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Volume 35(4); August 2019
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Editorials
What Should Be Considered for Local Excision in Early Rectal Cancer?
Taesung Ahn
Ann Coloproctol. 2019;35(4):155-157.   Published online August 31, 2019
DOI: https://doi.org/10.3393/ac.2019.08.07
  • 3,391 View
  • 101 Download
  • 1 Web of Science
  • 2 Citations
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  • To Explore the Application of Insect Drugs in the Treatment of Asthma from the Angle of “Wind-Phlegm-Stasis”
    子平 张
    Traditional Chinese Medicine.2021; 10(05): 632.     CrossRef
  • Rectal cancer treatment and outcomes in elderly patients treated with curative intent
    Sharlyn Kang, Kate Wilkinson, Daniel Brungs, Wei Chua, Weng Ng, James Chen, Elias Nasser, Mark Lee, Karen Wong, Les Bokey, Robert Winn, Soni Putnis, Cheok Lee, Stephanie Lim
    Molecular and Clinical Oncology.2021;[Epub]     CrossRef
The Impact of Patient’s Pain and Fatigue on the Discharge Decision After Laparoscopic Surgery for Colorectal Cancer
Won Beom Jung
Ann Coloproctol. 2019;35(4):158-159.   Published online August 31, 2019
DOI: https://doi.org/10.3393/ac.2019.07.31
  • 2,916 View
  • 43 Download
PDF
Review
Postoperative Bowel Function After Anal Sphincter-Preserving Rectal Cancer Surgery: Risks Factors, Diagnostic Modalities, and Management
Chris George Cura Pales, Sanghyun An, Jan Paolo Cruz, Kwangmin Kim, Youngwan Kim
Ann Coloproctol. 2019;35(4):160-166.   Published online August 31, 2019
DOI: https://doi.org/10.3393/ac.2019.08.10
  • 6,906 View
  • 223 Download
  • 36 Web of Science
  • 35 Citations
AbstractAbstract PDF
Low anterior resection syndrome (LARS) refers to a disturbance of bowel function that commonly manifests within 1 month after rectal cancer surgery. A low level of anastomosis and chemoradiotherapy have been consistently found to be risk factors for developing LARS. Thorough history taking and physical examination with adjunctive procedures are essential when evaluating patients with LARS. Anorectal manometry, fecoflowmetry, and validated questionnaires are important tools for assessing the quality of life of patients with LARS. Conservative management (medical, physiotherapy, transanal irrigation), invasive procedures (neuromodulation), and multimodal therapy are the mainstay of treatment for patients with LARS. A stoma could be considered when other treatment modalities have failed. An initial meticulous surgical procedure for rectal cancer, creation of a neorectal reservoir during anastomosis, and proper exercise of the anal sphincter muscle (Kegel’s maneuver) are essential to combat LARS. Pretreatment counseling is a crucial step for patients who have risk factors for developing LARS.

