazi Elorza, Nerea Borda, Lander Gallego, Yolanda Saralegui
    Surgery Research and Practice.2015; 2015: 1.     CrossRef
  • Surgical treatments for rectal prolapse: how does a perineal approach compare in the laparoscopic era?
    Monica T. Young, Mehraneh D. Jafari, Michael J. Phelan, Michael J. Stamos, Steven Mills, Alessio Pigazzi, Joseph C. Carmichael
    Surgical Endoscopy.2015; 29(3): 607.     CrossRef
  • Simultaneous Delorme's procedure and inter-sphinteric prosthetic implant for the treatment of rectal prolapse and faecal incontinence: Preliminary experience and literature review
    Emanuel Cavazzoni, Emanuele Rosati, Valentina Zavagno, Luigina Graziosi, Annibale Donini
    International Journal of Surgery.2015; 14: 45.     CrossRef
Comparison of Short-term Surgical Outcomes between a Robotic Colectomy and a Laparoscopic Colectomy during Early Experience
Jin Yong Shin
J Korean Soc Coloproctol. 2012;28(1):19-26.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.19
  • 4,553 View
  • 55 Download
  • 43 Citations
AbstractAbstract PDF
Purpose

Although robotic surgery was invented to overcome the technical limitations of laparoscopic surgery, the role of a robotic (procto)colectomy (RC) for the treatment of colorectal cancer compared to that of a laparoscopic (procto)colectomy (LC) was not well defined during the initial adoption periods of both procedures. This study aimed to evaluate the efficacy and the safety of a RC for the treatment of colorectal cancer by comparing the authors' initial experiences with both a RC and a LC.

Methods

The first 30 patients treated by using a RC for colorectal cancer from July 2010 to March 2011 were compared with the first 30 patients treated by using a LC for colorectal cancer from December 2006 to June 2007 by the same surgeon. Perioperative variables and short-term outcomes were analyzed. In addition, the 30 RC and the 30 LC cases involved were divided into rectal cancer (n = 17 and n = 12, respectively), left-sided colon cancer (n = 7 and n = 12, respectively) and right-sided colon cancer (n = 6 and n = 6, respectively) for subgroup analyses.

Results

The mean operating times for RC and LC were significantly different at 371.8 and 275.5 minutes, respectively, but other perioperative parameters (rates of open conversion, numbers of retrieved lymph node, estimated blood losses, times to first flatus, maximal pain scores before discharge and postoperative hospital stays) were not significantly different in the two groups. Subgroup analyses showed that the mean operative times for a robotic proctectomy and a laparoscopic proctectomy were 396.5 and 298.8 minutes, respectively (P < 0.000). Postoperative complications occurred in five patients in the RC group and in six patients in the LC group (P = 0.739).

Conclusion

Although the short-term outcomes of a RC during its initial use were better than those of a LC (with the exception of operating time), differences were not found to be significantly different. On the other hand, the longer operation time of a robotic proctectomy compared to that of a laparoscopic proctectomy during the early period may be problematic.

Citations

Citations to this article as recorded by  
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  • Lap Colectomy and Robotics for Colon Cancer
    Eduardo Parra-Davila, Sonia Ramamoorthy
    Surgical Oncology Clinics of North America.2013; 22(1): 143.     CrossRef
Stromal-cell-derived Factor 1-α Promotes Tumor Progression in Colorectal Cancer
Se Jun Park, Tae Sung Ahn, Sung Woo Cho, Chang Jin Kim, Dong Jun Jung, Myung Won Son, Sang Ho Bae, Eung Jin Shin, Moon Soo Lee, Chang Ho Kim, Moo Jun Baek
J Korean Soc Coloproctol. 2012;28(1):27-34.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.27
  • 3,118 View
  • 24 Download
  • 1 Citations
AbstractAbstract PDF
Purpose

Although stromal-cell-derived factor (SDF)-1α is suggested to be involved in tumorigenicity and tumor angiogenesis, the clinicopathological significance of its expression in colorectal cancers is not fully understood. We examined SDF-1α expression in colorectal cancers and investigated its relationship to clinicopathological features such as tumor staging, lymph-node metastasis, vascular invasion (VI), lymphatic invasion (LI) and neural invasion (NI).

Methods

Specimens of 83 primary colorectal cancers were examined immunohistochemically, and the relationships between clinicopathological features and SDF-1α expression were analyzed. To compare the expressions between the normal colon tissue and colorectal cancer tissues, we performed Western blot analyses.

Results

According to the Western blot analyses, SDF-1α was more highly expressed in colorectal carcinoma tissues than in normal colonic mucosa (20/21). According to the immunohistochemical stain, SDF-1α was associated with nodal status, distant metastasis, tumor staging, VI and LI. SDF-1α expression had a significant prognostic value for overall survival. Kaplan-Meier plots of survival in patients with high SDF-1α showed that high SDF-1α expression was associated with a shorter overall survival. However, no association was found between SDF-1α expression and other pathologic or clinical variables, including age, gender, degree of differentiation, and presence of perineural invasion.

