International journal of colorectal disease
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Int J Colorectal Dis · Mar 2020
Impact of intraoperative indocyanine green fluorescence angiography on anastomotic leakage after laparoscopic sphincter-sparing surgery for malignant rectal tumors.
Whether indocyanine green fluorescence angiography (ICG-FA) during rectal surgery is effective in reducing anastomotic leakage remains unclear. This study aimed to investigate the effect of intraoperative ICG-FA on anastomotic leakage after sphincter-sparing surgery for malignant rectal tumors. ⋯ Intraoperative ICG-FA is a promising method to reduce anastomotic leakage after laparoscopic rectal surgery.
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Int J Colorectal Dis · Mar 2020
Meta AnalysisPrevalence and risk factors for postoperative delirium in patients with colorectal carcinoma: a systematic review and meta-analysis.
Postoperative delirium (POD) is a common, but severe complication in elderly patients undergoing surgery for colorectal cancer, but the prevalence and potential risk factors for POD were not well established. Therefore, a meta-analysis was preformed to clarify the prevalence and risk factors of POD in patients undergoing surgery for colorectal cancer. ⋯ POD is a frequent complication in patients undergoing surgery with colorectal cancer. Several risk factors including history of psychiatric disease, transfusion, comorbidities, male gender, and old age were significant predictors for POD.
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Int J Colorectal Dis · Mar 2020
Use of intravenous iron therapy in colorectal cancer patient with iron deficiency anemia: a propensity-score matched study.
Iron deficiency anemia is common in colorectal cancer patients and is related to poor surgical outcome. Increasing evidence supports preoperative use of intravenous iron (IVI) to correct anemia. Our study investigates effect of preoperative IVI on hemoglobin level. ⋯ Our data suggested that IVI can significantly increase hemoglobin level in iron deficiency anemic patients before colorectal surgery, with reduction in red cell transfusions.