Annals of Coloproctology

Original Articles

Minimally invasive surgery

Preoperative localization of potentially invisible colonic lesions on the laparoscopic operation field: using autologous blood tattooing: Ji Yeon Mun, Hyunjoon An, Ri Na Yoo, Hyeon-Min Cho, Bong-Hyeon Kye; Ann Coloproctol. 2024;40(3):225-233. Published online June 19, 2024; DOI: https://doi.org/10.3393/ac.2023.00059.0008

2,117 View
161 Download

Graphical Abstract Abstract PDF: Purpose
Preoperative colonoscopic (POC) localization is recommended for patients scheduled for elective laparoscopic colectomy for early colon cancer. Among the various localization method, POC tattooing localization has been widely used. Several dyes have been used for tattooing, but dye has disadvantages, including foreign body reactions. For this reason, we have used autologous blood tattooing for POC localization. This study aimed to evaluate the safety and efficacy of the autologous blood tattooing method.
Methods
This study included patients who required POC localization of the colonic neoplasm among the patients who were scheduled for elective colon resection. The indication for localization was early colon cancer (clinically T1 or T2) or colonic neoplasms that could not be resected endoscopically. POC autologous blood tattooing was performed after saline injection, and 2 hemoclips were applied.
Results
A total of 45 patients who underwent autologous blood tattooing and laparoscopic colectomy were included in this study. All POC localization sites were visible in the laparoscopic view. POC localization sites showed almost perfect agreement with intraoperative surgical findings. There were no complications like bowel perforation, peritonitis, hemoperitoneum, and mesenteric hematoma.
Conclusion
Autologous blood is a safe and effective agent for localizing materials that can replace previous dyes. However, a large prospective case-control study is required for the routine application of this procedure in early colon cancer or colonic neoplasms.

The pattern of bowel dysfunction in patients with rectal cancer following the multimodal treatment: anorectal manometric measurements at before and after chemoradiation therapy, and postoperative 1 year: Ri Na Yoo, Bong-Hyeon Kye, HyungJin Kim, Gun Kim, Hyeon-Min Cho; Ann Coloproctol. 2023;39(1):32-40. Published online March 11, 2022; DOI: https://doi.org/10.3393/ac.2021.00696.0099

3,265 View
152 Download
2 Web of Science
2 Citations

Graphical Abstract Abstract PDF

Purpose
Bowel dysfunction commonly occurs in patients with locally advanced rectal cancer treated with a multimodal approach of chemoradiation therapy (CRT) combined with sphincter-preserving rectal resection. This study investigated the decline in anorectal function using sequential anorectal manometric measurements obtained before and after the multimodal treatment as well as at a 1-year follow-up.
Methods
This was a retrospective cohort study conducted in a single center. The study population consisted of patients with locally advanced mid- to low rectal cancer who received the preoperative CRT followed by sphincter-preserving surgery from 2012 to 2016. The anorectal manometric value measured after each treatment modality was compared to demonstrate the degree of decline in anorectal function. A generalized linear model of repeated measures was performed using the manometric values measured pre- and post-CRT, and at 12 months postoperatively.
Results
Overall, 100 patients with 3 consecutive manometric data were included in the final analysis. In the overall cohort study, the mean resting and maximal squeezing pressures showed insignificant decrement post-neoadjuvant CRT. At a 1-year postoperative follow-up, the maximal squeezing pressure significantly decreased. The maximal rectal sensory threshold demonstrated significant reduction consecutively after each following treatment (P<0.001).
Conclusion
The short-term effect of neoadjuvant CRT on the anal sphincters was relatively trivial. The following sphincter-saving surgery resulted in a profound disruption of the anorectal function. Patients with rectal cancer should be consulted on the consequence of multimodal treatment.

Citations

Citations to this article as recorded by

Beyond survival: a comprehensive review of quality of life in rectal cancer patients
Won Beom Jung
Annals of Coloproctology.2024; 40(6): 527. CrossRef
Unveiling the profound advantages of total neoadjuvant therapy in rectal cancer: a trailblazing exploration
Kyung Uk Jung, Hyung Ook Kim, Hungdai Kim, Donghyoun Lee, Chinock Cheong
Annals of Surgical Treatment and Research.2023; 105(6): 341. CrossRef

Review

Malignant disease,Prognosis and adjuvant therapy,Colorectal cancer,Minimally invasive surgery,Surgical technique

Is Laparoscopic Complete Mesocolic Excision and Central Vascular Ligation Really Necessary for All Patients With Right-Sided Colon Cancer?: Gyung Mo Son, In Young Lee, Yoon Suk Lee, Bong-Hyeon Kye, Hyeon-Min Cho, Je-Ho Jang, Chang-Nam Kim, Kil Yeon Lee, Suk-Hwan Lee, Jun-Gi Kim, On behalf of The Korean Laparoscopic Colorectal Surgery Study Group; Ann Coloproctol. 2021;37(6):434-444. Published online December 8, 2021; DOI: https://doi.org/10.3393/ac.2021.00955.0136

5,533 View
276 Download
18 Web of Science
22 Citations

Abstract PDF

Colon cancer treatment is on the way to evolution over several decades. The minimally invasive surgery has improved postoperative short-term outcomes. Adjuvant chemotherapy has prolonged the survival of advanced colon cancer patients. Hohenberger proposed the noble concept of complete mesocolic excision (CME) which consists of 3 components: plane surgery, sufficient longitudinal bowel resection, and central vascular ligation (CVL). Mesocolic plane surgery shares the same surgical principle of total mesorectal excision, which is maintaining the intact mesothelial envelope. However, there remain debates about the extent of bowel resection and the level of CVL for maximizing lymph node dissection. There is no solid clinical evidence for the oncological necessity and benefit of extended radical dissection in right hemicolectomy. CME with CVL based on open surgery has been adopted in laparoscopic surgery. So, it is also necessary to look at how the CME could be transformed and successfully implanted in the laparoscopic era. Recent rapid advances in surgical technology and cancer biology are preparing for fundamental changes in cancer surgery. In this study, we reviewed the history, oncological necessity, and compatibility of CME for the right hemicolectomy in the laparoscopic era and outline the new perspectives on the evolution of cancer surgery.

