Publications by authors named "A S van Lieshout"
Background: Colorectal cancer screening programmes have led to a shift towards early-stage colorectal cancer, which, in selected cases, can be treated using local excision. However, local excision followed by completion total mesorectal excision (two-stage approach) may be associated with less favourable outcomes than primary total mesorectal excision (one-stage approach). The aim of this population study was to determine the distribution of treatment strategies for early rectal cancer in the Netherlands and to compare the short-term outcomes of primary total mesorectal excision with those of local excision followed by completion total mesorectal excision.
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- This study evaluates three minimally invasive surgical techniques for total mesorectal excision (TME) in treating low/mid locally advanced rectal cancer: laparoscopic, robotic, and transanal TME.
- An analysis of 468 patients revealed that robotic and transanal TME had lower complication and conversion rates compared to laparoscopic TME, with robotic TME showing fewer anastomotic leaks.
- The study concludes that robotic and transanal TME approaches can lead to quicker recovery times and fewer postoperative issues compared to laparoscopic TME, indicating their potential advantages for patient outcomes.
Article Synopsis
- Shared decision-making is crucial in treating early rectal cancer, yet decisions are often influenced more by doctors than by patients.
- This study involved interviews with 10 patients and 10 healthcare providers to understand their treatment preferences and the factors that influence them.
- Results showed that patients prioritize quality of life and have a different perception of risks compared to healthcare providers, highlighting the need for better communication and understanding of patient preferences in treatment decisions.
Objectives: Adult-onset Still's disease (AOSD) is a rare condition characterized by fevers, rash, and arthralgia/arthritis; most doctors treating AOSD in the Netherlands treat <5 patients per year. Currently, there is no internationally accepted treatment guideline for AOSD. The objectives of this study were to conduct a Delphi panel aimed at reaching consensus about diagnostic and treatment strategies for patients with AOSD and to use the outcomes as a basis for a treatment algorithm.
View Article and Find Full Text PDFBackground: Quality of surgery has substantial impact on both short- and long-term clinical outcomes. This stresses the need for objective surgical quality assessment (SQA) for education, clinical practice and research purposes. The aim of this systematic review was to provide a comprehensive overview of all video-based objective SQA tools in laparoscopic procedures and their validity to objectively assess surgical performance.
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