Publications by authors named "P Waterland"
Background: Accurate staging of distal colorectal cancers is paramount in guiding neoadjuvant therapy, peri-operative, and ostomy planning. Early colonic lesions can be difficult to visualise on computed tomography (CT) scans, with tumour location solely deduced via endoscopy with the potential for introducing error. We aimed to address the paucity in literature in this area and assessed the accuracy of radiological and endoscopic localisation of distal colorectal cancers.
View Article and Find Full Text PDFPurpose: Low intraabdominal pressure (IAP) during laparoscopy is associated with improved post-operative outcomes across a variety of surgical specialties. A prospective cohort study was undertaken to assess post-operative outcomes in patients undergoing laparoscopic colorectal surgery (LCRS) with low (8mmHg) versus conventional (15mmHg) IAP.
Methods: A prospective real-world observational study of patients undergoing LCRS in a single-centre, between June 2020 and June 2023 was performed.
Article Synopsis
- The text discusses a study comparing two surgical approaches, conventional multi-port laparoscopy (CL) and single-incision laparoscopic surgery (SILS), for patients undergoing Hartmann's reversal (HR), primarily after colostomy.
- A thorough online search led to the inclusion of two observational studies with 160 patients, revealing that SILS had a significantly shorter operative duration, while other outcomes like mortality and complications showed no significant differences.
- The conclusion indicates that, despite some limitations in the research, SILS is a quicker method with comparable safety and effectiveness to CL techniques.
Article Synopsis
- This study evaluates the effects of using low intraabdominal pressure versus high intraabdominal pressure during laparoscopic colorectal surgery, focusing mainly on post-operative complications like ileus and bowel movement recovery.
- The analysis pooled data from six randomised controlled trials and one observational study involving 771 patients, finding no significant differences in outcomes between the two pressure settings.
- The conclusion suggests that using low intraabdominal pressure is safe and equally effective as standard pressure, but calls for more comprehensive studies to confirm any potential advantages.
It is a known fact that Lynch syndrome (LS) and Ulcerative colitis (UC) are individually associated with increased risk of colorectal cancer. While there is no conclusive evidence to demonstrate a cumulative risk when these two conditions coexist, available data suggest early onset and synchronous cancers are synonymous to this group. We have reported an unusual case of multiple synchronous colorectal cancers in a young man with ulcerative colitis and Lynch syndrome also known as Hereditary Nonpolyposis Colorectal Cancer (HNPCC) gene mutation.
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