Citations

Citations to this article as recorded by

Laparoscopic right hemicolectomy: a SICE (Società Italiana di Chirurgia Endoscopica e Nuove tecnologie) network prospective study on the approach to right colon lymphadenectomy in Italy: is there a standard?—CoDIG 2 (ColonDx Italian Group)
G. Anania, M. Chiozza, A. Campagnaro, F. Bagolini, G. Resta, D. Azzolina, G. Silecchia, R. Cirocchi, A. Agrusa, D. Cuccurullo, M. Guerrieri, V. Adamo, M. Ammendola, P. Angelini, M. Annecchiarico, G. Aprea, F. Autori, G. Baldazzi, A. Balla, G. Baronio, G.
Surgical Endoscopy.2024; 38(3): 1432. CrossRef
Retrocaecal, supracolic and medial dissection (the RESUME approach) as an optimal surgical procedure for right‐sided colon cancer—A Video Vignette
Hong‐min Ahn, Min Hyeong Jo, Mi Jeong Choi, Heung‐Kwon Oh, Duck‐Woo Kim, Sung‐Bum Kang
Colorectal Disease.2024; 26(7): 1480. CrossRef
Surgical treatment of right colon cancer
A. A. Nevolskikh, V. A. Avdeenko, I. P. Reznik, T. P. Pochuev, R. F. Zibirov, S. A. Ivanov, A. D. Kaprin
Siberian journal of oncology.2024; 23(3): 133. CrossRef
Effect of Fluorescence Lymph Node Mapping on Improving Diagnostic Values of CT D3 Lymph Node Staging for Right-Sided Colon Cancer
Gyung Mo Son, Tae Un Kim, Mi Sook Yun, ChangYeop Kim, In Young Lee, Su Bum Park, Dong-Hoon Shin, Gi Won Ha
Cancers.2024; 16(20): 3496. CrossRef
Robotic-Assisted Laparoscopic Complete Mesocolic Excision
Inci Sahin, Bilgi Baca
Digestive Disease Interventions.2023; 07(01): 024. CrossRef
A comparison of the efficacy and safety of natural orifice specimen extraction and conventional laparoscopic surgery in patients with sigmoid colon/high rectal cancer
Qiang He, Jing Huang, Liyun Niu, Chunbao Zhai
Journal of Surgical Oncology.2023; 127(7): 1160. CrossRef
Effect of intracorporeal anastomosis on postoperative ileus after laparoscopic right colectomy
Sangwoo Kim, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek, Young-Gil Son
Annals of Surgical Treatment and Research.2023; 104(3): 156. CrossRef
Surgical and oncological outcomes of laparoscopic right hemicolectomy (D3 + CME) for colon cancer: A prospective single-center cohort study
Xiaolin Wu, Yixin Tong, Daxing Xie, Haijie Li, Jie Shen, Jianping Gong
Surgical Endoscopy.2023; 37(8): 6107. CrossRef
Incidence and survival of adenocarcinoma with mixed subtypes in patients with colorectal cancer
Fan Zhang, Boqi Xu, Yao Peng, Zhongqi Mao, Shan Tong
International Journal of Colorectal Disease.2023;[Epub] CrossRef
Clinical Effectiveness of Fluorescence Lymph Node Mapping Using ICG for Laparoscopic Right Hemicolectomy: A Prospective Case–Control Study
Gyung Mo Son, Mi Sook Yun, In Young Lee, Sun Bin Im, Kyung Hee Kim, Su Bum Park, Tae Un Kim, Dong-Hoon Shin, Armaan M. Nazir, Gi Won Ha
Cancers.2023; 15(20): 4927. CrossRef
Early-Onset Colon Cancer: A Narrative Review of Its Pathogenesis, Clinical Presentation, Treatment, and Prognosis
Elvina C Lingas
Cureus.2023;[Epub] CrossRef
Do Laparoscopic Approaches Ensure Oncological Safety and Prognosis for Serosa-Exposed Colon Cancer? A Comparative Study against the Open Approach
Ji-Hyun Seo, In-Ja Park
Cancers.2023; 15(21): 5211. CrossRef
Ausmaß und Technik der chirurgischen Resektion beim Kolonkarzinom
Christoph Holmer
coloproctology.2022; 44(3): 149. CrossRef
Letter to the Editor Reply: ‘Mesocolon Excision in Right Colon Cancer: Is it a Real Oncological Procedure or a Mere Surgical Act?’
Tamara Díaz Vico, Luis Joaquín García Flórez
Annals of Surgical Oncology.2022; 29(9): 5855. CrossRef
Medical disease and ambulatory surgery, new insights in patient selection based on medical disease
Thomas Fuchs-Buder, Jacob Rosenberg
Current Opinion in Anaesthesiology.2022; 35(3): 385. CrossRef
Is the oncological impact of vascular invasion more important in right colon cancer?
Gyung Mo Son
Journal of Minimally Invasive Surgery.2022; 25(2): 49. CrossRef
Ileal long-segment ischemia after the unintended ligation of variant ileal branch during laparoscopic right hemicolectomy
Gyung Mo Son, Tae Un Kim, Dong-Hoon Shin, Joo-Young Na, In Young Lee, Shin Hoo Park
Journal of Minimally Invasive Surgery.2022; 25(3): 116. CrossRef
Multidisciplinary treatment strategy for early colon cancer
Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim
Journal of the Korean Medical Association.2022; 65(9): 558. CrossRef
Direction of diagnosis and treatment improvement in colorectal cancer
In Ja Park
Journal of the Korean Medical Association.2022; 65(9): 540. CrossRef
Multidisciplinary Treatment Strategy for Early Colon Cancer: A Review-An English Version
Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim
Journal of the Anus, Rectum and Colon.2022; 6(4): 203. CrossRef
Robot-Assisted Colorectal Surgery
Young Il Kim
The Ewha Medical Journal.2022;[Epub] CrossRef
It Is a Pleasure to Announce the Issue Titled “Master Class 2021” in Annals of Coloproctology
In Ja Park
Annals of Coloproctology.2021; 37(6): 349. CrossRef

Case Report

Benign GI diease,Benign diesease & IBD

Enterovesical Fistula From Meckel Diverticulum: Seung-Rim Han, Hyung-Jin Kim, Ri Na Yoo, Suk Hyun Shin, Gun Kim, Hyeon Min Cho, Seung-Ju Lee, Hyang-Im Lee; Ann Coloproctol. 2021;37(Suppl 1):S1-S3. Published online March 16, 2020; DOI: https://doi.org/10.3393/ac.2019.01.18

3,951 View
99 Download
3 Web of Science
3 Citations

Abstract PDF

Meckel diverticulum is a common congenital malformation of the gastrointestinal tract and can cause complications such as ulceration, hemorrhage, intussusception, and perforation. This report describes a very rare complication of an enterovesical fistula associated with chronic Meckel diverticulum. A 51-year-old male presented with over 10 years of persistent pyuria. Tests were performed to rule out malignancy, including serum prostate-specific antigen level, urine cytology, bacterial culture, cystoscopy, and bladder computed tomography. An enterovesical fistula was identified, and laparoscopic exploration was performed. The findings suggested enterovesical fistula formation caused by chronic inflammation at the tip of a Meckel diverticulum. Segmental resection of the small bowel including the diverticulum and primary repair of the urinary bladder along with partial cystectomy were performed. The postoperative clinical course was uneventful. An enterovesical fistula is a very rare complication resulting from chronic inflammation of a Meckel diverticulum.

