There are still debates regarding the appropriate primary treatment policy for asymptomatic primary colorectal lesions in cases of unresectable metastatic colorectal cancer. Even though there are patients with asymptomatic primary tumors when starting chemotherapy, those patients may still undergo surgery due to complications related to primary tumors in the middle of chemotherapy; therefore, c...

OBJECTIVES Obesity is an important risk factor for the development of colorectal cancer (CRC). Although the impact of bariatric surgery on CRC is conflicting, its impact on precursor lesions is unknown. The aim of this study was to determine whether bariatric surgery before index screening colonoscopy is associated with decreased development of colorectal adenomas. METHODS We performed a retr...

The mastery of the field of colorectal surgery, with its multitude of complex procedures and ever evolving modalities, begins in general surgery residency, often progresses to fellowship, and continues throughout one’s career as a lifelong endeavor. Many learning curves are encountered and overcome at each stage. During the training phase the mastery of new skills is developed in a controlled e...

The long-term outcome of laparoscopic surgery for geriatric patients with colorectal cancer remains unclear due to decreased functional reserves and increased medical comorbidities. A meta-analysis was performed in the present study to compare the long-term outcome between laparoscopy and laparotomy. Randomized controlled trials and comparative studies regarding laparoscopy vs. open surgery for...

BACKGROUND Surgery is the primary treatment for colorectal cancer for both curative and palliative intent. Availability of high quality surgery data is essential for assessing many aspects of the quality of colorectal cancer care. The objective of this study was to determine the quality of different administrative data sources in identifying surgery for colorectal cancer with respect to complet...

Colorectal cancer is the third most common cause of cancer-related mortality in the whole world (1). About one-third of colorectal carcinoma patients with acute colonic obstruction mandate emergency surgery (2). Current surgical options include intraoperative lavage, colonic segment resection involved with primary anastomosis, subtotal co-lectomy, colostomy followed by resection, a two-stage pr...

OBJECTIVE(S) To investigate rates and patterns of recurrence in patients following curative intent surgery for colorectal liver metastasis. BACKGROUND Outcomes following surgical management of colorectal liver metastasis have largely focused on overall survival. Contemporary data on rates and patterns of recurrence following surgery for colorectal liver metastasis are limited. METHODS One t...

In Taiwan, colorectal cancer with peritoneal carcinomatosis is considered a terminal condition. We examined the clinical outcomes of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC) treatment for colorectal cancer with peritoneal carcinomatosis in Taiwan.We enrolled patients with colorectal cancer and peritoneal metastasis from Taipei Medical University, Wanfang Hospi...

Background: There are little data evaluating level of postgraduate training on outcomes following colorectal surgery. We hypothesized that involvement of senior surgical trainees in colorectal procedures is associated with an overall improvement in outcomes. Methods: A retrospective cohort study was conducted using data from the American College of Surgeons National Surgical Quality Improvement...

There is evidence to suggest that survival following surgery for colorectal cancer is improving. Audits undertaken in a single institution between 1974-1979 and 1991-1994 provide the opportunity to evaluate the extent to which earlier diagnosis and better surgery contribute to the improvement in survival. There was little evidence that patients were presenting at an earlier stage during the lat...