Citations

Citations to this article as recorded by  
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    Colorectal Disease.2023; 25(2): 191.     CrossRef
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    Fan Liu, Peng Guo, Quan Wang, Fujun Chen, Wenyong Wu, Xiangqian Su, Guiying Wang, Zhouman Yu, Jianlong Jiang, Feng Liang, Dechang Diao, Zhikang Chen, Yuanting Liu, Fanqiang Meng, Ning Ning, Yingjiang Ye
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    Mohammad Reza Hashempour, Muhammadhosein Moradi, Reza Ghasemian oroomi, Siamak Daneshvar, Alipasha Meysamie, Mohammadreza Nikshoar, Fakhrosadat Anaraki
    BMC Surgery.2023;[Epub]     CrossRef
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    Ruijia Zhang, Wenqin Luo, Yulin Qiu, Fan Chen, Dakui Luo, Yufei Yang, Weijing He, Qingguo Li, Xinxiang Li
    Cancers.2023; 15(20): 5011.     CrossRef
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    Dong-Ai Jin, Fang-Ping Gu, Tao-Li Meng, Xuan-Xuan Zhang
    World Journal of Gastrointestinal Surgery.2023; 15(10): 2123.     CrossRef
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    Kelly C.L.R. Buzatti, Andy Petroianu, Søren Laurberg, Rodrigo G. Silva, Beatriz D.S. Rodrigues, Peter Christensen, Antonio Lacerda-Filho, Therese Juul
    Annals of Coloproctology.2023; 39(5): 402.     CrossRef
  • Functional anorectal studies in patients with low anterior resection syndrome
    Ssu‐Chi Chen, Kaori Futaba, Wing Wa Leung, Cherry Wong, Tony Mak, Simon Ng, Hans Gregersen
    Neurogastroenterology & Motility.2022;[Epub]     CrossRef
  • A new method of intraoperative pelvic neuromonitoring: a preclinical feasibility study in a porcine model
    Ramona Schuler, Matthias Goos, Andreas Langer, Maximilian Meisinger, Christoph Marquardt, Helga Fritsch, Marko Konschake
    Scientific Reports.2022;[Epub]     CrossRef
  • Multidisciplinary treatment strategy for early rectal cancer
    Gyung Mo Son, In Young Lee, Sung Hwan Cho, Byung-Soo Park, Hyun Sung Kim, Su Bum Park, Hyung Wook Kim, Sang Bo Oh, Tae Un Kim, Dong Hoon Shin
    Precision and Future Medicine.2022; 6(1): 32.     CrossRef
  • The risk factors of low anterior resection syndrome after colorectal cancer surgery: A retrospective study of 566 patients in a single institution in China
    HyokJu Ri, HaoNan Kang, ZhaoHui Xu, KunHyok Kim, YanYing Ren, ZeZhong Gong, Xin Chen
    Frontiers in Surgery.2022;[Epub]     CrossRef
  • Analgesic effect of structured anal skin care for perianal dermatitis after low anterior resection in the rectal cancer patients: prospective, single-center, open-label, therapeutic confirmatory, randomized clinical trial
    Gyung Mo Son, In Young Lee, Mi Sook Yun, Jung-Hea Youn, Hong Min An, Kyung Hee Kim, Seung Mi Yeo, Bokyung Ku, Myeong Suk Kwon, Kun Hyung Kim
    Annals of Surgical Treatment and Research.2022; 103(6): 360.     CrossRef
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    E. Pape, P. Pattyn, A. Van Hecke, N. Somers, D. Van de Putte, W. Ceelen, E. Van Daele, W. Willaert, K. Geboes, Y. Van Nieuwenhove
    European Journal of Oncology Nursing.2021; 50: 101878.     CrossRef
  • The impact of neoadjuvant chemotherapy on low anterior resection syndrome after rectal cancer resection: A 6 Months longitudinal follow-up
    Qiulu Zhang, Limin An, Ruixuan Yu, Jing Peng, Kexin Yu, Mingjun Huang, Li Li, Xiaodong Wang
    Asian Journal of Surgery.2021; 44(10): 1260.     CrossRef
  • Establishing a novel method for assessing elasticity of internal anal sphincter using ultrasonic real‐time tissue elastography
    Risa Fukui, Kazuhito Sasaki, Kazushige Kawai, Tetsuro Taira, Hiroaki Nozawa, Manabu Kaneko, Koji Murono, Shigenobu Emoto, Yuuki Iida, Hiroaki Ishii, Yuichiro Yokoyama, Hiroyuki Anzai, Hirofumi Sonoda, Soichiro Ishihara
    ANZ Journal of Surgery.2021;[Epub]     CrossRef
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    Jieman Hu, Jianan Sun, Yanjun Wang, Xuan Sun, Weihua Tong, Haiyan Hu
    Supportive Care in Cancer.2021; 29(7): 4129.     CrossRef
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    Okan M. AKTURK, Mikail CAKIR
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    Eun Jung Park, Seung Hyuk Baik
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  • Low Anterior Resection Syndrome
    Theresa H. Nguyen, Reena V. Chokshi
    Current Gastroenterology Reports.2020;[Epub]     CrossRef
  • Racial and Socioeconomic Disparities After Surgical Resection for Rectal Cancer
    Eiman Ghaffarpasand, Vanessa M. Welten, Adam C. Fields, Pamela W. Lu, Galyna Shabat, Yasmin Zerhouni, Ameer O. Farooq, Nelya Melnitchouk
    Journal of Surgical Research.2020; 256: 449.     CrossRef
  • Nachsorge und Behandlung funktioneller Störungen nach operativer Therapie des Rektumkarzinoms
    C. Holmer
    Der Onkologe.2020; 26(12): 1154.     CrossRef
  • Optimizing sacral neuromodulation for low anterior resection syndrome: learning from our experience
    I. Rubio‐Perez, J. Saavedra, J. L. Marijuan, I. Pascual‐Miguelañez
    Colorectal Disease.2020; 22(12): 2146.     CrossRef
  • The Impact of COVID-19 on Gastrointestinal Motility Testing in Asia and Europe
    Hideki Mori, Jolien Schol, Annelies Geeraerts, I-Hsuan Huang, Sawangpong Jandee, Sutep Gonlachanvit, Ping-Huei Tseng, Ching-Liang Lu, Takeshi Kamiya, Nayoung Kim, Yeong Yeh Lee, Shiko Kuribayashi, Jan Tack, Hidekazu Suzuki
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Original Articles
Oncologic and Anastomotic Safety of Low Ligation of the Inferior Mesenteric Artery With Additional Lymph Node Retrieval: A Case-Control Study
Cho Shin Kim, Sohyun Kim
Ann Coloproctol. 2019;35(4):167-173.   Published online August 31, 2019
DOI: https://doi.org/10.3393/ac.2018.10.09
  • 4,142 View
  • 134 Download
  • 10 Web of Science
  • 10 Citations
AbstractAbstract PDF
Purpose
We assessed the oncologic and anastomotic benefits of low ligation of the inferior mesenteric artery (IMA) with additional lymph node (LN) retrieval.
Methods
We performed a retrospective case-control study between January 2011 and July 2015. All patients underwent curative resection of a primary sigmoid or rectal tumor. We excluded patients with distant metastases at the time of diagnosis. The case group included patients who underwent high ligation of the IMA (high group, HG). The control group included patients who underwent low ligation of the IMA with low group with additional LN retrieval (LGAL). Controls were identified by matching patients based on age (±5 years), sex, tumor location, and final histopathological stage. Finally, each group included 97 patients.
Results
Clinical characteristics did not significantly differ between groups. The mean number of additional harvested LN was 2.19 (range, 0–11), and one patient in the LGAL had a metastatic LN among the additional harvested LN. The overall morbidity was 22.7% in the HG and 30% in the LGAL (P = 0.257). Anastomotic leakage occurred in 14 patients (14.4%) in the HG and 5 patients (5.2%) in the LGAL (P = 0.030). The mean disease-free survival time in the HG was longer than that in the LGAL (P = 0.008). The mean overall survival (OS) time was 70.4 ± 1.3 months. The mean OS was 63.7 ± 1.6 months in the HG and 69.1 ± 2.6 months in the LGAL (P = 0.386).
Conclusion
Low ligation of the IMA with additional LN retrieval is technically safe. However, the oncologic effect was better after high ligation of IMA.