Citations

Citations to this article as recorded by

Management of vesicoenteric fistulas arising from perforated Meckel’s diverticulum: a report of a case and review of the literature
Dimitrios Diamantidis, Nikolaos Papatheodorou, Panagiotis Kostoglou, Georgios Tsakaldimis, Sotirios Botaitis
Oxford Medical Case Reports.2024;[Epub] CrossRef
The Effects of Diet, Dietary Supplements, Drugs and Exercise on Physical, Diagnostic Values of Urine Characteristics
Dorota Skrajnowska, Barbara Bobrowska-Korczak
Nutrients.2024; 16(18): 3141. CrossRef
A case report of a ruptured Meckel's diverticulum with ectopic gastric and pancreatic tissue with negative computed tomography
Marcos Rosado, Thomas Serena, John Pui, John Parmely
International Journal of Surgery Case Reports.2021; 83: 105994. CrossRef

Original Article

Prompt Management Is Most Important for Colonic Perforation After Colonoscopy: Hyun-Ho Kim, Bong-Hyeon Kye, Hyung-Jin Kim, Hyeon-Min Cho; Ann Coloproctol. 2014;30(5):228-231. Published online October 28, 2014; DOI: https://doi.org/10.3393/ac.2014.30.5.228

7,227 View
78 Download
17 Web of Science
15 Citations

Abstract PDF

Purpose

The incidence of complications after colonoscopy is very low. The complications after colonoscopy that are of clinical concern are bleeding and perforation. The present study was conducted to determine the clinical outcomes and the risk factors of a colostomy or a colectomy after colonoscopic colon perforation.

Methods

From March 2009 to December 2012, the records of all patients who were treated for colorectal perforation after colonoscopy were reviewed retrospectively. The following parameters were evaluated: age, sex, purpose of colonoscopy, management of the colonic perforation, and interval from colonoscopy to the diagnosis of a colonic perforation. A retrospective analysis was performed to determine the risk factors associated with major surgery for the treatment of a colon perforation after colonoscopy.

Results

A total 27 patients were included in the present study. The mean age was 62 years, and 16 were males. The purpose of colonoscopy was diagnostic in 18 patients. The most common perforation site was the sigmoid colon. Colonic perforation was diagnosed during colonoscopy in 14 patients, just after colonoscopy in 5 patients, and 24 hours or more after colonoscopy in 8 patients. For the treatment of colonic perforation, endoscopic clipping was performed in 3 patients, primary closure in 15 patients, colon resection in 2 patients, Hartmann's procedures in 4 patients, and diverting colostomy in 3 patients. If the diagnosis of perforation after colonoscopy was delayed for more than 24 hours, the need for major treatment was increased significantly.

Conclusion

Although a colonic perforation after colonoscopy is rare, if the morbidity and the mortality associated with the colonic perforation are to be reduced, prompt diagnosis and management are very important.

Citations

Citations to this article as recorded by

Clinical outcomes and risk factors of post-polypectomy microperforation in patients with colorectal neoplasia: a case-control study
Seung Yong Shin, Min Soo Cho, Jinhoon Nam, Jie-Hyun Kim, Young Hoon Yoon, Hyojin Park, Jeonghyun Kang, Jae Jun Park
Therapeutic Advances in Gastrointestinal Endoscopy.2025;[Epub] CrossRef
Iatrogenic colon perforation during colonoscopy, diagnosis/treatment, and follow-up processes: A single-center experience
Nihat Gülaydın, Raim İliaz, Atakan Özkan, A Hande Gökçe, Hanifi Önalan, Berrin Önalan, Aziz Arı
Turkish Journal of Surgery.2022; 38(3): 221. CrossRef
Multicenter retrospective evaluation of ileocecocolic perforations associated with diagnostic lower gastrointestinal endoscopy in dogs and cats
Vanessa L. Woolhead, Jacqueline C. Whittemore, Sarah A. Stewart
Journal of Veterinary Internal Medicine.2020; 34(2): 684. CrossRef
Clinical Characteristics of Colonoscopic Perforation and Risk Factors for Complications After Surgical Treatment
Liang Li, Bing Xue, Chunxia Yang, Zhongbo Han, Hongqiang Xie, Meng Wang
Journal of Laparoendoscopic & Advanced Surgical Techniques.2020; 30(11): 1153. CrossRef
Treatment of colonoscopic perforation: outcomes from a major single tertiary institution
Carolyn R. Chew, Justin M. C. Yeung, Ian G. Faragher
ANZ Journal of Surgery.2019; 89(5): 546. CrossRef
Iatrogenic Colonic Perforations: Changing the Paradigm
Jose Luis Ulla-Rocha, Angel Salgado, Raquel Sardina, Raquel Souto, Raquel Sanchez-Santos, Juan Turnes
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2019; 29(3): 173. CrossRef
Concurrent retroperitoneal, mediastinal, cervical and subcutaneous emphysema secondary to iatrogenic sigmoid colon perforation
Zehui Wu, Huaping Xu, Yisheng Zhang, Lianghui Shi
Postgraduate Medical Journal.2019; 95(1125): 396. CrossRef
Management of colonoscopic perforations: A systematic review
Alexander T. Hawkins, Kenneth W. Sharp, Molly M. Ford, Roberta L. Muldoon, M. Benjamin Hopkins, Timothy M. Geiger
The American Journal of Surgery.2018; 215(4): 712. CrossRef
2017 WSES guidelines for the management of iatrogenic colonoscopy perforation
Nicola de’Angelis, Salomone Di Saverio, Osvaldo Chiara, Massimo Sartelli, Aleix Martínez-Pérez, Franca Patrizi, Dieter G. Weber, Luca Ansaloni, Walter Biffl, Offir Ben-Ishay, Miklosh Bala, Francesco Brunetti, Federica Gaiani, Solafah Abdalla, Aurelien Ami
World Journal of Emergency Surgery.2018;[Epub] CrossRef
Management Outcomes of Colonoscopic Perforations Are Affected by the General Condition of the Patients
Jae Ho Park, Kyung Jong Kim
Annals of Coloproctology.2018; 34(1): 16. CrossRef
Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall
Jayan George, Michael Peirson, Samuel Birks, Paul Skinner
Case Reports in Surgery.2018; 2018: 1. CrossRef
Air and its Sonographic Appearance: Understanding the Artifacts
Simran Buttar, Denrick Cooper, Patrick Olivieri, Michael Barca, Aaran B. Drake, Melvin Ku, Gabriel Rose, Sebastian D. Siadecki, Turandot Saul
The Journal of Emergency Medicine.2017; 53(2): 241. CrossRef
Colonoscopic Perforations, What is Our Experience in a Training Hospital?
Abbas Aras, Ebru Oran, Hakan Seyit, Mehmet Karabulut, İlhan Gök, Halil Aliş
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2016; 26(1): 44. CrossRef
Endoscopic Therapy in Crohnʼs Disease
Min Chen, Bo Shen
Inflammatory Bowel Diseases.2015; 21(9): 2222. CrossRef
Importance of Prompt Diagnosis in the Management of Colonoscopic Perforation
In Ja Park
Annals of Coloproctology.2014; 30(5): 208. CrossRef

