PURPOSE The standard treatment for mid or low locally advanced rectal cancer is neoadjuvant therapy followed by surgical resection. Laparoscopic surgery has recently been applied for the treatment of rectal cancer. However, few studies have reported the outcomes of laparoscopic surgery for elderly patients with rectal cancer after neoadjuvant therapy. This study aimed to investigate the short- ...

BACKGROUND The aim of centralizing rectal cancer surgery in Catalonia (Spain) was to improve the quality of patient care. We evaluated the impact of this policy by assessing patterns of care, comparing the clinical audits carried out and analysing the implications of the healthcare reform from an organizational perspective. METHODS A mixed methods approach based on a convergent parallel desig...

Rectal prolapse or procidentia is a debilitating condition that typically presents in parous older women but can occur men and of all ages. Surgery the mainstay for treatment rectal be performed through transabdominal perineal approach. Ventral mesh rectopexy was first described by D’Hoore 2004 involves pure anterior mobilization to reduce risk autonomic nerve injury postoperative constipation....

PURPOSE Although rectal cancer is a very common malignancy and has an improved cure rate in response to oncological treatment, research on rectal-cancer survivors' sexual function remains limited. Sexual dysfunction (SD) after rectal cancer treatment was measured, and possible predisposing factors that may have an impact on the development of this disorder were identified. METHODS Patients un...

The abdominoperineal resection (APR) has been regarded as the gold standard for the surgical treatment of lower-lying rectal cancer (also for cases of sphincter or puborectal muscle invasion) [1]. APRs require the total mesorectal excision of the rectum and anal sphincters, resulting in the formation of a permanent colostomy. Laparoscopic surgery for colorectal cancer is being performed increas...

the second international proctology congress was held on october 17 to 18 at razavi hospital. some surgeons of the italian society of colo-rectal surgery (societa italiana di chirurgia colo-rettale, siccr) attended the congress.

Laparoscopic colorectal surgery is rapidly gaining acceptance for the management of colorectal cancer. However, laparoscopic colorectal surgery is technically more challenging than conventional surgery. This challenge is more profound for laparoscopic rectal cancer, where there is a need to perform a total mesorectal excision (TME), in the confines of the pelvis, with the limitations of the lap...

Cancer of the large bowel is the third most common cancer diagnosed in both men and women in the United States with the exclusion of skin cancers. The American Cancer Society’s estimates for the number of colorectal cancer cases in the United States for 2014 were 96,830 new cases of colon cancer and 40,000 new cases of rectal cancer.1 Surgeons play a critical role in the management of rectal ca...

Single trocar transanal endoscopic surgery (STTE) is a well-known technique for evaluation and management of rectal lesions in adults. We used an 11mm balloon trocar with a 10mm operative optic, introduced into the anal canal to excise a rectal lesion along with multiple rectal biopsies in a child. Rectal visibility was good with an ease to maintain the rectum insufflated.

Randomized controlled trials have demonstrated that laparoscopic surgery for rectal cancer is safe and can accelerate recovery without compromising oncological outcomes. However, such a surgery is technically demanding, limiting its application in nonspecialized centers. The operational features of a robotic system may facilitate overcoming this limitation. Studies have reported the potential a...