Citations

Citations to this article as recorded by  
  • Long-Term Oncological Results After Laparoscopic Sigmoidectomy for Adenocarcinoma
    Andrea Balla, Federica Saraceno, Anna Guida, Rosa Scaramuzzo, Diletta Corallino, Giuseppe Maria Ettorre, Pasquale Lepiane
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2023; 33(4): 397.     CrossRef
  • Ligation level of inferior mesenteric artery in rectal cancer: a meta-analysis
    Chunqiang WANG, Tianye HUANG, Xuebing WANG
    Gazzetta Medica Italiana Archivio per le Scienze Mediche.2023;[Epub]     CrossRef
  • Comparison of the short-term and long-term outcomes of three different types of inferior mesenteric artery ligation in left colonic and rectal cancers: a network meta-analysis
    Hao Zeng, Qilong Lan, Fudi Li, Dongbo Xu, Shuangming Lin
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  • Inferior Mesenteric Artery Ligation Level in Rectal Cancer Surgery beyond Conventions: A Review
    Antonio Brillantino, Jaroslaw Skokowski, Francesco A. Ciarleglio, Yogesh Vashist, Maurizio Grillo, Carmine Antropoli, Johnn Henry Herrera Kok, Vinicio Mosca, Raffaele De Luca, Karol Polom, Pasquale Talento, Luigi Marano
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    R. I. Fayzulin, M. A. Tarasov, A. A. Ponomarenko, S. V. Chernyshov, E. G. Rybakov
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    Meng Kong, Hongyuan Chen, Yingying Xin, Yugang Jiang, Yue Han, Hongguang Sheng
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  • Lymphadenectomy Around Inferior Mesenteric Artery in Low-Tie vs High-Tie Laparoscopic Anterior Resection: Short- and Long-Term Outcome of a Cohort of 614 Rectal Cancers
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    Rikiya Sato, Shuichiro Matoba, Hiroya Kuroyanagi, Masashi Ueno, Shigeo Toda, Yutaka Hanaoka, Kosuke Hiramatsu, Yusuke Maeda, Yuki Nishihara
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  • High Versus Low Ligation of the Inferior Mesenteric Artery During Rectal Resection for Cancer: Oncological Outcomes After Three Years of Follow-Up From the HIGHLOW Trial
    Giulio M. Mari, Jacopo Crippa, Pietro Achilli, Isacco Montroni, Giampaolo Ugolini, Giovanni Taffurelli, Eugenio Cocozza, Giacomo Borroni, Francesco Valenti, Francesco Roscio, Giovanni Ferrari, Matteo Origi, Walter Zuliani, Raffaele Pugliese, Andrea T. M.
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Sentinel Lymph Node Analysis in Colorectal Cancer Patients Using One-Step Nucleic Acid Amplification in Combination With Fluorescence and Indocyanine Green
Francesco Esposito, Adele Noviello, Nicola Moles, Enrico Coppola Bottazzi, Mario Baiamonte, Ina Macaione, Umberto Ferbo, Maria Lepore, Antonio Miro, Francesco Crafa
Ann Coloproctol. 2019;35(4):174-180.   Published online August 31, 2019
DOI: https://doi.org/10.3393/ac.2018.07.21.1
  • 3,535 View
  • 113 Download
  • 6 Web of Science
  • 6 Citations
AbstractAbstract PDF
Purpose
Analysis of the sentinel lymph node (SLN) in colorectal cancer (CRC) patients was proposed for more accurate staging and tailored lymphadenectomy. The aim of this study was to assess the ability to predict lymph node (LN) involvement through analysis of the SLN with a one-step nucleic acid (OSNA) technique in combination with peritumoral injection of indocyanine green (ICG) and near-infrared (NIR) lymphangiography in CRC patients.
Methods
A total of 34 patients were enrolled. Overall, 51 LNs were analyzed with OSNA. LNs of 17 patients (50%) were examined simultaneously with hematoxylin and eosin (H&E) and OSNA.
Results
SLN analysis of 17 patients examined with H&E and OSNA revealed that OSNA had a higher sensitivity (1 vs. 0.55), higher negative predictive value (1 vs. 0.66) and higher accuracy (100% vs. 76.4%) in predicting LN involvement. Overall, OSNA showed a sensitivity of 0.69, specificity of 1, accuracy of 88.2%, and stage migration of 8.8%. Compared to those who were OSNA (−), OSNA (+) patients had a greater number of LN metastases (4.8 vs. 0.16, P = 0.04), higher G3 rate (44.4% vs. 4%, P = 0.01), more advanced stage of disease (stage III: 77.8% vs. 16%; P = 0.00) and were more rapidly subjected to adjuvant chemotherapy (39.1 days vs. 50.2 days, P = 0.01).
Conclusion
SLN analysis with OSNA in combination with ICG-NIR lymphangiography is feasible and can detect LN involvement in CRC patients. Furthermore, it allows for more accurate staging reducing the delay between surgery and adjuvant chemotherapy.

Citations

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Comparison of Short-term Outcomes of Laparoscopic-Assisted Colon Cancer Surgery Using a Joystick-Guided Endoscope Holder (Soloassist II) or a Human Assistant
Jun Sung Kim, Won Cheol Park, Joo Hyun Lee
Ann Coloproctol. 2019;35(4):181-186.   Published online August 31, 2019
DOI: https://doi.org/10.3393/ac.2018.10.18
  • 3,691 View
  • 103 Download
  • 9 Web of Science
  • 8 Citations
AbstractAbstract PDF
Purpose
This study aimed to compare the short-term outcomes of laparoscopic-assisted colon cancer surgery in the Soloassist II-assisted (SA) group and in the human-assisted (HA) group.
Methods
A total of 76 patients with colon cancer who underwent laparoscopic-assisted right hemicolectomy and anterior resection performed by a single surgeon between January 2017 and May 2018 were recruited from the consecutively enrolled registry and retrospectively analyzed.
Results
Of 76 patients, 43 underwent surgery with human assistance and 33 underwent surgery using the Soloassist II system. The clinicopathologic characteristics were not statistically different between the 2 groups. In both HA and SA groups, no statistical difference was observed between operation time (220.23 ± 47.83 minutes vs. 218.03 ± 38.22 minutes, P = 0.829), total number of harvested lymph nodes (20.42 ± 10.86 vs. 20.24 ± 8.21, P = 0.938), and other parameters of short-term outcomes (length of hospital stay, blood loss, open conversion, time to flatus, time to soft diet, and complication events). Subgroup analyses did not show statistical differences.
Conclusion
Soloassist II can reduce the participation of a human assistant during surgery and is not inferior to human assistance in laparoscopic-assisted colon cancer surgery. Thus, it is a feasible instrument in laparoscopic-assisted colon cancer surgery that can provide positive short-term outcomes.