Review

Overview of Radiation Therapy for Treating Rectal Cancer: Bong-Hyeon Kye, Hyeon-Min Cho; Ann Coloproctol. 2014;30(4):165-174. Published online August 26, 2014; DOI: https://doi.org/10.3393/ac.2014.30.4.165

4,924 View
42 Download
42 Web of Science
36 Citations

Abstract PDF

A major outcome of importance for rectal cancer is local control. Parallel to improvements in surgical technique, adjuvant therapy regimens have been tested in clinical trials in an effort to reduce the local recurrence rate. Nowadays, the local recurrence rate has been reduced because of both good surgical techniques and the addition of radiotherapy. Based on recent reports in the literature, preoperative chemoradiotherapy is now considered the standard of care for patients with stages II and III rectal cancer. Also, short-course radiotherapy appears to provide effective local control and the same overall survival as more long-course chemoradiotherapy schedules and, therefore, may be an appropriate choice in some situations. Capecitabine is an acceptable alternative to infusion fluorouracil in those patients who are able to manage the responsibilities inherent in self-administered, oral chemotherapy. However, concurrent administration of oxaliplatin and radiotherapy is not recommended at this time. Radiation therapy has long been considered an important adjunct in the treatment of rectal cancer. Although no prospective data exist for several issues, we hope that in the near future, patients with rectal cancer can be treated by using the best combination of surgery, radiation therapy, and chemotherapy in near future.

