Publications by authors named "D Popowich"
Background: The SAGES University Colorectal Masters Program is a structured educational curriculum that is designed to aid practicing surgeons develop and maintain knowledge and technical skills for laparoscopic colorectal surgery. The Colorectal Pathway is based on three anchoring procedures (laparoscopic right colectomy, laparoscopic left and sigmoid colectomy for uncomplicated and complex disease, and intracorporeal anastomosis for minimally invasive right colectomy) corresponding to three levels of performance (competency, proficiency and mastery). This manuscript presents focused summaries of the top 10 seminal articles selected for laparoscopic left and sigmoid colectomy for complex benign and malignant disease.
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- The debate in laparoscopic surgery revolves around whether intracorporeal (ICA) or extracorporeal (ECA) anastomosis is the better technique for laparoscopic colectomy, with studies showing both methods have similar safety and efficacy.
- Research suggests that ICA may offer additional benefits, including quicker recovery of bowel function, reduced postoperative pain, smaller incisions, and lower chances of wound infections.
- The article also shares practical advice for performing various types of laparoscopic ICAs during laparoscopic colectomy procedures.
Article Synopsis
- The study looked at why surgeons decide to do a protective ileostomy after a certain type of surgery for rectal cancer.
- Most surgeons (76%) agreed on doing the ileostomy, and many (88%) considered certain risk factors before deciding.
- The study found that emotions and personal experiences played a big role in the decisions surgeons made, but there aren't clear guidelines on when to perform this procedure yet.
Background: As enhanced recovery programs (ERPs) have continued to evolve, the length of hospitalization (LOS) following elective minimally invasive colorectal surgery has continued to decline. Further refinements in multimodal perioperative pain management strategies have resulted in reduced opioid consumption. The interest in ambulatory colectomy has dramatically accelerated during the COVID-19 pandemic.
View Article and Find Full Text PDFBackground: The cancer stem cell (CSC) hypothesis of tumor genesis suggests that unlike most cancer cells within tumor CSC resist chemotherapy and can regenerate various cell types in tumor thereby causing relapse. Hence drugs that selectively target CSC may offer great promise for cancer therapy especially when combined with chemotherapy. Current treatment options for colorectal cancer (CRC) and other gastrointestinal (GI) tumors rely on combination of surgical resection, cytotoxic and targeted drugs.
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