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Clinical Outcomes of Ileostomy Closure According to Timing During Adjuvant Chemotherapy After Rectal Cancer Surgery
Yoo Jin Choi, Jung-Myun Kwak, Neul Ha, Tae Hoon Lee, Se Jin Baek, Jin Kim, Seon Hahn Kim
Ann Coloproctol. 2019;35(4):187-193.   Published online August 31, 2019
DOI: https://doi.org/10.3393/ac.2018.10.18.1
  • 4,581 View
  • 161 Download
  • 11 Web of Science
  • 12 Citations
AbstractAbstract PDF
Purpose
No guidelines exist detailing when to implement a temporary ileostomy closure in the setting of adjuvant chemotherapy following sphincter-saving surgery for rectal cancer. The aim of this study was to evaluate the clinical and oncological outcomes of ileostomy closure during adjuvant chemotherapy in patients with curative resection of rectal cancer.
Methods
This retrospective study investigated 220 patients with rectal cancer undergoing sphincter-saving surgery with protective loop ileostomy from January 2007 to August 2016. Patients were divided into 2 groups: group 1 (n = 161) who underwent stoma closure during adjuvant chemotherapy and group 2 (n = 59) who underwent stoma closure after adjuvant chemotherapy.
Results
No significant differences were observed in operative time, blood loss, postoperative hospital stay, or postoperative complications in ileostomy closure between the 2 groups. No difference in overall survival (P = 0.959) or disease-free survival (P = 0.114) was observed between the 2 groups.
Conclusion
Ileostomy closure during adjuvant chemotherapy was clinically safe, and interruption of chemotherapy due to ileostomy closure did not change oncologic outcomes.

