International journal of colorectal disease
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Int J Colorectal Dis · Jun 2020
The influence of postoperative complications on long-term prognosis in patients with colorectal carcinoma.
The impact of postoperative complications (POCs) on the long-term prognosis of patients with colorectal carcinoma was analysed with respect to their severity according to the Clavien-Dindo classification (CDC). ⋯ Patients with POCs after colorectal surgery have a poor long-term prognosis. As the CDC grade increases, survival deteriorates.
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Int J Colorectal Dis · Apr 2020
Review Meta Analysis Comparative StudyMeta-analysis of transanal total mesorectal excision versus laparoscopic total mesorectal excision in management of rectal cancer.
To evaluate comparative outcomes of transanal total mesorectal excision (TaTME) and laparoscopic TME (LaTME) in patients with rectal cancer. ⋯ Although the meta-analysis of best available evidence (level 2) demonstrated that TaTME may be associated with better short-term oncological outcomes and similar clinical outcomes compared with LaTME, the differences between the two groups were small questioning their clinical relevance. No solid conclusions can be made due to lack of high quality randomised studies.
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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.
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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
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.