A rapid progression from conventional open surgery to minimally invasive approaches in the surgical management of colorectal cancer has occurred over the last 2 decades. Initial concerns that this new approach was oncologically inferior to open surgery were ultimately refuted when several prospective randomized trials concluded that laparoscopic colectomy could achieve similar oncologic outcome...

AIM Placement of self-expandable metallic stent has been used for bridge to surgery in the treatment of colorectal obstruction. Our aim was to compare technical success and complication rates of covered and uncovered inserted stents in colorectal malignant obstruction patients. MATERIAL OF STUDY A series of 24 obstruction colorectal cancer patients were selected and included in the study for ...

PURPOSE Because colonoscopy after colorectal cancer surgery is important for detecting synchronous or metachronous colorectal neoplasms, we designed this study to investigate, by using postoperative colonoscopy, the miss rate for and the location of polyps remaining after colorectal cancer surgery. METHODS In a prospectively-collected patient database, 264 patients were shown to have undergon...

Surgery is the cornerstone of oncologic therapy with curative intent. However, identification of tumor cells in the resection margins is difficult, resulting in nonradical resections, increased cancer recurrence and subsequent decreased patient survival. Novel imaging techniques that aid in demarcating tumor margins during surgery are needed. Overexpression of carcinoembryonic antigen (CEA) is ...

BACKGROUND AND OBJECTIVES Over the years, there has been a continual shift toward more minimally invasive surgical techniques, such as the use of laparoscopy in colorectal surgery. Recently, there has been increasing adoption of robotic technology. Our study aims to compare and contrast robot-assisted and laparoscopic approaches to colorectal operations. METHODS Forty patients undergoing lapa...

BACKGROUND Enhanced recovery after surgery programs in colorectal surgery aim to attenuate the surgical stress response, reduce complications and shorten hospital stay. OBJECTIVE This study aimed to assess the safety and efficacy of enhanced recovery after surgery programs in colorectal surgery in comparison with traditional care. DATA SOURCES PubMed, Embase, and Cochrane databases were ele...

OBJECTIVE Every patient has a perception about surgery and psychological preparation of the patient has an important impact on their postoperative recovery and outcome. In this study we looked at impact of a visual educational aid, in the form of a patient DVD on outcome following colorectal surgery within an enhanced recovery programme (ERP). DESIGN We carried out a prospective analysis of a...

BACKGROUND Robotic approaches have become increasingly used for colorectal surgery. The aim of this study is to examine the safety and efficacy of robotic colorectal procedures in an adult population. STUDY DESIGN A systematic review of articles in both PubMed and Embase comparing laparoscopic and robotic colorectal procedures was performed. Clinical trials and observational studies in an adu...

Materials and methods Between June 2002 and June 2008, 361 elderly patients were considered for laparoscopic surgery (61.5% were over 75 years of age). Laparoscopic colon, gastric and esophageal procedures are among the alternatives implemented for the geriatric surgery. Most patients were ASA II or upper. 266 procedures were for colorectal disease including malignant disease (174 colorectal ca...