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Tailored-surgery for locally advanced colon cancer based on 3D mathematical reconstruction surgical planner: Observational comparative non-randomized study.
Eur J Surg Oncol
January 2025
Colorectal Unit, General & Digestive Surgery Department, Hospital Universitario Son Espases, Palma de Mallorca, Spain; Instituto de Investigación Sanitaria Illes Balears (IdISBa), Spain.
Background: This study investigates the effectiveness of a three-dimensional reconstruction mathematical model (3D-IPR) for preoperative planning in locally advanced colon cancer (LACC) with threatened surgical margins. The objective was to evaluate the utility of a 3D-IPR surgical planner tool in cases of LACC with threatened surgical margins. Additionally, the study aims to compare the diagnostic accuracy of the 3D-IPR model against conventional CT scans in determining the infiltration of neighboring structures.
View Article and Find Full Text PDFUnderwater endoscopic mucosal resection is superior to conventional endoscopic mucosal resection for medium-sized colorectal sessile polyps: a randomized controlled trial.
Sci Rep
December 2024
Department of Gastroenterology, Shenzhen Key Laboratory of Gastrointestinal Microbiota and Disease, Shenzhen Clinical Research Center for Digestive Disease, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong, People's Republic of China.
The comparison of underwater endoscopic mucosal resection (UEMR) and conventional endoscopic mucosal resection (CEMR) in the treatment of medium-sized (10 mm ≤ diameter ≤ 20 mm) colorectal sessile polyps is unknown. This randomized controlled trial (RCT) was designed to compare the efficacy and safety of UEMR and CEMR in the treatment of medium-sized colorectal sessile polyps. 200 patients with medium-sized colorectal sessile polyps were randomly divided into UEMR group and CEMR group equally.
View Article and Find Full Text PDFThree Surgical Cases of Cecal Volvulus.
Cureus
October 2024
Department of Coloproctological Surgery, Juntendo University, Tokyo, JPN.
Cecal volvulus (CV) is a relatively rare disease; however, it often requires emergency surgery due to the low success rate of endoscopic treatment, in contrast to sigmoid volvulus. The mechanism of CV involves a mobile cecum at the base, triggered by factors such as constipation, high-fiber diets, laxative use, history of laparotomy or laparoscopic surgery, pregnancy, and prior colonoscopy, which twists the ileocecal region. Although CV is a benign disease, it can be fatal if treatment is delayed, so it is crucial to understand the pathophysiology and treatment.
View Article and Find Full Text PDFComparative Analysis of Hemodynamic Effects of Remimazolam and Propofol Combined with Esketamine in Colonoscopic Procedures in the Elderly.
Drug Des Devel Ther
November 2024
Department of Anesthesia, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, 121000, People's Republic of China.
Article Synopsis
- The study compares the effects of remimazolam combined with esketamine versus propofol combined with esketamine on the heart and blood pressure in elderly patients during painless colonoscopies.
- A total of 754 patients were equally divided into two groups, with results showing that those on the remimazolam-esketamine combo had significantly less hypotension and fewer heart rate issues compared to the propofol group.
- Overall, the remimazolam group demonstrated better hemodynamic stability, quicker recovery, and fewer side effects, all while achieving full sedation success.
Combined versus conventional approaches in laparoscopic radical right hemicolectomy: a retrospective analysis.
Tech Coloproctol
November 2024
Department of General Surgery, The Second School of Clinical Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, 510000, China.
Article Synopsis
- The study evaluated the effectiveness and safety of laparoscopic-assisted radical surgery using a combined approach for patients with right hemicolonic cancer.
- Researchers analyzed clinical data from 102 patients, dividing them into two groups: one using the combined approach and the other using a traditional method.
- Results showed that the combined approach led to shorter surgery times and less blood loss, indicating it is a safe and effective option, particularly for beginners in surgical practice.
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