Annals of Coloproctology

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Malignant disease, Functional outcomes

The Benefits of Colorectal Surgery Surveys in Australia and New Zealand: Auerilius Erastus Ricardo Hamilton, Amelia Alice Lin, Christopher John Young; Ann Coloproctol. 2020;36(2):102-111. Published online April 30, 2020; DOI: https://doi.org/10.3393/ac.2019.09.17

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3 Web of Science
3 Citations

Purpose
Pertaining to the Colorectal Surgery Society of Australia and New Zealand (CSSANZ) Executive and Research Support Committee, this study aimed to assess the usefulness and outcomes of surveys sent out by the society to its members.
Methods
From 2009 to 2017, CSSANZ members received 38 surveys, most of which were distributed from within the society, and a few of which originated from other affiliated groups. Surveys were categorised by type, topics, times required for completion, delivery method, response rates, and advancement to publication.
Results
Of 38 surveys, 20 (53%) were published and 18 remain unpublished. Four surveys were distributed annually on average, with 2.2 published annually on average, with a mean impact factor of 2.41 ± 1.55. Mean time to publication was 31 ± 17 months. Surveys contributed to 13 publications (34%). The most common survey topics were rectal cancer decisionmaking, in 6 publications (16%), preoperative assessment of colorectal patients, in 5 publications (13%), and anal physiology: continence and defaecation, in 4 publications (11%). Publication of surveys was not related to the number of surveys distributed per year, the number of questions per survey, or the time required by respondents to complete the surveys.
Conclusion
Most of the CSSANZ-distributed surveys resulted in publications, and one third of the surveys contributed to higher degrees obtained by investigators. These surveys aid research into areas that are otherwise difficult to assess, often indicating areas for future research.

Citations

Citations to this article as recorded by

Current approaches to the surgical management of Crohn’s disease in Australia and New Zealand
Sophie Zheng, Aleksandra Edmundson, David A. Clark
International Journal of Colorectal Disease.2025;[Epub] CrossRef
Survey Research Among Neurosurgeons: A Bibliometric Review of the Characteristics, Quality, and Citation Predictors of the Top 50 Most-Influential Publications in the Neurosurgical Literature
Abdulhakim B Jamjoom, Abdulhadi Y Gahtani, Jude M Jamjoom, Belal M Sharab, Omar M Jamjoom, Moajeb T AlZahrani
Cureus.2024;[Epub] CrossRef
Geographical Variation in the Use of Diverting Loop Ileostomy in Australia and New Zealand Colorectal Surgeons
David A. Clark, Bree Stephensen, Aleksandra Edmundson, Daniel Steffens, Michael Solomon
Annals of Coloproctology.2021; 37(5): 337. CrossRef

Benign GI diease,Benign diesease & IBD,Complication,Surgical technique

Triple-Staple Technique Effectively Reduces Operating Time for Rectal Anastomosis: Marie Shella De Robles, Christopher John Young; Ann Coloproctol. 2021;37(1):16-20. Published online February 5, 2020; DOI: https://doi.org/10.3393/ac.2019.06.30

6,632 View
166 Download
10 Web of Science
10 Citations

Abstract PDF

Purpose
Stapled anastomotic techniques to the distal rectum have gained widespread acceptance due to their procedural advantages. Various modifications in the stapling techniques have evolved since their inception. The triple-staple technique utilizing stapled closure of both the proximal colon and distal rectal stump provides a rapid and secure colorectal anastomosis. The aims of this study were to determine the safety and efficacy of the triple-staple technique and to compare the clinical outcomes with a historical control group for which the conventional double-staple technique had been performed.
Methods
One hundred consecutive patients operated on by a single surgeon were included in the study; 50 patients who underwent a double-staple (DSA) procedure and 50 patients undergoing triple-staple anastomosis (TSA).
Results
The most common indication for surgery in both groups was rectal cancer followed by diverticular disease and distal sigmoid cancer. There was no significant difference in number of patients requiring loop ileostomy formation in the groups (TSA, 56.0% vs. DSA, 68.0%; P = 0.621). The mean operating time for the TSA group was significantly shorter compared to that of the DSA group (TSA, 242.8 minutes vs. DSA, 306.1 minutes; P = 0.001). There was no significant difference in complication rate (TSA, 40% vs. DSA, 50%; P = 0.315) or length of hospital stay between the two groups (TSA, 11.3 days vs. DSA, 13.0 days; P = 0.246). Postoperative complications included anastomotic leak, prolonged ileus, bleeding, wound infection, and pelvic collection.
Conclusion
The triple-staple technique is a safe alternative to double-staple anastomosis after anterior resection and effectively shortens operating time.

