Annals of Coloproctology

Volume 29(1); February 2013

Editorials

Colorectal Cancer Epidemic in Korea: Dong-Hyun Kim; Ann Coloproctol. 2013;29(1):1-4. Published online February 28, 2013; DOI: https://doi.org/10.3393/ac.2013.29.1.1

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Citations

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Bowel Preparation for Surveillance Colonoscopy After Colorectal Resection: A New Perspective
Donghyoun Lee, Ho-Kyung Chun
Annals of Coloproctology.2019; 35(3): 129. CrossRef
Predictors of Quality of Life and Social Support as a Mediator between Defecation Function and Quality of Life among Rectal Cancer Patients
Jung Rang Kim, Seon Young Hwang
Korean Journal of Adult Nursing.2019; 31(5): 487. CrossRef
The prognostic implications of primary tumor location on recurrence in early-stage colorectal cancer with no associated risk factors
Sung Il Kang, Duck-Woo Kim, Yoonjin Kwak, Hye-Seung Lee, Min Hyun Kim, Myung Jo Kim, Heung-Kwon Oh, Sung-Bum Kang
International Journal of Colorectal Disease.2018; 33(6): 719. CrossRef
Bromelain effectively suppresses Kras-mutant colorectal cancer by stimulating ferroptosis
Sujeong Park, Jinjoo Oh, Minhee Kim, Eun-Jung Jin
Animal Cells and Systems.2018; 22(5): 334. CrossRef
Is MRI of the Liver Needed During Routine Preoperative Workup for Colorectal Cancer?
Sung Il Kang, Duck-Woo Kim, Jai Young Cho, Jihoon Park, Kyung Ho Lee, Il Tae Son, Heung-Kwon Oh, Sung-Bum Kang
Diseases of the Colon & Rectum.2017; 60(9): 936. CrossRef
Association Between Exposure to Environmental Tobacco Smoke at the Workplace and Risk for Developing a Colorectal Adenoma: A Cross-Sectional Study
Seung-Hwa Lee, Ji-Yeon Hong, Jung-Un Lee, Dong Ryul Lee
Annals of Coloproctology.2016; 32(2): 51. CrossRef

Functional New Sphincter Ani Reconstruction by Using Neurovascualr Antropylorus Transposition After an Anorectal Excision: Bong Hwa Lee, Min Jung Kim, Hyoung Chul Park; Ann Coloproctol. 2013;29(1):5-6. Published online February 28, 2013; DOI: https://doi.org/10.3393/ac.2013.29.1.5

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Original Articles

Feasibility of Neurovascular Antropylorus Perineal Transposition With Pudendal Nerve Anastomosis Following Anorectal Excision: A Cadaveric Study for Neoanal Reconstruction: Abhijit Chandra, Ashok Kumar, M Noushif, Nitish Gupta, Vijay Kumar, Navneet Kumar Chauhan, Vishal Gupta; Ann Coloproctol. 2013;29(1):7-11. Published online February 28, 2013; DOI: https://doi.org/10.3393/ac.2013.29.1.7

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Purpose

Perineal transposition of the antropyloric valve following an anorectal excision as a substitute for a permanent colostomy has recently been reported in humans. However, the problem of neural control still remains in these patients. Our aim herein was to study the anatomical feasibility of an anastomosis between the pudendal nerve branches (inferior rectal nerve) innervating the external anal sphincter and the anterior vagal branches of the perineally-transposed antropyloric segment in cadavers.

Methods

The antropyloric segment, along with its carefully dissected branch of the anterior vagus, was mobilized based on the left gastroepiploic pedicle in six fresh human cadavers. The antropyloric valve was then transposed in the perineum after the pudendal nerve branches had been dissected out, and an approximation of these two nerves was performed to ascertain the technical feasibility of their neural anastomosis.

Results

The anterior vagus innervating the antropylorus could be harvested in all cadavers below the hepatic division of the main vagus trunk. The inferior rectal nerve or its branches were found consistently around the 3 or the 9 o'clock position in the ischioanal fossa. An anatomical tension-free approximation of the anterior vagus branch (of the transposed antropyloric segment) to the inferior rectal nerve in the perineum was feasible in all the cadavers studied.

Conclusion

An inferior rectal nerve anastomosis with the anterior vagal branch of the perineally-transposed antropyloric segment can be achieved anatomically. This preliminary step can be the basis for future animal studies and subsequent clinical application of the procedure for possible neural control of the transposed antropyloric segment in the perineum.