Citations

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  • Clinical Outcomes of Ileostomy Closure during versus after Adjuvant Chemotherapy in Patients with Rectal Cancer
    Fan He, Fuyu Yang, Chenglin Tang, Defei Chen, Dongqin Zhao, Junjie Xiong, Yu Zou, Guoquan Huang, Kun Qian, Masanao Nakamura
    Canadian Journal of Gastroenterology and Hepatology.2024; 2024: 1.     CrossRef
  • Prophylactic effect of retromuscular mesh placement during loop ileostomy closure on incisional hernia incidence—a multicentre randomised patient- and observer-blind trial (P.E.L.I.O.N trial)
    Sven Müller, Dirk Weyhe, Florian Herrle, Philipp Horvath, Robert Bachmann, Viktor von Ehrlich-Treuenstätt, Patrick Heger, Nadir Nasir, Christina Klose, Alexander Ritz, Anja Sander, Erich Grohmann, Colette Dörr-Harim, André L. Mihaljevic
    Trials.2023;[Epub]     CrossRef
  • Impact of chemotherapy on surgical outcomes in ileostomy reversal: a propensity score matching study from a single centre
    H.-H. Cheng, Y.-C. Shao, C.-Y. Lin, T.-W. Chiang, M.-C. Chen, T.-Y. Chiu, Y.-L. Huang, C.-C. Chen, C.-P. Chen, F.-F. Chiang
    Techniques in Coloproctology.2023; 27(12): 1227.     CrossRef
  • Comparison of clinical outcomes of stoma reversal during versus after chemotherapy for rectal cancer patients
    Kun-Yu Tsai, Jeng-Fu You, Shu-Huan Huang, Tzong-yun Tsai, Pao-Shiu Hsieh, Cheng-Chou Lai, Wen-Sy Tsai, Hsin-Yuan Hung
    Langenbeck's Archives of Surgery.2023;[Epub]     CrossRef
  • Early versus late closure of temporary ileostomy after rectal cancer surgery: a meta-analysis
    Li Wang, Xinling Chen, Chen Liao, Qian Wu, Hongliang Luo, Fengming Yi, Yiping Wei, Wenxiong Zhang
    Surgery Today.2021; 51(4): 463.     CrossRef
  • Low albumin level and longer interval to closure increase the early complications after ileostomy closure
    HyungJoo Baik, Ki Beom Bae
    Asian Journal of Surgery.2021; 44(1): 352.     CrossRef
  • Does the timing of protective ileostomy closure post-low anterior resection have an impact on the outcome? A retrospective study
    Fozan Sauri, Ahmad Sakr, Ho Seung Kim, Mohammed Alessa, Radwan Torky, Eman Zakarneh, Seung Yoon Yang, Nam Kyu Kim
    Asian Journal of Surgery.2021; 44(1): 374.     CrossRef
  • Impact of a defunctioning ileostomy and time to stoma closure on bowel function after low anterior resection for rectal cancer: a systematic review and meta-analysis
    I. Vogel, N. Reeves, P. J. Tanis, W. A. Bemelman, J. Torkington, R. Hompes, J. A. Cornish
    Techniques in Coloproctology.2021; 25(7): 751.     CrossRef
  • Clinical Outcomes of Ileostomy Closure before Adjuvant Chemotherapy after Rectal Cancer Surgery: An Observational Study from a Chinese Center
    Zhen Sun, Yufeng Zhao, Lu Liu, Jichao Qin, Zhongguang Luo
    Gastroenterology Research and Practice.2021; 2021: 1.     CrossRef
  • Delayed ileostomy closure increases the odds of Clostridium difficile infection
    Simon J. G. Richards, Dilshan K. Udayasiri, Ian T. Jones, Ian A. Hastie, Raaj Chandra, Jacob J. McCormick, Timothy J. Chittleborough, David J. Read, Ian P. Hayes
    Colorectal Disease.2021; 23(12): 3213.     CrossRef
  • The effect of ileostomy closure timing on low anterior resection syndrome in patient who underwent low anterior resection for rectal cancer
    Hemn Hussain Kaka Ali, Qalandar Hussein Abdulkarim, Karzan Seerwan, Barham M. M .Salih, Omar H Ghalib Hawramy, Dara Ahmed Mohammed, Syamand Orhaman Ahmed
    Kurdistan Journal of Applied Research.2021; : 126.     CrossRef
  • Assessment of the risk of permanent stoma after low anterior resection in rectal cancer patients
    Marcin Zeman, Marek Czarnecki, Andrzej Chmielarz, Adam Idasiak, Maciej Grajek, Agnieszka Czarniecka
    World Journal of Surgical Oncology.2020;[Epub]     CrossRef
Long-term Transanal Excision Outcomes in Patients With T1 Rectal Cancer: Comparative Analysis of Radical Resection
Yunghuyn Hwang, Yong Sik Yoon, Jun Woo Bong, Hye Yun Choi, In Ho Song, Jong Lyul Lee, Chan Wook Kim, In Ja Park, Seok-Byung Lim, Chang Sik Yu, Jin Cheon Kim
Ann Coloproctol. 2019;35(4):194-201.   Published online August 31, 2019
DOI: https://doi.org/10.3393/ac.2018.10.18.2
  • 5,042 View
  • 141 Download
  • 13 Web of Science
  • 15 Citations
AbstractAbstract PDF
Purpose
Transanal excision (TAE) is an alternative surgical procedure for early rectal cancer. This study compared long-term TAE outcomes, in terms of survival and local recurrence (LR), with total mesorectal excision (TME) in patients with pathologically confirmed T1 rectal cancer.
Methods
T1 rectal adenocarcinoma patients who underwent surgery from 1990 to 2011 were retrospectively reviewed. Patients that were suspected to have preoperative lymph node metastasis were excluded. Demographics, recurrence, and survival were analyzed based on TAE and TME surgery.
Results
Of 268 individuals, 61 patients (26%) underwent TAE, which was characterized by proximity to the anus, submucosal invasion depth, and lesion infiltration, compared with TME patients (P < 0.001–0.033). During a median follow-up of 10.4 years, 12 patients had systemic and/or LR. Ten-year cancer-specific survival in the TAE and TME groups was not significantly different (98% vs. 100%). However, the 10-year LR rate in the TAE group was greater than that of TME group (10% vs. 0%, P < 0.001). Although 5 of the 6 TAE patients with LR underwent salvage surgery, one of the patients eventually died. The TAE surgical procedure (hazard ratio, 19.066; P = 0.007) was the only independent risk factor for LR.
Conclusion
Although long-term survival after TAE was comparable to that after TME, TAE had a greater recurrence risk than TME. Thus, TAE should only be considered as an alternative surgical option for early rectal cancer in selected patients.