Conclusion

The expression of SDF-1α might be associated with tumor progression in colorectal cancer. Inhibition of SDF-1α could be a therapeutic option in colorectal cancer patients.

Citations

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  • Human CD133-positive hematopoietic progenitor cells initiate growth and metastasis of colorectal cancer cells
    Chao Zhang, Chang Zhou, Xiao-Jin Wu, Min Yang, Zhao-hui Yang, Han-zhen Xiong, Chun-ping Zhou, Yan-xia Lu, Yuan Li, Xue-nong Li
    Carcinogenesis.2014; 35(12): 2771.     CrossRef
Multivariate Analysis of the Survival Rate for Treatment Modalities in Incurable Stage IV Colorectal Cancer
Sung Kang Kim, Chang Ho Lee, Min Ro Lee, Jong Hun Kim
J Korean Soc Coloproctol. 2012;28(1):35-41.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.35
  • 4,311 View
  • 37 Download
  • 13 Citations
AbstractAbstract PDF
Purpose

The aim of this study was to compare survival in patients that underwent palliative resection treatment versus non-resection for incurable colorectal cancer (ICRC).

Methods

The case records of 201 patients with ICRC between January 2000 and December 2009 were reviewed. Demographics, American Society of Anesthesiologists (ASA) score, carcinoembryonic antigen (CEA) level, the location of the colon cancer, histology, metastasis, treatment options and median survival were analyzed retrospectively. We divided the patients into four groups according to the treatment modalities: resection alone, resection with post-operative chemotherapy, non-resection treatment by chemotherapy alone, and stent or bypass. Median survival times were compared according to each treatment option, and the survival rates were analyzed.

Results

105 patients underwent palliative resection whereas 96 were treated with non-resection modalities. A palliative resection was performed in 44 cases for resection alone and in 61 cases for resection with post-operative chemotherapy. In patients treated with non-resection of the primary tumor, chemotherapy alone was done in 65 cases and stent or bypass in 31 cases. Multivariate analysis showed a median survival of 14 months in patients with palliative resections with post-operative chemotherapy, which was significantly higher than those for chemotherapy alone (8 months), primary tumor resection alone (5 months), and stent or bypass (5 months). Gender, age, ASA score, CEA level, the location of colon cancer, histology and the presence of multiple metastases were not independent factors in association with the median survival rate.

Conclusion

In the treatment of ICRC, palliative resection followed by post-operative chemotherapy shows the most favorable median survival compared to other treatment options.

Citations

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    Cillian Clancy, John P. Burke, Mitchel Barry, Matthew F. Kalady, J. Calvin Coffey
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    Kwan Mo Yang, Seok-Byung Lim, Yong Sik Yoon, Chan Wook Kim, In Ja Park, Chang Sik Yu, Jin Cheon Kim
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    Karl E. Grund, Annette Zipfel
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Oncologic Outcomes of a Laparoscopic Right Hemicolectomy for Colon Cancer: Results of a 3-Year Follow-up
Jung Hoon Cho, Dae Ro Lim, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim
J Korean Soc Coloproctol. 2012;28(1):42-48.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.42
  • 4,951 View
  • 45 Download
  • 6 Citations
AbstractAbstract PDF
Purpose

The purpose of the study is to evaluate the oncologic outcomes of a laparoscopic-assisted right hemicolectomy for the treatment of colon cancer and compare the results with those of previous randomized trials.

Methods

From June 2006, to December 2008, 156 consecutive patients who underwent a laparoscopic right hemicolectomy with a curative intent for colon cancer were evaluated. The clinicopatholgic outcomes and the oncologic outcomes were evaluated retrospectively by using electronic medical records.

Results

There were 84 male patients and 72 female patients. The mean possible length of stay was 7.0 ± 1.5 days (range, 4 to 12 days). The conversion rate was 3.2%. The total number of complications was 30 (19.2%). Anastomotic leakage was not noted. There was no mortality within 30 days. The 3-year overall survival rate of all stages was 93.3%. The 3-year overall survival rates according to stages were 100% in stage I, 97.3% in stage II, and 84.8% in stage III. The 3-year disease-free survival rate of all stages was 86.1%. The 3-year disease-free survival rates according to stage were 96.2% in stage I, 90.3% in stage II, and 75.6% in stage III. The mean follow-up period was 36.3 (3 to 60) months.

Conclusion

A laparoscopic right hemicolectomy for the treatment of colon cancer is technically feasible and safe to perform in terms of oncologic outcomes. The present data support previously reported randomized trials.