Citations

Citations to this article as recorded by

Single versus double stapled anastomosis in natural orifice specimen extraction (NOSE) laparoscopic anterior resection
Abdus Salam Raju, Seyed Mohammad Javad Taghavi, Andrew James Gilmore
ANZ Journal of Surgery.2025; 95(6): 1198. CrossRef
Sphincter-preserving surgical techniques in low rectal cancer management: A systematic review of contemporary evidence
Song Wang, A-Jian Li, Hui-Hong Jiang, Yin Lin, Hai-Bo Ding
World Journal of Gastrointestinal Surgery.2025;[Epub] CrossRef
Sex Disparities in Rectal Cancer Surgery: An In-Depth Analysis of Surgical Approaches and Outcomes
Chungyeop Lee, In Ja Park
The World Journal of Men's Health.2024; 42(2): 304. CrossRef
Double-row staple technology versus triple-row staple technology for colorectal surgery: A systematic review and meta-analysis
Tyler McKechnie, Victoria Shi, Elena Huang, Bright Huo, Aristithes Doumouras, Nalin Amin, Cagla Eskicioglu, Dennis Hong
Surgery.2024; 176(3): 633. CrossRef
The Colorectal Anastomosis: A Timeless Challenge
Alexander A. Gaidarski III, Marco Ferrara
Clinics in Colon and Rectal Surgery.2023; 36(01): 011. CrossRef
Fluorescence-guided colorectal surgery: applications, clinical results, and protocols
Jin-Min Jung, In Ja Park, Eun Jung Park, Gyung Mo Son
Annals of Surgical Treatment and Research.2023; 105(5): 252. CrossRef
Preventing Anastomotic Leakage, a Devastating Complication of Colorectal Surgery
Hyun Gu Lee
The Ewha Medical Journal.2023;[Epub] CrossRef
Robotic surgery for colorectal cancer
Sung Uk Bae
Journal of the Korean Medical Association.2022; 65(9): 577. CrossRef
Current Status and Future of Robotic Surgery for Colorectal Cancer-An English Version
Sung Uk Bae
Journal of the Anus, Rectum and Colon.2022; 6(4): 221. CrossRef
Effort to Improve Rectal Anastomosis: the Triple-Stapled Technique for Rectal Anastomosis
Sung Il Kang
Annals of Coloproctology.2021; 37(1): 1. CrossRef

Effects of Intraoperative Insufflation With Warmed, Humidified CO₂ during Abdominal Surgery: A Review: Ju Yong Cheong, Anil Keshava, Paul Witting, Christopher John Young; Ann Coloproctol. 2018;34(3):125-137. Published online June 30, 2018; DOI: https://doi.org/10.3393/ac.2017.09.26

10,646 View
176 Download
13 Web of Science
13 Citations

Abstract PDF

Purpose
During a laparotomy, the peritoneum is exposed to the cold, dry ambient air of the operating room (20°C, 0%–5% relative humidity). The aim of this review is to determine whether the use of humidified and/or warmed CO₂ in the intraperitoneal environment during open or laparoscopic operations influences postoperative outcomes.
Methods
A review was performed in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The PubMed, OVID MEDLINE, Cochrane Central Register of Controlled Trials and Embase databases were searched for articles published between 1980 and 2016 (October). Comparative studies on humans or nonhuman animals that involved randomized controlled trials (RCTs) or prospective cohort studies were included. Both laparotomy and laparoscopic studies were included. The primary outcomes identified were peritoneal inflammation, core body temperature, and postoperative pain.
Results
The literature search identified 37 articles for analysis, including 30 RCTs, 7 prospective cohort studies, 23 human studies, and 14 animal studies. Four studies found that compared with warmed/humidified CO₂, cold, dry CO₂ resulted in significant peritoneal injury, with greater lymphocytic infiltration, higher proinflammatory cytokine levels and peritoneal adhesion formation. Seven of 15 human RCTs reported a significantly higher core body temperature in the warmed, humidified CO₂ group than in the cold, dry CO₂ group. Seven human RCTs found lower postoperative pain with the use of humidified, warmed CO₂.
Conclusion
While evidence supporting the benefits of using humidified and warmed CO₂ can be found in the literature, a large human RCT is required to validate these findings.

