BackgroundDuring colorectal cancer surgery, the immune-modulating effects of inhalation anaesthesia may create a favourable environment for metastasis formation, leading to increased risk recurrence. Our aim was assess association between vs intravenous and recurrence in patients undergoing surgery.MethodsPatients surgery 2004–18 were identified Danish Colorectal Cancer Group Database Anaesthes...

BACKGROUND Enhanced recovery after surgery (ERAS) protocols consist of a set of perioperative measures aimed at improving patient recovery and decreasing length of stay and postoperative complications. We assess the implementation and outcomes of an ERAS program for colorectal surgery. METHODS Single center observational study. Data were collected from consecutive patients undergoing open or ...

AIM The aim of this study was to review trainees' opinions of the training they had received through the National Training Programme (NTP). METHOD An online questionnaire was distributed to NTP trainees who had completed five or more training episodes within the programme. Demographic data were collected. Opinion was given using a five-point Likert scale (1 = strongly disagree, 2 = disagree, ...

Objective: To examine the impact of alvimopan on outcomes and costs in a rigorous enhanced recovery colorectal surgery protocol. Background: Postoperative ileus remains a major source of morbidity and costs in colorectal surgery. Alvimopan has been shown to reduce incidence of postoperative ileus in enhanced recovery colorectal surgery; however, data are equivocal regarding its benefit in reduc...

A robot is generally considered as a physical machine which can move around, operate a mechanical limb and exhibit intelligent and autonomous behavior in public. However, a surgical robot is not like the common robots which have the ability of autonomous action. A surgical robot is a collection of manipulators which just follow the surgeon’s hand motions. The manipulators of a surgical robot re...

Background There is a more important incidence (73% males and 78% females) of neoplastic colorectal pathology in patients over 75. Old age is generally considered as a risk factor, whether in terms of morbidity or mortality. Several authors reported an increase of postoperative complications (25,5%-41,2% versus 16,3%-21,5%) in old patients [1,2]. Falch C. reports a 30-day mortality of 12% in pa...

Laparoscopic techniques have been introduced into the colorectal field since the beginning of the last decade of the last millennium. The main purpose of this minimally invasive approach is to minimise the trauma of access associated with a large abdominal incision in colorectal resection. The less traumatic approach to surgery hopefully would lead to less wound pain, hasten return of intestina...

BACKGROUND Accumulating evidence suggests that peritoneal cytokine concentrations may predict anastomotic leak after colorectal surgery, but previous studies have been underpowered. OBJECTIVE We aimed to test this hypothesis by using a larger prospectively collected data set. DESIGN This study is an analysis of prospectively collected data. SETTINGS This study was conducted at 3 public ho...

Background: Randomized controlled trials have demonstrated that the rate of anastomotic leakage after laparoscopic colorectal surgery does not differ between patients with or without preoperative bowel preparation. There is, however, still an ongoing discussion that infectious complications consequential to anastomotic leakage, in particular sepsis, are more severe in patients without preoperat...