Citations

Citations to this article as recorded by

Inflammatory bowel disease-associated colorectal cancer negatively affects surgery outcomes and health care costs
Erryk S. Katayama, Selamawit Woldesenbet, Diamantis Tsilimigras, Muhammad Musaab Munir, Yutaka Endo, Emily Huang, Lisa Cunningham, Alan Harzman, Alessandra Gasior, Syed Husain, Mark Arnold, Matthew Kalady, Timothy M. Pawlik
Surgery.2024; 176(1): 32. CrossRef
Dose tracking assessment for magnetic resonance guided adaptive radiotherapy of rectal cancers
Xin Xin, Bin Tang, Fan Wu, Jinyi Lang, Jie Li, Xianliang Wang, Min Liu, Qingxian Zhang, Xiongfei Liao, Feng Yang, Lucia Clara Orlandini
Radiation Oncology.2024;[Epub] CrossRef
Long-Term Effects on Gonadal Function After Treatment of Colorectal Cancer: A Systematic Review and Meta-Analysis
Christiane Anthon, Angela Vidal, Hanna Recker, Eva Piccand, Janna Pape, Susanna Weidlinger, Marko Kornmann, Tanya Karrer, Michael von Wolff
Cancers.2024; 16(23): 4005. CrossRef
Outcomes of robotic-assisted vs conventional laparoscopic surgery among patients undergoing resection for rectal cancer: an observational single hospital study of 300 cases
María Pilar del Gutiérrez Delgado, Santiago Mera Velasco, Jesús Damián Turiño Luque, Ivan González Poveda, Manuel Ruiz López, Julio Santoyo Santoyo
Journal of Robotic Surgery.2022; 16(1): 179. CrossRef
Robotic versus laparoscopic surgery for rectal cancer after neoadjuvant chemoradiotherapy: A propensity-score matching analysis
Tzu-Chun Chen, Jin-Tung Liang
Journal of the Formosan Medical Association.2022; 121(8): 1532. CrossRef
Clinical Reality and Treatment for Local Recurrence of Rectal Cancer: A Single-Center Retrospective Study
Michał Jankowski, Manuela Las-Jankowska, Andrzej Rutkowski, Dariusz Bała, Dorian Wiśniewski, Karol Tkaczyński, Witold Kowalski, Iwona Głowacka-Mrotek, Wojciech Zegarski
Medicina.2021; 57(3): 286. CrossRef
Long‐term bowel function patient‐reported outcomes after successful chemoradiation for carcinoma of the anal canal
Robert D. Shaw, Mark A. Eid, Eric D. Milanese, Srinivas J. Ivatury
Colorectal Disease.2021; 23(6): 1480. CrossRef
ANALYSIS OF PROGNOSTIC FACTORS FOR I APR IN ADVANCED STAGE MUCINOUS ADENOCARCINOMA OF RECTUM WITH KRUKENBERG OVARIAN METASTASIS IN OUR INSTITUTE
Priyanka Tiwari, Himani Dahiya, S.C. Godera, Shyam Bihari Sharma
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH.2021; : 1. CrossRef
Liposome technologies towards colorectal cancer therapeutics
Rui Sang, Bradley Stratton, Alexander Engel, Wei Deng
Acta Biomaterialia.2021; 127: 24. CrossRef
Comparing neoadjuvant long-course chemoradiotherapy with short-course radiotherapy in rectal cancer
Jian Wang, Yiwen Long, Kun Liu, Qian Pei, Hong Zhu
BMC Gastroenterology.2021;[Epub] CrossRef
Dose‑dependent expression of extracellular microRNAs in HCT116 colorectal cancer cells exposed to high‑dose‑rate ionising radiation
Satoru Monzen, Tatsuya Ueno, Mitsuru Chiba, Yuki Morino, Yasushi Mariya, Andrzej Wojcik, Lovisa Lundholm
Molecular and Clinical Oncology.2021;[Epub] CrossRef
Adding Boost to Standard Neoadjuvant Radiation for Rectal Cancer Improves Likelihood of Complete Response
Asya Ofshteyn, Katherine Bingmer, Jennifer Dorth, David Dietz, Emily Steinhagen, Sharon L. Stein
Journal of Gastrointestinal Surgery.2020; 24(7): 1655. CrossRef
Application of Mitochondrially Targeted Nanoconstructs to Neoadjuvant X-ray-Induced Photodynamic Therapy for Rectal Cancer
Wei Deng, Kelly J. McKelvey, Anna Guller, Alexey Fayzullin, Jared M. Campbell, Sandhya Clement, Abbas Habibalahi, Zofia Wargocka, Liuen Liang, Chao Shen, Viive Maarika Howell, Alexander Frank Engel, Ewa M. Goldys
ACS Central Science.2020; 6(5): 715. CrossRef
A critical literature review on the use of bellyboard devices to control small bowel dose for pelvic radiotherapy
Matthew Hoffmann, Kim Waller, Andrew Last, Justin Westhuyzen
Reports of Practical Oncology & Radiotherapy.2020; 25(4): 598. CrossRef
Retrospective study of preoperative chemoradiotherapy with capecitabine versus capecitabine plus oxaliplatin for locally advanced rectal cancer
Xiao-Hui Yang, Kai-Guo Li, Jun-Bao Wei, Chun-Hua Wu, Shi-Xiong Liang, Xian-Wei Mo, Jian-Si Chen, Wei-Zhong Tang, Song Qu
Scientific Reports.2020;[Epub] CrossRef
Adipocytes protect fibroblasts from radiation-induced damage by adiponectin secretion
Elizabeth A. Kosmacek, Rebecca E. Oberley-Deegan
Scientific Reports.2020;[Epub] CrossRef
Clinical Relevance and Practical Approach for Challenging Rectal Cancer MRI Findings
Tyler Smith, Grace Zhu, Samuel Wilhite, Douglas Rogers
Current Radiology Reports.2020;[Epub] CrossRef
Recent advances of neoadjuvant chemoradiotherapy in rectal cancer: Future treatment perspectives
Kimihiro Yamashita, Takeru Matsuda, Hiroshi Hasegawa, Junko Mukohyama, Akira Arimoto, Tomoko Tanaka, Masashi Yamamoto, Yoshiko Matsuda, Shingo Kanaji, Tetsu Nakamura, Yasuo Sumi, Satoshi Suzuki, Yoshihiro Kakeji
Annals of Gastroenterological Surgery.2019; 3(1): 24. CrossRef
Increased risk of pelvic fracture after radiotherapy in rectal cancer survivors: A propensity matched study
Yu‐Mei Kang, Tze‐Fan Chao, Ti‐Hao Wang, Yu‐Wen Hu
Cancer Medicine.2019; 8(8): 3639. CrossRef
Recent Advances in Fertility Preservation and Counseling for Reproductive-Aged Women with Colorectal Cancer: A Systematic Review
Lisa M. Shandley, Laurie J. McKenzie
Diseases of the Colon & Rectum.2019; 62(6): 762. CrossRef
Dual role of Endoplasmic Reticulum Stress-Mediated Unfolded Protein Response Signaling Pathway in Carcinogenesis
Natalia Siwecka, Wioletta Rozpędek, Dariusz Pytel, Adam Wawrzynkiewicz, Adam Dziki, Łukasz Dziki, J. Alan Diehl, Ireneusz Majsterek
International Journal of Molecular Sciences.2019; 20(18): 4354. CrossRef
Co-delivery of doxorubicin and TRAIL plasmid by modified PAMAM dendrimer in colon cancer cells, in vitro and in vivo evaluation
Elham Pishavar, Mohammad Ramezani, Maryam Hashemi
Drug Development and Industrial Pharmacy.2019; 45(12): 1931. CrossRef
Optimal interval to surgery after chemoradiotherapy in rectal cancer
Ya Jing Chen, Zhen-Jie Zhao, Bang Wei Wang, Guang Zhuang Jing, Hai-Kun Ma, Xuemei Han, Jiancheng Wang, Zhen-Jie Zhao
Medicine.2019; 98(45): e17669. CrossRef
Progress in the surgery of rectal cancer
Rudolf Schiessel
Journal of Acute Disease.2018; 7(1): 26. CrossRef
Laparoscopic Abdominal Transanal Proctocolectomy with Coloanal Anastomosis Is a Good Surgical Option in Selective Patients with Low-Lying Rectal Cancer: A Retrospective Analysis Based on a Single Surgeon's Experience
Bong-Hyeon Kye, Jun-Gi Kim, Hyeon-Min Cho, Hyung-Jin Kim, Chung-Soo Chun
Journal of Laparoendoscopic & Advanced Surgical Techniques.2018; 28(3): 269. CrossRef
Dosimetric evaluation of magnetic resonance-generated synthetic CT for radiation treatment of rectal cancer
Hesheng Wang, Kevin Du, Juliet Qu, Hersh Chandarana, Indra J. Das, Qinghui Zhang
PLOS ONE.2018; 13(1): e0190883. CrossRef
Feasibility of magnetic resonance imaging-only rectum radiotherapy with a commercial synthetic computed tomography generation solution
Matteo Maspero, Marcus D. Tyyger, Rob H.N. Tijssen, Peter R. Seevinck, Martijn P.W. Intven, Cornelis A.T. van den Berg
Physics and Imaging in Radiation Oncology.2018; 7: 58. CrossRef
Long-term oncological outcomes of robotic versus laparoscopic total mesorectal excision of mid–low rectal cancer following neoadjuvant chemoradiation therapy
Dae Ro Lim, Sung Uk Bae, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Kang Young Lee, Nam Kyu Kim
Surgical Endoscopy.2017; 31(4): 1728. CrossRef
Role of long non-coding RNA in tumor drug resistance
Heng Deng, Jun Zhang, JinJun Shi, ZhengDong Guo, ChunRong He, Li Ding, Jin Hai Tang, Yong Hou
Tumor Biology.2016; 37(9): 11623. CrossRef
Identification of aberrant DNA methylation involved in chemoradiation-resistant HCT116 cells via methylation-specific microarray
Wei Xiong, Yun-Feng Li, Shan Liu, Ting Chen, Hong-Tao Zhang, Zhi-Bin Yang, Ying-Ying Ding, De-Pei Gao, Guan-Shun Wang, Jian Dong
Molecular & Cellular Toxicology.2016; 12(4): 345. CrossRef
Fluorouracil-based neoadjuvant chemoradiotherapy with or without oxaliplatin for treatment of locally advanced rectal cancer: An updated systematic review and meta-analysis
Yong-Jing Yang, Ling Cao, Zhi-Wen Li, Ling Zhao, Hong-Fen Wu, Dan Yue, Jin-Lei Yang, Zhi-Rui Zhou, Shi-Xin Liu
Oncotarget.2016; 7(29): 45513. CrossRef
TNF rs1799964 as a Predictive Factor of Acute Toxicities in Chinese Rectal Cancer Patients Treated With Chemoradiotherapy
Hui Zhang, Mengyun Wang, Tingyan Shi, Lijun Shen, Liping Liang, Yun Deng, Guichao Li, Ji Zhu, Yongxin Wu, Ming Fan, Weijuan Deng, Qingyi Wei, Zhen Zhang
Medicine.2015; 94(45): e1955. CrossRef
Efficacy and Safety of Low-Dose-Rate Endorectal Brachytherapy as a Boost to Neoadjuvant Chemoradiation in the Treatment of Locally Advanced Distal Rectal Cancer: A Phase-II Clinical Trial
Shapour Omidvari, Shadi Zohourinia, Mansour Ansari, Leila Ghahramani, Mohammad Zare-Bandamiri, Ahmad Mosalaei, Niloofar Ahmadloo, Saeedeh Pourahmad, Hamid Nasrolahi, Sayed Hasan Hamedi, Mohammad Mohammadianpanah
Annals of Coloproctology.2015; 31(4): 123. CrossRef
Microarray Analysis of Long Non-coding RNA Expression Profile Associated with 5-Fluorouracil-Based Chemoradiation Resistance in Colorectal Cancer Cells
Wei Xiong, Yong-Xin Jiang, Yi-Qin Ai, Shan Liu, Xing-Rao Wu, Jian-Guo Cui, Ji-Yong Qin, Yan Liu, Yao-Xiong Xia, Yun-He Ju, Wen-Jie He, Yong Wang, Yun-Fen Li, Yu Hou, Li Wang, Wen-Hui Li
Asian Pacific Journal of Cancer Prevention.2015; 16(8): 3395. CrossRef
Recent advances in multidisciplinary approach for rectal cancer
Eiji Oki, Koji Ando, Yuta Kasagi, Yoko Zaitsu, Masahiko Sugiyama, Yuichiro Nakashima, Hideto Sonoda, Kippei Ohgaki, Hiroshi Saeki, Yoshihiko Maehara
International Journal of Clinical Oncology.2015; 20(4): 641. CrossRef
Short-course Versus Long-course Preoperative Radiotherapy plus Delayed Surgery in the Treatment of Rectal Cancer: a Meta-analysis
Shi-Xin Liu, Zhi-Rui Zhou, Ling-Xiao Chen, Yong-Jing Yang, Zhi-De Hu, Tian-Song Zhang
Asian Pacific Journal of Cancer Prevention.2015; 16(14): 5755. 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