Citations

Citations to this article as recorded by

Performance of intraoperative surgical smoke management technologies for laparoscopic surgery: A comparative in-vivo pig study
Daniel Göhler, Levon Aslanyan, Kathrin Oelschlägel, Petru Bucur, Jonathan Buggisch, Nadia Azhari, Andreas Rudolph, Sébastien Roger, Michael Stintz, Dirk Bausch, Cédric Demtröder, Mehdi Ouaissi, Urs Giger-Pabst
Journal of Aerosol Science.2024; 177: 106309. CrossRef
Does intra‐operative humidification with warmed CO2 reduce surgical site infection in open colorectal surgery? A randomized control trial
Asiri Arachchi, Alice Lee, Manisha Metlapalli, Ellathios Antoniou, Ruben Rajan, Vignesh Narasimhan, Ashray Rajagopalan, Seraphina Key, William M. K. Teoh, Thang Chien Nguyen, James Tow‐Hing Lim, Hanumant Chouhan, Bruce P. Waxman, Julian A. Smith
ANZ Journal of Surgery.2023; 93(4): 970. CrossRef
The effects of CO2 pneumoperitoneum at different temperature and humidity on hemodynamic and respiratory parameters and postoperative pain in gynecological laparoscopic surgery: A prospective randomized controlled study
Ilkben Gunusen, Ali Akdemir, Asuman Sargın, Semra Karaman
Asian Journal of Surgery.2022; 45(1): 154. CrossRef
Incidence of inadvertent perioperative hypothermia in pediatric laparoscopic surgery: a prospective observational single-center study.
Recai DAĞLI, Ülgen ÇELTİK, Fatma ÇELİK, Zeynel Abidin ERBESLER, Zeynep KÖYLÜ
Ahi Evran Medical Journal.2022;[Epub] CrossRef
Effects of Warmed and Humidified CO2 Surgical Site Insufflation in a Novel Experimental Model of Magnetic Compression Colonic Anastomosis
Francesco Marchegiani, Eric Noll, Pietro Riva, Seong-Ho Kong, Paola Saccomandi, Giorgia Vita, Véronique Lindner, Izzie Jacques Namer, Jacques Marescaux, Pierre Diemunsch, Michele Diana
Surgical Innovation.2021; 28(1): 7. CrossRef
Does the Laminar Airflow System Affect the Development of Perioperative Hypothermia? A Randomized Clinical Trial
Recai Dagli, Fatma Çelik, Hüseyin Özden, Serdar Şahin
HERD: Health Environments Research & Design Journal.2021; 14(3): 202. CrossRef
Randomized clinical trial of the effect of intraoperative humidified carbon dioxide insufflation in open laparotomy for colorectal resection
J. Y. Cheong, B. Chami, G. M. Fong, X. S. Wang, A. Keshava, C. J. Young, P. Witting
BJS Open.2020; 4(1): 45. CrossRef
The Pathogenesis and Prevention of Port-Site Metastasis in Gynecologic Oncology