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  • Oncologic Outcomes of Self-Expandable Metallic Stent as a Bridge to Surgery and Safety and Feasibility of Minimally Invasive Surgery for Acute Malignant Colonic Obstruction
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Clinicopathologic Factors Affecting Recurrence after Curative Surgery for Stage I Colorectal Cancer
Min Ae Keum, Seok-Byung Lim, Sun A Kim, Yong Sik Yoon, Chan Wook Kim, Chang Sik Yu, Jin Cheon Kim
J Korean Soc Coloproctol. 2012;28(1):49-55.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.49
  • 4,213 View
  • 45 Download
  • 29 Citations
AbstractAbstract PDF
Purpose

The objective of the current study was to identify the clinicopathological risk factors affecting recurrence after a curative resection for stage I colorectal cancer.

Methods

We retrospectively studied 434 patients who underwent a curative resection for stage I colorectal cancer between January 1999 and December 2004. Postoperative oral chemotherapy was performed in 189 patients (45.3%). The following prognostic factors were correlated with recurrence: age, gender, preoperative carcinoembryonic antigen level, location of tumor, T stage, size of tumor, histologic differentiation, growth pattern, and lymphovascular invasion. The median follow-up duration was 65 months.

Results

The overall recurrence rate was 4.6% (20/434). The median time to recurrence was 33 months. Two-thirds of the recurrence occurred more than two years after surgery. Risk factors associated with recurrence were rectal cancer (P = 0.009), T2 stage (P = 0.010), and infiltrative growth pattern (P = 0.020). A Cox proportional hazards regression analysis demonstrated that the infiltrative growth pattern was an independent predictor for recurrence. Tumor cell budding was observed in all pathologic reviews with recurrence.

Conclusion

Long-term follow-up is necessary for stage I colorectal patients with high risk factors like rectal cancer, T2 stage, and infiltrative growth pattern.

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Case Reports
Operative Treatment with a Laparotomy for Anorectal Problems Arising from a Self-Inserted Foreign Body
Seung-Bum Ryoo, Heung-Kwon Oh, Heon-Kyun Ha, Eun Kyung Choe, Sang Hui Moon, Kyu Joo Park
J Korean Soc Coloproctol. 2012;28(1):56-60.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.56
  • 4,866 View
  • 37 Download
  • 2 Citations
AbstractAbstract PDF

An anorectal foreign body can cause serious complications such as incontinence, rectal perforation, peritonitis, or pelvic abscess, so it should be managed immediately. We experienced two cases of operative treatment for a self-inserted anorectal foreign body. In one, the foreign body could not be removed as it was completely impacted in the anal canal. We failed to remove it through the anus. A laparotomy and removal of the foreign body was performed by using an incision on the rectum. Primary colsure and a sigmoid loop colostomy were done. A colostomy take-down was done after three months. The other was a rectal perforation from anal masturbation with a plastic device. We performed primary repair of the perforated rectosigmoid colon, and we didea sigmoid loop colostom. A colostomy take-down was done three months later. Immediate and proper treatment for a self-inserted anorectal foreign body is important to prevent severe complications, and we report successful surgical treatments for problems caused by anorectal foreign bodies.

Citations

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  • Treatment of rectal foreign bodies
    D. A. Khubezov, S. N. Trushin, K. V. Puchkov, D. K. Puchkov, A. Yu. Ogorel’tsev
    Khirurgiya. Zhurnal im. N.I. Pirogova.2016; (9): 57.     CrossRef
  • Rectal perforation caused by a sharp pig backbone in a middle-aged patient with mild depression
    Hyeong Ju Sun, Jeonghun Lee, Dong Min Kim, Myeong-Su Chu, Kyoung Sun Park, Dong Jin Choi
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Extensive Bowel Ischemia with Heavy Alcohol Consumption: Report of a Case
Ji Hyoun Lee, Gyoung Tae Noh, Ryung-Ah Lee
J Korean Soc Coloproctol. 2012;28(1):61-65.   Published online February 29, 2012
DOI: https://doi.org/10.3393/jksc.2012.28.1.61
  • 2,860 View
  • 28 Download
  • 2 Citations
AbstractAbstract PDF

Alcohol is well-recognized systemic toxin that causes numerous adverse effects, including psychosocial problems, fatal myocardial infarction, stroke and atherosclerosis. The intra-abdominal complications caused by acute alcohol consumption have not been defined. We report an 80-year-old man with sub-acute small bowel and colonic ischemia after heavy alcohol intake in one sitting. We performed a resection of gangrenous bowel segments. Microscopically, there were diffuse infarction, with vasoconstriction of the mesenteric vessels in the ileum and colon without any thrombotic occlusion of the intestinal vessels. The clinicians should always be assured by confirmation of a history of recent substance abuse in patients with unexplained abdominal pain, and mesenteric ischemia should be considered in the differential diagnosis of acute or chronic abdominal pain in consumers of alcohol.

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  • Alcohol use disorders associated with an increased risk of mesenteric ischemia: A nationwide cohort study
    Chieh-Fan Chen, Wei-Tsung Kao, Kuan-Ting Liu, Shu-Ling Chen, Yu-Tung Huang, Chun-Che Huang
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    Chih-Wei Wei, Yu-Chiao Wang, Dong-Zong Hung, Yu-Ting Chung, Wei-Kung Chen, Chia-Hung Kao
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