10,113 View
38 Download
8 Citations

Abstract 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

Treatment of Right Colonic Diverticulitis: The Role of Nonoperative Treatment: Ma Ru Kim, Bong-Hyeon Kye, Hyung Jin Kim, Hyeon-Min Cho, Seong Taek Oh, Jun-Gi Kim; J Korean Soc Coloproctol. 2010;26(6):402-406. Published online December 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.6.402

3,695 View
39 Download
24 Citations

Abstract PDF

Purpose

The purpose of this study is to evaluate the value of nonoperative treatment for right-sided colonic diverticulitis.

Methods

One hundred fifty-eight patients with right-sided colonic diverticulitis were evaluated. Clinical history, physical and radiologic findings, and treatments were reviewed retrospectively. Also, additional episodes and treatment modalities were checked.

Results

Our patients were classified according to treatment modality; 135 patients (85.4%) underwent conservative treatment, including antibiotics and bowel rest, and 23 patients (14.6%) underwent surgery. The mean follow-up length was 37.3 months, and 17 patients (17.5%) underwent recurrent right-sided colonic diverticulitis. Based on treatment modality, including surgery and antibiotics, no significant differences in the clinical features and the recurrence rates were noted between the two groups.

Conclusion

Conservative management with bowel rest and antibiotics could be considered as a safe and effective option for treating right-sided colonic diverticulitis. This treatment option for right-sided colonic diverticulitis, even if the disease is complicated, may be the treatment of choice.