Citations

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  • Short- and long-term outcomes of local excision with adjuvant radiotherapy in high-risk T1 rectal cancer patients
    Abdullah Al-Sawat, Jung Hoon Bae, Hyun Ho Kim, Chul Seung Lee, Seung Rim Han, Yoon Suk Lee, Hyeon-Min Cho, Hong Seok Jang, In Kyu Lee
    Annals of Surgical Treatment and Research.2022; 102(1): 36.     CrossRef
  • The Role of Transanal Endoscopic Surgery for Early Rectal Cancer
    Natalie F. Berger, Patricia Sylla
    Clinics in Colon and Rectal Surgery.2022; 35(02): 113.     CrossRef
  • Multidisciplinary treatment strategy for early rectal cancer
    Gyung Mo Son, In Young Lee, Sung Hwan Cho, Byung-Soo Park, Hyun Sung Kim, Su Bum Park, Hyung Wook Kim, Sang Bo Oh, Tae Un Kim, Dong Hoon Shin
    Precision and Future Medicine.2022; 6(1): 32.     CrossRef
  • Watch and wait strategies for rectal cancer: A systematic review
    In Ja Park
    Precision and Future Medicine.2022; 6(2): 91.     CrossRef
  • Early-rectal Cancer Treatment: A Decision-tree Making Based on Systematic Review and Meta-analysis
    Ignacio Aguirre-Allende, Jose Maria Enriquez-Navascues, Garazi Elorza-Echaniz, Ane Etxart-Lopetegui, Nerea Borda-Arrizabalaga, Yolanda Saralegui Ansorena, Carlos Placer-Galan
    Cirugía Española.2021; 99(2): 89.     CrossRef
  • Oncological Outcomes of Transanal Endoscopic Microsurgery Plus Adjuvant Chemoradiotherapy for Patients with High-Risk T1 and T2 Rectal Cancer
    Kang Xu, Yulin Liu, Peng Yu, Wei Shang, Yongbo Zhang, Mingwen Jiao, Zhonghui Cui, Lijian Xia, Jingbo Chen
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2021; 31(9): 1006.     CrossRef
  • Early-rectal Cancer Treatment: A Decision-tree Making Based on Systematic Review and Meta-analysis
    Ignacio Aguirre-Allende, Jose Maria Enriquez-Navascues, Garazi Elorza-Echaniz, Ane Etxart-Lopetegui, Nerea Borda-Arrizabalaga, Yolanda Saralegui Ansorena, Carlos Placer-Galan
    Cirugía Española (English Edition).2021; 99(2): 89.     CrossRef
  • The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Surveillance and Survivorship Care of Patients After Curative Treatment of Colon and Rectal Cancer
    Karin M. Hardiman, Seth I. Felder, Garrett Friedman, John Migaly, Ian M. Paquette, Daniel L. Feingold
    Diseases of the Colon & Rectum.2021; 64(5): 517.     CrossRef
  • The risk factors of local recurrence and distant metastasis on pT1/T2N0 mid-low rectal cancer after total mesorectal excision
    I-Li Lai, Jeng-Fu You, Yih-Jong Chern, Wen-Sy Tsai, Jy-Ming Chiang, Pao-Shiu Hsieh, Hsin-Yuan Hung, Yu-Jen Hsu
    World Journal of Surgical Oncology.2021;[Epub]     CrossRef
  • Prognostic Factors and Treatment of Recurrence after Local Excision of Rectal Cancer
    Moon Suk Choi, Jung Wook Huh, Jung Kyong Shin, Yoon Ah Park, Yong Beom Cho, Hee Cheol Kim, Seong Hyeon Yun, Woo Yong Lee
    Yonsei Medical Journal.2021; 62(12): 1107.     CrossRef
  • New morphological risk factors for metastasis to regional lymph nodes in rectal cancer with invasion into the submucosa
    O. A. Maynovskaya, E. G. Rybakov, S. V. Chernyshov, Yu. A. Shelygin, S. I. Achkasov
    Koloproktologia.2021; 20(4): 22.     CrossRef
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    Cristopher Varela, Nam Kyu Kim
    Annals of Coloproctology.2021; 37(6): 395.     CrossRef
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    Konstantinos Perivoliotis, Ioannis Baloyiannis, Chamaidi Sarakatsianou, George Tzovaras
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    Taesung Ahn
    Annals of Coloproctology.2019; 35(4): 155.     CrossRef
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    I-Li Lai, Jeng-Fu You, Yih-Jong Chern, Wen-Sy Tsai, Jy-Ming Chiang, Pao-Shiu Hsieh, Hsin-Yuan Hung, Chien-Yuh Yeh, Sum-Fu Chiang, Cheng-Chou Lai, Rei-Ping Tang, Jinn-Shiun Chen, Yu-Jen Hsu
    World Journal of Surgical Oncology.2019;[Epub]     CrossRef
Combination Assessment of Clinical Complete Response of Patients With Rectal Cancer Following Chemoradiotherapy With Endoscopy and Magnetic Resonance Imaging
Hye Mi Ko, Yo Han Choi, Jeong Eun Lee, Kyung Ha Lee, Ji Yeon Kim, Jin Soo Kim
Ann Coloproctol. 2019;35(4):202-208.   Published online August 31, 2019
DOI: https://doi.org/10.3393/ac.2018.10.15
  • 4,228 View
  • 154 Download
  • 14 Web of Science
  • 15 Citations
AbstractAbstract PDF
Purpose
The response to neoadjuvant chemoradiotherapy (CRT) for rectal cancer can be assessed using digital rectal examination, endoscopy and magnetic resonance imaging (MRI). Precise assessment of clinical complete response (CR) after CRT is essential when deciding between optimizing surgery or organ-preserving treatment. The objectives of this study were to correlate the CR finding in endoscopy and MRI with pathologic CR and to determine the appropriate approach for combining endoscopy and MRI to predict the pathologic CR in patients with rectal cancer after neoadjuvant CRT.
Methods
This retrospective cohort study included 102 patients with rectal cancer who underwent endoscopy and MRI at 2–4 weeks after CRT. We assigned a confidence level (1–4) for the endoscopic and MRI assessments. Accuracy, sensitivity, and specificity were analyzed based on the endoscopy, MRI, and combination method findings. Diagnostic modalities were compared using the likelihood ratios.
Results
Of 102 patients, 17 (16.7%) had a CR. The accuracy, sensitivity, and specificity for the prediction CR of endoscopy with biopsy were 85.3%, 52.9%, and 91.8%, while those of MRI were 91.2%, 70.6%, and 95.3%, and those of combined endoscopy and MRI were 89.2%, 52.9%, and 96.5%, respectively. No significant differences were noted in the sensitivity and specificity of any each modality. The prediction rate for CR of the combination method was 92.6% after the posttest probability test.
Conclusion
Our study demonstrated that combining the interpretation of endoscopy with biopsy and MRI could provide a good prediction rate for CR in patients with rectal cancer after CRT.

