Multicenter study of outcome in relation to the type of resection in rectal cancer.

Background: A surgical teaching and auditing program has been implemented to improve the results of treatment for patients with rectal cancer.

Objective: The aim of this study was to assess the treatment and outcome in patients resected for rectal cancer, focusing on differences relating to the type of resection.

Design: This was an observational study.

[Introduction of laparoscopy in the treatment of rectal cancer in a coloproctology unit].

Introduction: The application of the laparoscopic approach to the treatment of rectal cancer is controversial. The aim of the present study was to evaluate whether the introduction of this technique in a coloproctology unit modified the quality of rectal cancer surgery.

Material And Method: We performed a prospective, nonrandomized study of all patients with rectal cancer who underwent surgery with curative intent in 2003 and 2004.

[The surgical treatment of hemorrhoids].

Surgery is the most effective treatment in patients with symptomatic grade III-IV hemorrhoids who have not responded to outpatient treatment, when there is associated abnormalities (anal fissure, anal fistula, skin tags) and in thrombosed hemorrhoids. Hemorrhoidectomy is currently the "gold standard" treatment. Randomized controlled trials comparing open with closed hemorrhoidectomy show no significant differences in pain scores.