Citations

Citations to this article as recorded by

Comparison of surgical management and outcomes of acute right colic and sigmoid diverticulitis: a French national retrospective cohort study
E. Karam, C. Sabbagh, L. Beyer-Bergeot, P. Zerbib, V. Bridoux, G. Manceau, Y. Panis, E. Buscail, A. Venara, I. Khaoudy, M. Gaillard, M. Viennet, A. Thobie, B. Menahem, C. Eveno, C. Bonnel, J.-Y. Mabrut, B. Badic, C. Godet, Y. Eid, E. Duchalais, Z. Lakkis,
Techniques in Coloproctology.2024;[Epub] CrossRef
Right-sided diverticulitis in a Western population
Adi Rov, Anat Ben-Ari, Eyal Barlev, David Pelcman, Sergio Susmalian, Haim Paran
International Journal of Colorectal Disease.2022; 37(6): 1251. CrossRef
Investigation of the clinical features and recurrence patterns of acute right-sided colonic diverticulitis: A retrospective cohort study
Moon Young Oh, Rumi Shin, Seung Chul Heo, Han-Ki Lim, Min Jung Kim, Ji Won Park, Seung-Bum Ryoo, Seung-Yong Jeong, Kyu Joo Park
Annals of Medicine and Surgery.2022; 81: 104431. CrossRef
Emergency surgery comparison of right versus left acute colonic diverticulitis: A 10-year outcome analysis
JS Tsang, Chi Chung Foo, Jeremy Yip, Hok Kwok Choi, Wai Lun Law, Oswens Siu Hung Lo
The Surgeon.2021; 19(3): 150. CrossRef
Conservative treatment of uncomplicated right-sided diverticulitis: a systematic review and meta-analysis
Jun Ho Lee, Byung Kyu Ahn, Kang Hong Lee
International Journal of Colorectal Disease.2021; 36(8): 1791. CrossRef
Conventional-Dose CT Versus 2-mSv CT for Right Colonic Diverticulitis as an Alternate Diagnosis of Appendicitis: Secondary Analysis of Large Pragmatic Randomized Trial Data
Hae Young Kim, Seungjae Lee, Dong Hwan Kim, Yousun Ko, Ji Hoon Park, Ara Ko, Seok Min Jeong, Sung Bin Park, Kyoung Ho Lee
American Journal of Roentgenology.2021; 217(5): 1113. CrossRef
Laparoscopic diverticulectomy versus non-operative treatment for uncomplicated right colonic diverticulitis
Le Huy Luu, Nguyen Lam Vuong, Vo Thi Hong Yen, Do Thi Thu Phuong, Bui Khac Vu, Nguyen Viet Thanh, Nguyen Thien Khanh, Nguyen Van Hai
Surgical Endoscopy.2020; 34(5): 2019. CrossRef
Diverticulitis aguda del ángulo hepático simulando un cuadro de colecistitis aguda
M. Gonzalez-Urquijo, A. Baca-Arzaga, G. Lozano-Balderas
Revista de Gastroenterología de México.2020; 85(4): 484. CrossRef
Short‐ and Long‐Term Outcomes of Right‐Sided Diverticulitis: Over 15 Years of North American Experience
Jesse Zuckerman, Richard Garfinkle, Carol‐Ann Vasilevksy, Gabriela Ghitulescu, Julio Faria, Nancy Morin, Marylise Boutros
World Journal of Surgery.2020; 44(6): 1994. CrossRef
Acute diverticulitis of the hepatic flexure mimicking acute cholecystitis
M. Gonzalez-Urquijo, A. Baca-Arzaga, G. Lozano-Balderas
Revista de Gastroenterología de México (English Edition).2020; 85(4): 484. CrossRef
Laparoscopic repair of perforated cecal diverticulitis
K. Spacil, J. Meyer, M. Stehr, M. Schäfer
Journal of Pediatric Surgery Case Reports.2019; 42: 17. CrossRef
Long-term outcome and management of right colonic diverticulitis in western countries: Multicentric Retrospective Study
L. Courtot, V. Bridoux, Z. Lakkis, G. Piessen, G. Manceau, A. Mulliri, G. Meurette, A. Bouayed, A. Vénara, B. Blanc, N. Tabchouri, E. Salamé, M. Ouaïssi
Journal of Visceral Surgery.2019; 156(4): 296. CrossRef
Résultats à long terme et prise en charge des diverticulites du colon droit dans les pays occidentaux : étude rétrospective multicentrique
L. Courtot, V. Bridoux, Z. Lakkis, G. Piessen, G. Manceau, A. Mulliri, G. Meurette, A. Bouayed, A. Vénara, B. Blanc, N. Tabchouri, E. Salamé, M. Ouaïssi
Journal de Chirurgie Viscérale.2019; 156(4): 322. CrossRef
A Rare Case of Acute Right-Sided Colonic Diverticulitis Presenting as Pancreatitis
Maria de Lourdes Ladino Sturchler, Evan A. Rusoja, Arun Nagdev, Barry C. Simon
The Journal of Emergency Medicine.2018; 54(4): e77. CrossRef
Efficacy of conservative management in patients with right colonic diverticulitis
Gi Won Ha, Min Ro Lee, Jong Hun Kim
ANZ Journal of Surgery.2017; 87(6): 467. CrossRef
Intraoperative diagnosis of solitary cecal diverticulum not requiring surgery: is appendectomy indicated?
Renol M. Koshy, Abdelrahman Abusabeib, Saif Al-Mudares, Mohamed Khairat, Adriana Toro, Isidoro Di Carlo
World Journal of Emergency Surgery.2016;[Epub] CrossRef
Diagnosis and Management of Right Colonic Diverticular Disease: A Review
Francesco Ferrara, Jesús Bollo, Letizia V. Vanni, Eduardo M. Targarona
Cirugía Española (English Edition).2016; 94(10): 553. CrossRef
Diagnóstico y tratamiento de la enfermedad diverticular del colon derecho: revisión de conjunto
Francesco Ferrara, Jesús Bollo, Letizia V Vanni, Eduardo M Targarona
Cirugía Española.2016; 94(10): 553. CrossRef
Diverticular Disease: Guidelines of the German Society for Gastroenterology, Digestive and Metabolic Diseases and the German Society for General and Visceral Surgery
Wolfgang Kruis, Christoph-Thomas Germer, Ludger Leifeld
Digestion.2014; 90(3): 190. CrossRef
Non-operative treatment of right-sided colonic diverticulitis has good long-term outcome: a review of 226 patients
Ker-Kan Tan, Jiayi Wong, Richard Sim
International Journal of Colorectal Disease.2013; 28(6): 849. CrossRef
Visceral Obesity as a Risk Factor for Left-Sided Diverticulitis in Japan: A Multicenter Retrospective Study
Eiji Yamada, Hidenori Ohkubo, Takuma Higurashi, Eiji Sakai, Hiroki Endo, Hirokazu Takahashi, Eri Uchida, Emi Tanida, Nobuyoshi Izumi, Akira Kanesaki, Yasuo Hata, Tetsuya Matsuura, Nobutaka Fujisawa, Kazuto Komatsu, Shin Maeda, Atsushi Nakajima
Gut and Liver.2013; 7(5): 532. CrossRef
Risk Factors for Severe Diverticulitis in Computed Tomography-Confirmed Acute Diverticulitis in Korea
Nark-Soon Park, Yoon Tae Jeen, Hyuk Soon Choi, Eun Sun Kim, Young Jin Kim, Bora Keum, Yeon Seok Seo, Hoon Jai Chun, Hong Sik Lee, Soon Ho Um, Chang Duck Kim, Ho Sang Ryu
Gut and Liver.2013; 7(4): 443. CrossRef
The Clinical Factors for Predicting Severe Diverticulitis in Korea: A Comparison with Western Countries
Sun Young Kim, Tae Hoon Oh, Ji Young Seo, Tae Joo Jeon, Dong Dae Seo, Won Chang Shin, Won Choong Choi, Myeong Ja Jeong
Gut and Liver.2012; 6(1): 78. CrossRef
Special Situations in the Management of Colonic Diverticular Disease
Yoori Lee, Todd Francone
Seminars in Colon and Rectal Surgery.2011; 22(3): 180. CrossRef

Surgical Resection for Lung Metastases from Colorectal Cancer: Hyung Jin Kim, Bong-Hyeon Kye, Jae Im Lee, Sang Chul Lee, Yoon Suk Lee, In Kyu Lee, Won Kyung Kang, Hyeon-Min Cho, Seok Whan Moon, Seong Taek Oh; J Korean Soc Coloproctol. 2010;26(5):354-358. Published online October 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.5.354

3,854 View
35 Download
7 Citations

Abstract PDF

Purpose

The lung is the second most common site of metastasis from colorectal cancer. Of all patients who undergo a curative resection for colorectal cancer, 10% to 15% will develop lung metastasis. As a hepatic resection of colorectal liver metastases results in improved survival, many reports have suggested that a pulmonary resection of a colorectal lung metastasis would also improve survival. The aim of this study was to analyze the postoperative outcomes of and the prognostic factors for a surgical resection of a lung metastasis.