Citations

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  • Assessing Endoscopic Response in Locally Advanced Rectal Cancer Treated with Total Neoadjuvant Therapy: Development and Validation of a Highly Accurate Convolutional Neural Network
    Hannah Williams, Hannah M. Thompson, Christina Lee, Aneesh Rangnekar, Jorge T. Gomez, Maria Widmar, Iris H. Wei, Emmanouil P. Pappou, Garrett M. Nash, Martin R. Weiser, Philip B. Paty, J. Joshua Smith, Harini Veeraraghavan, Julio Garcia-Aguilar
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    A А. Nevolskikh, A. R. Brodskiy, V. A. Avdeenko, T. P. Pochuev, Yu. Yu. Mihaleva, T. P. Berezovskaya, R. F. Zibirov, S. A. Myalina, I. A. Orehov, L. O. Petrov, S. A. Ivanov, A. D. Kaprin
    Koloproktologia.2024; 23(1): 82.     CrossRef
  • Diagnostic performance of MRI and endoscopy for assessing complete response in rectal cancer after neoadjuvant chemoradiotherapy: a systematic review of the literature
    Nicolai Egholt Munk, Peter Bondeven, Bodil Ginnerup Pedersen
    Acta Radiologica.2023; 64(1): 20.     CrossRef
  • Correlation of Tumor Response Between Flexible Sigmoidoscopy and Magnetic Resonance Imaging in Patients Undergoing Neoadjuvant Therapy for Locally Advanced Rectal Cancer: A Retrospective Review
    Maria A. Rojas, Jose Cataneo, Marianne Gagnon-Konamna, Daniel J. Borsuk, Angela J. Jarzabek, Slawomir J. Marecik, John J. Park, Kunal Kochar
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  • Endoscopy and MRI for restaging early rectal cancer after neoadjuvant treatment
    Rutger C. H. Stijns, Jeroen Leijtens, Eelco de Graaf, Simon P. Bach, Geerard Beets, Andre J. A. Bremers, Regina G. H. Beets‐Tan, Johannes H. W. de Wilt
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    Anqi Wang, Jieli Zhou, Gang Wang, Beibei Zhang, Hongyi Xin, Haiyang Zhou
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  • MRI Evaluation of Complete and Near-Complete Response after Neoadjuvant Therapy in Patients with Locally Advanced Rectal Cancer
    Anca-Raluca Popita, Cosmin Lisencu, Adriana Rusu, Cristian Popita, Calin Cainap, Alexandru Irimie, Liliana Resiga, Alina Munteanu, Zsolt Fekete, Radu Badea
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    In Ja Park
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  • Early conformational changes at tumour bed and long term response after neoadjuvant therapy in locally-advanced rectal cancer
    Inês Santiago, Maria-João Barata, Nuno Figueiredo, Oriol Parés, Celso Matos
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  • Improvement in the Assessment of Response to Preoperative Chemoradiotherapy for Rectal Cancer Using Magnetic Resonance Imaging and a Multigene Biomarker
    Eunhae Cho, Sung Woo Jung, In Ja Park, Jong Keon Jang, Seong Ho Park, Seung-Mo Hong, Jong Lyul Lee, Chan Wook Kim, Yong Sik Yoon, Seok-Byung Lim, Chang Sik Yu, Jin Cheon Kim
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    Kirsten L Gormly
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    Soo Young Oh, In Ja Park, Young IL Kim, Jong-Lyul Lee, Chan Wook Kim, Yong Sik Yoon, Seok-Byung Lim, Chang Sik Yu, Jin Cheon Kim
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    Filippo Crimì, Giulia Capelli, Gaya Spolverato, Quoc Riccardo Bao, Anna Florio, Sebastiano Milite Rossi, Diego Cecchin, Laura Albertoni, Cristina Campi, Salvatore Pucciarelli, Roberto Stramare
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    Seong Ho Park, Seung Hyun Cho, Sang Hyun Choi, Jong Keon Jang, Min Ju Kim, Seung Ho Kim, Joon Seok Lim, Sung Kyoung Moon, Ji Hoon Park, Nieun Seo
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  • Watch and wait approach in rectal cancer: Current controversies and future directions
    Fernando López-Campos, Margarita Martín-Martín, Roberto Fornell-Pérez, Juan Carlos García-Pérez, Javier Die-Trill, Raquel Fuentes-Mateos, Sergio López-Durán, José Domínguez-Rullán, Reyes Ferreiro, Alejandro Riquelme-Oliveira, Asunción Hervás-Morón, Felipe
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Impact of Patient’s Pain and Fatigue on Decision of Discharge After Laparoscopic Surgery for Colorectal Cancer
Gyeora Lee, Jun-Suh Lee, Ji Hoon Kim, Duk Yeon Hwang, Yoon-Suk Lee
Ann Coloproctol. 2019;35(4):209-215.   Published online August 31, 2019
DOI: https://doi.org/10.3393/ac.2018.11.29
  • 3,647 View
  • 116 Download
  • 5 Web of Science
  • 4 Citations
AbstractAbstract PDF
Purpose
Hospital stays after laparoscopic surgery for colorectal cancer tend to be much shorter than those after conventional open surgery. Many factors, including surgical outcomes and complications, are associated with patient discharge planning. However, few studies have analyzed the impact of patient subjective discomfort (including pain and fatigue) on the decision to discharge after surgery. Therefore, the purpose of this study was to determine how patient pain and fatigue play a role in the decision to discharge after laparoscopic surgery for colorectal cancer.
Methods
Between March 2014 and February 2015, we conducted a questionnaire survey of 91 patients who underwent laparoscopic surgery for colorectal cancer to estimate the expectation criteria for discharge and patient subjective discomfort at that time. Patients were divided into the following 2 groups: group A, those who complied with the medical professional’s decision to discharge; and group B, those who refused discharge despite the medical professional’s decision. The participants’ subjective factors were analyzed.
Results
Preoperatively, 78 of 91 patients (85.7%) identified activity level, amount of food (tolerance), and bowel movements as important factors that should be considered in the decision to discharge a patient postoperatively. Postoperatively, 17 patients (18.7%) refused discharge despite a discharge recommendation. Subjective pain and fatigue were significantly different in linear-by-linear association between the group of patients who agreed to be discharge and those who disagreed. Despite this difference, there was no significant difference in mean length of hospital stay between the 2 groups.
Conclusion
A patient’s subjective feelings of pain and fatigue can impact their decision regarding hospital discharge.

