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Transanal Total Mesorectal Excision: Short-term Outcomes of 1283 Cases from a Nationwide Registry in China

Video Author: Hongwei Yao, M.D., Ph.D. • Yongbo An, M.D. • Hongyu Zhang, M.D. • Mingyang Ren, M.B. • Chien-Chih Chen, M.D. • Qing Xu, M.D., Ph.D. • Quan Wang, M.D. • Zhongtao Zhang, M.D., Ph.D., On behalf of the Chinese taTME Registry
Published on: 01.12.2021

The short-term outcomes of patients who underwent transanal total mesorectal excision procedures in China were acceptable.

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Creator: Hongwei Yao, M.D., Ph.D. • Yongbo An, M.D. • Hongyu Zhang, M.D. • Mingyang Ren, M.B. • Chien-Chih Chen, M.D. • Qing Xu, M.D., Ph.D. • Quan Wang, M.D. • Zhongtao Zhang, M.D., Ph.D., On behalf of the Chinese taTME Registry
Duration: 1:57
The short-term outcomes of patients who underwent transanal total mesorectal excision procedures in China were acceptable.
Creator: Julian Hercun, M.D.• Justin Côté-Daigneault, M.D. • Raymond G. Lahaie, M.D. • Carole Richard, M.D. • Ramsès Wassef, M.D. • Pierre Poitras, M.D.
Duration: 2:54
Diagnosis of Crohn’s disease can occur at a distance from surgery with an increasing cumulative incidence over time. Preoperative predictive factors are few and should not determine candidacy for surgery. Therapeutic options are identical to those available for treatment of typical Crohn’s disease and allow a favorable evolution in most patients.
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Duration: 1:14
No difference in opioid use was found with auricular neurostimulation. However, this pilot study suggests that older patients and those with larger abdominal incisions may benefit from auricular neurostimulation. Further investigation in these high-risk patients is warranted.
Creator: Fangyuan Jin-Dominguez, M.D. • Emad Mansoor, M.D. • Muhammad S. Panhwar, M.D. • Mohannad Abou-Saleh, M.D. • Gerard Isenberg, M.D. • Richard C.K. Wong, M.D. • Gregory S. Cooper, M.D.
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Individuals are twice as likely to be diagnosed with colorectal cancer within 1 year of their first episode of acute diverticulitis compared with individuals without diverticulitis. We advocate for colonoscopy after the first occurrence of acute diverticulitis to screen for colorectal cancer, particularly for patients without a recent colonoscopy.
Creator: Wouter M. Verduin, M.D. • Anne-Loes K. Warps, M.D. • Rick van den Helder, M.D. • Hieronymus J. Doodeman, MSc. • Alexander P.J. Houdijk, M.D., Ph.D., on behalf of the INfluences of Fat And MUscle in colorectal Surgery Collaborative
Duration: 1:22
The independent association of visceral fat with anastomotic leakage was confined to the elective colon cancer resection group. The previously reported associations of male sex and BMI with anastomotic leakage were explained by visceral fat. Visceral fat–associated comorbidities did not influence anastomotic leakage, suggesting that its effect on colon anastomotic healing is local rather than systemic. Future risk analysis for anastomotic leakage in colon cancer surgery should contain visceral fat values and consider subgroup differences.
Creator: Adam Studniarek, M.D. • Jennifer Pan, B.S. • Gerald Gantt Jr., M.D. • Anders Mellgren, M.D., Ph.D. • Pier Cristoforo Giulianotti, M.D. • Johan Nordenstam, M.D.
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Opioid prescribing patterns and consumption are widely variable after anorectal operations and appear to be highly dependent on the operation category. It is noteworthy that 63% of opioids prescribed after anorectal operations were unused by the patient and may pose a significant public health risk. Based on the usage patterns observed in this study, prospective studies should be performed to optimize opioid prescribing.
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There is considerable variability in diverticular disease mortality across the globe. Developing nations were characterized by rapid increases in diverticular disease mortality and expanding percentages of overweight adults. Public health interventions in developing nations are needed to alter mortality rates from diverticular disease.
Creator: Mitsuaki Ishioka, M.D., Ph.D., Akiko Chino, M.D., Ph.D., Daisuke Ide, M.D., Ph.D., Shoichi Saito, M.D., Ph.D., Masahiro Igarashi, M.D., Ph.D., Toshiya Nagasaki, M.D., Ph.D., Takashi Akiyoshi, M.D., Ph.D., Satoshi Nagayama, M.D., Ph.D., Yosuke Fukunaga,
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Despite the limited improvement in diagnostic accuracy, adding narrow-band imaging to chromoendoscopy improved inter-rater agreement between the expert and nonexpert endoscopists. Narrow-band imaging is a reliable and promising modality for universal standardization of the diagnosis of clinical complete response.
Creator: Winson J. Tan, M.B.B.S.(Hons.), M.Med, Sujata Patil, Ph.D., Jose G. Guillem, M.D., M.P.H., Philip B. Paty, M.D., Martin R. Weiser, M.D., Garrett M. Nash, M.D., M.P.H., J. Joshua Smith, M.D., Ph.D., Emmanouil P. Pappou, M.D., Ph.D., Iris H. Wei, M.D., Ju
Duration: 1:56
A significant proportion of patients with metastatic rectal cancer and untreated primary tumor experience primary tumor-related complications. These patients should be followed closely, and preemptive intervention (resection, diversion, or radiation) should be considered if the primary tumor progresses despite systemic therapy
Creator: Tae David Kim, M.D. • Gerald Gantt, M.D. • Kunal Kochar, M.D. • Slawomir Marecik, M.D. • John J. Park, M.D.
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Video Vignettes are peer-reviewed monthly features in DC&R that contain a brief video as the major component.
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Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.
Creator: van Loon, Yu-Ting M.D.1,2; Poylin, Vitaliy Y. M.D., Ph.D.2; Nagle, Deborah M.D.2; Zimmerman, David D.E. M.D., Ph.D.1
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Although left flexure tumors display several negative prognostic factors, they are not characterized by a worse prognosis compared with other colon cancer locations
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Surgical site infection cost burden was found to be higher than previously reported, with payer costs escalating over a 24-month postoperative period. Cost analysis results for adopting antimicrobial wound closure aligns with previous evidence-based studies, suggesting a fiscal benefit for its use as a component of a comprehensive evidence-based surgical care bundle for reducing the risk of infection.
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Low CD4/CD8 ratio confers additional risk of high-grade anal dysplasia and anal cancer beyond the diagnosis of HIV, even when adjusting for known risks factors of anal cancer. Our data suggest that the CD4/CD8 ratio may be able to help identify people living with HIV who are at higher risk of anal cancer development.
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Pouch excision is associated with high postoperative morbidity and long-term reintervention due to nonhealing perineal wounds, stoma complications, and hernias. Further study is required to clarify risk reduction strategies to limit perineal wound complications and the appropriate selection of patients for diversion alone vs. pouch excision in IPAA failure.
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Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.
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