Methods

Between August 1997 and March 2006, 27 patients underwent surgical resections for colorectal lung metastases at Seoul St. Mary's hospital. A retrospective review of patients' characteristics and various tumor factors was performed.

Results

The mean interval between colorectal resection and lung metastasis was 24.0 ± 15.1 months. The overall 3- and 5-year survival rates were 76.5% and 22.2%, respectively. The mean follow-up after pulmonary resection was 39.5 ± 21.6 months (range, 3.3 to 115 months). Except for the existence of hilar-lymph-node metastasis (P < 0.001), no risk factors that we studied were statistically significant. Two patients had hilar-lymph-node metastasis. They survived for only for 3.3- and 11.6-months, respectively.

Conclusion

In our study, we found that a pulmonary resection for metastases from colorectal cancer may improve survival in selected patients.

Citations

Citations to this article as recorded by

Prognostic factors of para-aortic lymph node metastasis from colorectal cancer in highly selected patients undergoing para-aortic lymph node dissection
Shin Emoto, Yosuke Fukunaga, Manabu Takamatsu, Hiroshi Kawachi, Shuhei Sano, Tetsuro Tominaga, Toshiki Mukai, Tomohiro Yamaguchi, Toshiya Nagasaki, Takashi Akiyoshi, Tsuyoshi Konishi, Satoshi Nagayama, Masashi Ueno
Surgery Today.2024; 54(4): 356. CrossRef
The Determinants of Long-Term Outcomes After Colorectal Cancer Surgery: A Literature Review
Olorungbami K Anifalaje, Charles Ojo, Oluwaseyi T Balogun, Fikayo A Ayodele, Abeeb Azeez, Shirley Gabriels
Cureus.2024;[Epub] CrossRef
Distant Lung Recurrence of Rectal Cancer 20 Years After Primary Surgery
Sreekanthan Gobishangar, Sivakumaran Gobinath, Antony J Thanenthiran, Subramaniyam Bakeerathan
Cureus.2023;[Epub] CrossRef
Pulmonary metastasectomy with lymphadenectomy for colorectal pulmonary metastases: A systematic review
Martijn van Dorp, Jelle Egbert Bousema, Bart Torensma, Christian Dickhoff, Frank Jozef Christiaan van den Broek, Wilhelmina Hendrika Schreurs, Michel Gonzalez, Geert Kazemier, David Jonathan Heineman
European Journal of Surgical Oncology.2022; 48(1): 253. CrossRef
Safety and efficacy of combined resection of colorectal peritoneal and liver metastases
Stephanie Downs-Canner, Yongli Shuai, Lekshmi Ramalingam, James F. Pingpank, Matthew P. Holtzman, Herbert J. Zeh, David L. Bartlett, Haroon A. Choudry
Journal of Surgical Research.2017; 219: 194. CrossRef
CT-guided percutaneous laser ablation of metastatic lung cancer: three cases report and literature review
Qiyu Zhao, Guo Tian, Fen Chen, Liyun Zhong, Tian’an Jiang
Oncotarget.2017; 8(2): 2187. CrossRef
Simultaneous Laparoscopic Resection for Synchronous Pulmonary Metastases of Colorectal Cancers
Byung-Kwon Ahn
Gastroenterology & Hepatology: Open Access.2016;[Epub] CrossRef

Review

Anorectal Physiology: Test and Clinical Application: Hyeon-Min Cho; J Korean Soc Coloproctol. 2010;26(5):311-315. Published online October 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.5.311

3,894 View
73 Download
8 Citations

Abstract PDF

The physiology of the anorectal region is very complex, and it is only recently that detailed investigations have given us a better understanding of its function. The methods that are used for the evaluation of anorectal physiology include anorectal manometry, defecography, continence tests, electromyography of the anal sphincter and the pelvic floor, and nerve stimulation tests. These techniques furnish a clearer picture of the mechanisms of anorectal disease and demonstrate pathophysiologic abnormalities in patients with disorders of the anorectal region. Therefore, therapeutic recommendations for anorectal disease can be made best when the anatomy and the physiology of the anorectal region are understood.

Citations

Citations to this article as recorded by

How Can We Treat If We Do Not Measure: A Systematic Review of Neurogenic Bowel Objective Measures
Argy Stampas, Amisha Patel, Komal Luthra, Madeline Dicks, Radha Korupolu, Leila Neshatian, George Triadafilopoulos
Topics in Spinal Cord Injury Rehabilitation.2024; 30(3): 10. CrossRef
Anal endosonographic assessment of the accuracy of clinical diagnosis of obstetric anal sphincter injury
Angharad Jones, Linda Ferrari, Paula Igualada Martinez, Eugene Oteng-Ntim, Alison Hainsworth, Alexis Schizas
International Urogynecology Journal.2022; 33(11): 2977. CrossRef
Anatomy, physiology, and updates on the clinical management of constipation
Graham Dupont, Lauren Wahl, Tamara Alcala Dominguez, TL Wong, Robert Haładaj, Grzegorz Wysiadecki, Joe Iwanaga, R. Shane Tubbs
Clinical Anatomy.2020; 33(8): 1181. CrossRef
Pelvic floor functional bowel disorders in gynaecology
Marika Britton, Sushil Maslekar, Fiona Marsh
The Obstetrician & Gynaecologist.2020; 22(4): 275. CrossRef
Pelvic floor investigations for bowel dysfunction (part 2): anorectal physiology (manometry)
Deepa Solanki, Fiona Hibberts, Andrew B Williams
Gastrointestinal Nursing.2019; 17(5): 24. CrossRef
Transanal irrigation for bowel dysfunction: the role of the nurse
Lindsey Shaw
British Journal of Nursing.2018; 27(21): 1226. CrossRef
Anal sphincter dysfunction in multiple sclerosis: an observation manometric study
Silvia Marola, Alessia Ferrarese, Enrico Gibin, Marco Capobianco, Antonio Bertolotto, Stefano Enrico, Mario Solej, Valter Martino, Ines Destefano, Mario Nano
Open Medicine.2016; 11(1): 509. CrossRef
Preventing, assessing, and managing constipation in older adults
Francis Toner, Edith Claros
Nursing.2012; 42(12): 32. CrossRef

First
Prev
Page of 1
Next
Last

Search