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Article Synopsis
  • * Meta-analysis included seven randomized controlled trials with 720 patients; results showed no significant difference in leakage rates, but better outcomes for the intracorporeal group regarding postoperative ileus, infections, and recovery times.
  • * The conclusion indicates that intracorporeal anastomosis is as safe as extracorporeal anastomosis in terms of leakage, while providing additional benefits like quicker recovery and fewer complications.
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Introduction: The benefits of intracorporeal anastomosis in laparoscopic colorectal cancer surgery remain unclear. Therefore, we aimed to investigate the short-term postoperative outcomes of intracorporeal anastomosis.

Methods: We retrospectively analyzed 87 patients who underwent laparoscopic surgery for right-sided colon tumors using a colon database.

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Purpose: Routine use of abdominal drain or prolonged antibiotic prophylaxis is no longer part of current clinical practice in colorectal surgery. Nevertheless, in patients undergoing laparoscopic right hemicolectomy with intracorporeal anastomosis (ICA), it may reduce perioperative abdominal contamination. Furthermore, in cancer patients, prolonged surgery with extensive dissection such as central vascular ligation and complete mesocolon excision with D3 lymphadenectomy (altogether radical right colectomy RRC) is called responsible for affecting postoperative ileus.

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Article Synopsis
  • - A 60-year-old man experienced serious penile issues, including purulent discharge, swelling, and urinary difficulties, after a surgical procedure for ischemic priapism.
  • - Imaging tests revealed gas and fluid buildup in his penile tissue, indicating a severe infection, potentially with abscess formation.
  • - Despite multiple surgeries to remove infected tissue, the situation worsened, resulting in gangrene and ultimately leading to a partial penectomy.
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Article Synopsis
  • - A 73-year-old woman developed splenic gas gangrene after blunt abdominal trauma, leading to symptoms like fatigue, dyspnea, and left-sided abdominal pain.
  • - Diagnostic imaging revealed gas in the spleen and pleural effusion, prompting treatment with antibiotics and a splenectomy.
  • - The bacteria causing the infection was identified from blood cultures; due to its normal presence in the gut, it should be suspected as a possible pathogen in similar splenic cases.
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