Qianqian Gao, Ling Guo, Bo Wang
Cancer Management and Research.2020; Volume 12: 9655. CrossRef
Morpheus and the Underworld—Interventions to Reduce the Risks of Opioid Use After Surgery: ORADEs, Dependence, Cancer Progression, and Anastomotic Leakage
Robert Beaumont Wilson
Journal of Gastrointestinal Surgery.2019; 23(6): 1240. CrossRef
Effects of a multifaceted individualized pneumoperitoneum strategy in elderly patients undergoing laparoscopic colorectal surgery
Liping Liu, Na Lv, Chunmiao Hou
Medicine.2019; 98(14): e15112. CrossRef
Single‐incision laparoscopic reversal of Hartmann's operation through the stoma site: comparative outcomes with conventional laparoscopic and open surgery
P. Thambi, D. W. Borowski, R. Sathasivam, R.‐B. Obuobi, Y. K. S. Viswanath, T. S. Gill
Colorectal Disease.2019; 21(7): 833. CrossRef
Clinical effects of warmed humidified carbon dioxide insufflation in infants undergoing major laparoscopic surgery
Tong Meng-Meng, Xu Xue-Jun, Bao Xiao-Hong
Medicine.2019; 98(27): e16151. CrossRef
Effect of different carbon dioxide (CO2) insufflation for laparoscopic colorectal surgery in elderly patients
Rongjuan Jiang, Yan Sun, Huaiming Wang, Min Liang, Xianfeng Xie
Medicine.2019; 98(41): e17520. CrossRef

The Safety and Efficacy of Mesenteric Embolization in the Management of Acute Lower Gastrointestinal Hemorrhage: Ker-Kan Tan, David Hugh Strong, Timothy Shore, Mohammmad Rafei Ahmad, Richard Waugh, Christopher John Young; Ann Coloproctol. 2013;29(5):205-208. Published online October 31, 2013; DOI: https://doi.org/10.3393/ac.2013.29.5.205

5,944 View
42 Download
17 Citations

Abstract PDF

Purpose

Mesenteric embolization is an integral part in the management of acute lower gastrointestinal (GI) bleeding. The aim of this study was to highlight our experience after adopting mesenteric embolization in the management of acute lower GI hemorrhage.

Methods

A retrospective review of all cases of mesenteric embolization for acute lower GI bleeding from October 2007 to August 2012 was performed.

Results

Twenty-seven patients with a median age of 73 years (range, 31 to 86 years) formed the study group. More than half (n = 16, 59.3%) of the patients were on either antiplatelet and/or anticoagulant therapy. The underlying etiology included diverticular disease (n = 9), neoplasms (n = 5) and postprocedural complications (n = 6). The colon was the most common bleeding site and was seen in 21 patients (left, 10; right, 11). The median hemoglobin prior to the embolization was 8.6 g/dL (6.1 to 12.6 g/dL). A 100% technical success rate with immediate cessation of hemorrhage at the end of the session was achieved. There were three clinical failures (11.1%) in our series. Two patients re-bled, and both underwent a successful repeat embolization. The only patient who developed an infarcted bowel following embolization underwent an emergency operation and died one week later. There were no factors that predicted clinical failure.

Conclusion

Mesenteric embolization for acute lower GI bleeding can be safely performed and is associated with a high clinical success rate in most patients. A repeat embolization can be considered in selected cases, but postembolization ischemia is associated with bad outcomes.

Citations

Citations to this article as recorded by

Imaging and interventions in vascular malformations of the gastrointestinal tract
Divij Agarwal, Sanchita Gupta, Hemanga K Bhattacharjee, Chandan J Das
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Lower Gastrointestinal Bleeding (Nonvariceal): Concepts and Technique
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Arteriovenous Malformation of the Jejunum, Causing Massive Gastrointestinal Bleeding, Treated With Intraoperative Enteroscopy Guidance: A Case Report
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Journal of the Chinese Medical Association.2022; 85(2): 233. CrossRef
Safety Profile of Particle Embolization for Treatment of Acute Lower Gastrointestinal Bleeding
Elisabeth Seyferth, Rui Dai, James Ronald, Jonathan G. Martin, Alan A. Sag, Nicholas Befera, Waleska M. Pabon-Ramos, Paul V. Suhocki, Tony P. Smith, Charles Y. Kim
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Superselective transcatheter arterial embolization for acute small bowel bleeding: clinical outcomes and prognostic factors for ischemic complications
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Andrew S. Miller, Kathryn Boyce, Benjamin Box, Matthew D. Clarke, Sarah E. Duff, Niamh M. Foley, Richard J. Guy, Lisa H. Massey, George Ramsay, Dominic A. J. Slade, James A. Stephenson, Phil J. Tozer, Danette Wright
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