Robotic abdominal resection of tailgut cysts - A technical note with step-by-step description.

Aim: Here, we describe a step-by-step standardized technique for tailgut cyst resection using a single-docking robotic approach.

Method: Each step of the technique is illustrated using a composite collection of four operative patient videos to demonstrate the advantages and feasibility of this technique. The robot platform utilised is Da Vinci Xi.

Quality of life and anterior resection syndrome after surgery for mid to low rectal cancer: A cross-sectional study.

Background: The aim of this study was to analyze the quality of life (QoL), low anterior resection syndrome (LARS) and fecal incontinence after surgery for mid to low rectal cancer and its relationship with the type of surgical procedure performed.

Methods: A cross-sectional cohort survey study of 358 patients operated on for mid to low rectal cancer. Patients were included in three groups: abdominoperineal resection (APR), low mechanical colorectal anastomosis (CRA) and hand-sewn coloanal anastomosis (CAA).

Factors associated with low anterior resection syndrome after surgical treatment of rectal cancer.

Aim: To assess factors independently associated with low anterior resection syndrome (LARS) following resection or rectal cancer.

Method: Cross-sectional study carried out in two acute-care teaching hospitals in Barcelona, Spain. Patients who had undergone sphincter preserving low anterior resection with curative intent, with total or partial mesorectal excision (with and without protective ileostomy) between January 2001 and December 2009 completed a self-administered questionnaire to assess bowel dysfunction after rectal cancer surgery.

Low anterior resection syndrome: a survey of the members of the American Society of Colon and Rectal Surgeons (ASCRS), the Spanish Association of Surgeons (AEC), and the Spanish Society of Coloproctology (AECP).

Background: Low anterior resection syndrome (LARS) is frequent following sphincter-sparing procedures for rectal cancer.

Objective: This study aims to assess surgeons' awareness of LARS.

Design: This was a survey study.

[Turnbull-cutait technique in low rectal cancer: Case report].

Background: The surgical treatment for low rectal cancer involves an ultra-low anterior resection with complete mesorectal resection and coloanal anastomosis. Two-stage coloanal anastomosis such as the Turnbull-Cutait technique represents an option for patients with low rectal cancer.

Clinical Case: A 69 year-old female patient with a diagnosis of adenocarcinoma (T2N1), located 4 cm from the anal margin.

Double barreled wet colostomy: initial experience and literature review.

Background: Pelvic exenteration and multivisceral resection in colorectal have been described as a curative and palliative intervention. Urinary tract reconstruction in a pelvic exenteration is achieved in most cases with an ileal conduit of Bricker, although different urinary reservoirs have been described.

Methods: A retrospective and observational study of six patients who underwent a pelvic exenteration and urinary tract reconstruction with a double barreled wet colostomy (DBWC) was done, describing the preoperative diagnosis, the indication for the pelvic exenteration, the complications associated with the procedure, and the followup in a period of 5 years.

Robotic transanal endoscopic microsurgery in benign rectal tumour.

Aim: To present a case of resection of a rectal tumour by a transanal robotic approach.

Patient: A 58-year-old woman with a 3-cm tumour located 6 cm proximal to anal verge (uT1N0).

Results: We describe the details of the surgical technique.

Laparoscopy-assisted versus open colectomy for treatment of colon cancer in the elderly: morbidity and mortality outcomes in 545 patients.

Background: Advanced age is a risk factor of major abdominal surgery due to diminished functional reserve and increased comorbidity. Laparoscopy-assisted colectomy is a well-established procedure in colon cancer surgery. The aim of this study was to compare early outcome of elective laparoscopy surgery and open colectomy in colon cancer patients according to age.

[Ileostomy closure in a colorectal surgery unit. Comparative analysis of different techniques].

Introduction: The objective of this study is to assess whether the results of loop ileostomy closure in terms of morbidity and hospital stay are influenced by the type of anastomosis and suture used.

Method: All patients who underwent loop ileostomy closure were reviewed. A retrospective cohort study comparing morbidity and hospital stay according to the type of anastomosis (TT/LL) and the type of suture (hand sewn/mechanical) was performed.

Anal fistula plug is a valid alternative option for the treatment of complex anal fistula in the long term.

Objective: This prospective, two-centre study was designed to evaluate long-term outcomes when using a collagen plug to treat cryptoglandular anal fistulae.

Materials And Method: Over 3 years, 60 consecutive patients with cryptoglandular fistulae were treated using an anal fistula plug by experienced surgeons. Preoperative, postoperative and follow-up data were collected in a dedicated database.

Multimedia article. Laparoscopic-assisted rectosigmoidectomy with ileal loop interposition. Surgical treatment of chagasic megacolon.

Background: Chagas disease is a frequent cause of acquired megacolon in several countries of Latin America. Several procedures have been described to treat this condition. Recently a report of 147 patients treated with an open rectosigmoidectomy with an ileal loop interposition showed a low rate of complications (8.