Twenty years ago the anaesthetics given at this hospital were with few exceptions of two sorts. For all the small cases such as haemorrhoids, fissures and fistulae a short deep anaesthetic was given. This was administered by means of a Clover's inhaler. For carcinoma of the rectum the routine treatment was a preliminary colostomy, followed two or three weeks later by a perineal excision. Open e...

BACKGROUND AND OBJECTIVES Laparoscopic colorectal surgery is an established safe procedure with demonstrated benefits. Proficiency in this specialty correlates with the volume of cases. We examined training in this surgical field for both general surgery and colon and rectal surgery residents to determine whether the number of cases needed for proficiency is being realized. METHODS We examine...

OBJECTIVE To compare the efficacy of anal preserving surgery for aged people with low rectal carcinoma. METHODS Clinical data for a consecutive cohort of 98 rectal cancer patients with distal tumors located within 3 cm-7 cm of the anal verge were collected. Among these, 42 received anal preserving surgery (35 with Dixon, 3 with Parks and 4 with transanal operations). The local recurrence and ...

thors called for a more selective use of TME. The authors argue that oncologic outcome is not compromised with this approach based on similar cancer-specific survival patterns between TME and PME in this study. This conclusion was confirmed by metaanalysis. Mirnezami et al. [6] examined the long-term oncological impact of anastomotic leakage after rectal cancer surgery using meta-analysis metho...

PURPOSE Survival data of patients who underwent laparoscopic surgery compared with those who underwent open surgery for rectal cancer are limited. We compared long-term outcomes of laparoscopic surgery with those of open surgery in patients with rectal cancer. METHODS Between April 2007 and December 2013, a series of 879 patients with rectal cancer underwent surgery with curative intent (287 ...

BACKGROUND Mechanical bowel preparation is routinely done before colon and rectal surgery, aimed at reducing the risk of postoperative infectious complications. The aim of the study was to assess whether elective colon and rectal surgery can be safely performed without preoperative mechanical bowel preparation. METHODS Patients undergoing elective colon and rectal resections with primary anas...

A 52-year-old Japanese man presented for evaluation and treatment of rectal cancer. Screening computed tomography revealed pancreatic arteriovenous malformations (P-AVMs) and abnormally expanded inferior mesenteric vein (IMV) that resulted from P-AVMs. One-stage surgery for rectal cancer was dangerous so we first performed distal pancreatectomy to cure P-AVM and thus normalize the abnormally ex...

A paucity of research is available on patients' bowel symptom experiences and self-care strategies following sphincter-saving surgery for rectal cancer. Most research undertaken to date on patients' bowel symptoms following surgery for rectal cancer has been largely atheoretical. The purpose of this paper is to describe the process of choosing a theoretical framework to guide a study of patient...

1. Kim NK, Min BS, Kim JS, Hur H, Lee KY, Sohn SK, et al. Oncologic outcomes and safety after tumor-specific mesorectal excision for resectable rectal cancer: a single institution’s experience with 1,276 patients with rectal cancer. J Korean Soc Coloproctol 2008;24:121-33. 2. Min HS, Kim JY. Health-related quality of life of patients with rectal cancer. J Korean Soc Coloproctol 2009;25:100-6. 3...

AIM To analyses the current literature regarding the urogenital functional outcomes of patients receiving robotic rectal cancer surgery. METHODS A comprehensive literature search of electronic databases was performed in October 2015. The following search terms were applied: "rectal cancer" or "colorectal cancer" and robot* or "da Vinci" and sexual or urolog* or urinary or erect* or ejaculat* ...