Citations

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  • The Impact of an Enhanced Recovery Protocol in a High-Risk Population Undergoing Colon Cancer Surgery
    Denise L. Wong, Alexis Holland, Mehmet Kocak, Mace Coday, Caroline Brown, Justin J. Monroe, Nathan M. Hinkle, Jeremiah L. Deneve, Evan S. Glazer, David Shibata
    The American Surgeon™.2023; 89(11): 4485.     CrossRef
  • Effectiveness of Aromatherapy on Ameliorating Fatigue in Adults: A Meta-Analysis
    Qiuting Wang, Lin Wei, Yueming Luo, Lijun Lin, Chong Deng, Ping Hu, Lijia Zhu, Yangchen Liu, Meizhen Lin, Azizah Ugusman
    Evidence-Based Complementary and Alternative Medicine.2022; 2022: 1.     CrossRef
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    Thaís T. T. Tweed, Carmen Woortman, Stan Tummers, Maikel J. A. M. Bakens, James van Bastelaar, Jan H. M. B. Stoot
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    Won Beom Jung
    Annals of Coloproctology.2019; 35(4): 158.     CrossRef
Case Reports
A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical Considerations
Christianna Oikonomou, Periklis Alepas, Stelios Gavriil, Dimitrios Kalliouris, Konstantinos Manesis, Petros Bouboulis, Dimitrios Filippou, Panagiotis Skandalakis
Ann Coloproctol. 2019;35(4):216-220.   Published online May 31, 2019
DOI: https://doi.org/10.3393/ac.2018.03.05
  • 8,538 View
  • 156 Download
  • 4 Web of Science
  • 5 Citations
AbstractAbstract PDF
Perianal abscess and fistula are 2 distinct entities that share a common pathology. A horseshoe fistulous abscess, a complex type of these conditions, occurs when the suppurative inflammation spreads through the deep anal space to the bilateral ischiorectal fossae. Following the intersphincteric plane, this infection may extend to the pararectal space, forming a supralevator abscess. We present a very rare case involving a 52-year-old male patient who was admitted to our surgical department with an extraperitoneal purulent inflammation as a complication following multiple drainage procedures for a posterior horseshoe abscess. Emphasis is given to the anatomical and technical considerations of eradication of anorectal sepsis and the management of complex fistula-in-ano along with a concise review of the literature.

Citations

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  • Perirectal Abscess with Anterior Extension to the Extraperitoneum and Space of Retzius: A Case Report
    Hsiang Teng, Po-Hsien Wu
    Medicina.2024; 60(2): 293.     CrossRef
  • Complex Tunneling Perirectal Abscess: Intra-abdominal and Extraperitoneal Extension of a Persistent Perirectal Abscess
    Abenezer S Tedla, Harsh R Parikh, Savni Satoskar, Jigyasha Pradhan, Shailja Kataria, Vinayak S Gowda
    Cureus.2024;[Epub]     CrossRef
  • Autologous Platelet-Rich Plasma Injection and Platelet-Rich Fibrin Glue Insertion for the Treatment of Extensive Supralevator Anorectal Fistula: A Case Report
    Amin Dalili, Daryoush Hamidi Alamdari, Alimohamad Dalili, Maryam Sarkardeh, Alireza Rezapanah, Nooshin Tafazoli
    WORLD JOURNAL OF PLASTIC SURGERY.2023; 12(1): 58.     CrossRef
  • Adölesanda vajene spontan drene olan anorektal apse: Olgu sunumu
    Ali Ekber Hakalmaz, Ayşe Kalyoncu Uçar, Gonca Topuzlu Tekant, Yunus Söylet, Sinan Celayir
    Turkish Journal of Pediatric Surgery.2023; 37(3): 119.     CrossRef
  • Extraperitoneal Spread of Anorectal Abscess: A Case Report and Literature Review
    Papadopoulos S. Konstantinos, Dimopoulos Andreas, Kordeni Kleoniki, Filis Dimitrios
    Annals of Coloproctology.2021; 37(Suppl 1): S11.     CrossRef
Bilateral Rotational S Flap Technique for Preventing Restenosis in Patients With Severe Circular Anal Stenosis: A Review of 2 Cases
Yuda Handaya, Mukhamad Sunardi
Ann Coloproctol. 2019;35(4):221-224.   Published online February 19, 2019
DOI: https://doi.org/10.3393/ac.2017.10.16
  • 5,203 View
  • 148 Download
  • 2 Web of Science
  • 2 Citations
AbstractAbstract PDF
Anal stenosis is a late hemorrhoidectomy complication. Sphincterotomy and various anoplasty techniques are used for treatment severe anal stenosis, such as the C flap, House flap, U flap, and rotational S flap, but no procedure is ideal for every patient. We review 2 cases of severe circular anal stenosis. Their complaints included narrow caliber of the stool and feeling unsatisfied defecation. Excision of scar tissue using the circular technique was followed by reconstruction using the bilateral rotational S flap procedure. At the 1-year follow-up, the patient had complaints about neither defecation nor pain, and no longer needed laxative agents. In conclusion, the bilateral rotational S flap technique should be considered as a viable treatment because it can also prevent the occurrence of restenosis, especially given the consideration of adequate blood supply.

Citations

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  • Is anoplasty superior to scar revision surgery for post-hemorrhoidectomy anal stenosis? Six years of experience
    Yu-Tse Weng, Kuan-Jung Chu, Kuan-Hsun Lin, Chun-Kai Chang, Jung-Cheng Kang, Chao-Yang Chen, Je-Ming Hu, Ta-Wei Pu
    World Journal of Clinical Cases.2022; 10(22): 7698.     CrossRef
  • Anoplasty for anatomical anal stenosis: systematic review of complications and recurrences
    Gaetano Gallo, Arcangelo Picciariello, Gian Luca Di Tanna, Patrizia Pelizzo, Donato Francesco Altomare, Mario Trompetto, Giulio Aniello Santoro, Franco Roviello, Carla Felice, Ugo Grossi
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