Citations

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Current surgical strategies to treat fecal incontinence
Steven D Wexner, Joshua Bleier
Expert Review of Gastroenterology & Hepatology.2015; 9(12): 1577. CrossRef
Dynamic Article
Abhijit Chandra, Brijesh Mishra, Saket Kumar, Vishal Gupta, M. Noushif, U. C. Ghoshal, Asha Misra, P. K. Srivastava
Diseases of the Colon & Rectum.2015; 58(5): 508. CrossRef
Neuromodulation of perineally transposed antropylorus with pudendal nerve anastomosis following total anorectal reconstruction in humans
Abhijit Chandra, Hardeep S. Malhotra, Noushif M, Vishal Gupta, Sunil K. Singh, Neeraj Kumar, Rakesh S. Lalla, Ayush Chandra, Ravindra K. Garg
Neurogastroenterology & Motility.2014; 26(9): 1342. CrossRef
Neurovascular antropylorus perineal transposition using inferior rectal nerve anastomosis for total anorectal reconstruction: preliminary report in humans
A. Chandra, A. Kumar, M. Noushif, V. Gupta, V. Kumar, P. K. Srivastav, H. S. Malhotra, M. Kumar, U. C. Ghoshal
Techniques in Coloproctology.2014; 18(6): 535. CrossRef

Laparoscopic Versus an Open Colectomy in an Emergency Setting: A Case-Controlled Study: Frederick H. Koh, Ker-Kan Tan, Charles B. Tsang, Dean C. Koh; Ann Coloproctol. 2013;29(1):12-16. Published online February 28, 2013; DOI: https://doi.org/10.3393/ac.2013.29.1.12

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Abstract PDF

Purpose

Laparoscopy continues to be increasingly adopted for elective colorectal resections. However, its role in an emergency setting remains controversial. The aim of this study was to compare the outcomes between laparoscopic and open colectomies performed for emergency colorectal conditions.

Methods

A retrospective review of all patients who underwent emergency laparoscopic colectomies for various surgical conditions was performed. These patients were matched for age, gender, surgical diagnosis and type of surgery with patients who underwent emergency open colectomies.

Results

Twenty-three emergency laparoscopic colectomies were performed from April 2006 to October 2011 for patients with lower gastrointestinal tract bleeding (6), colonic obstruction (4) and colonic perforation (13). The hand-assisted laparoscopic technique was utilized in 15 cases (65.2%). There were 4 (17.4%) conversions to the open technique. The operative time was longer in the laparoscopic group (175 minutes vs. 145 minutes, P = 0.04), and the duration of hospitalization was shorter in the laparoscopic group (6 days vs. 7 days, P = 0.15). The overall postoperative morbidity rates were similar between the two groups (P = 0.93), with only 3 patients in each group requiring postoperative surgical intensive-care-unit stays or reoperations. There were no mortalities. The cost analysis did not demonstrate any significant differences in the procedural (P = 0.57) and the nonprocedural costs (P = 0.48) between the two groups.

Conclusion

Emergency laparoscopic colectomy in a carefully-selected patient group is safe. Although the operative times were longer, the postoperative outcomes were comparable to those of the open technique. The laparoscopic group did not incur a higher cost.

Citations

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Validity of laparoscopic surgery for lower gastrointestinal perforations
Kensuke Kudou, Ryoko Aoyama, Kento Ishihara, Tomohide Kawashita, Shuhei Kajiwara, Takashi Motomura, Takafumi Yukaya, Tomonori Nakanoko, Yosuke Kuroda, Masahiro Okamoto, Tadashi Koga, Yo‐Ichi Yamashita, Eiji Oki, Tomoharu Yoshizumi
Asian Journal of Endoscopic Surgery.2024;[Epub] CrossRef
Comparison of Laparoscopic and Open Emergency Surgery for Colorectal Perforation: A Retrospective Study
Kensuke Kudou, Tetsuya Kusumoto, Hirofumi Hasuda, Yasuo Tsuda, Eiji Kusumoto, Hideo Uehara, Rintaro Yoshida, Yoshihisa Sakaguchi
Journal of Laparoendoscopic & Advanced Surgical Techniques.2023; 33(5): 464. CrossRef
Short-term outcomes of laparoscopic approach to colonic obstruction for colon cancer
Zhobin Moghadamyeghaneh, Henry Talus, Garth Ballantyne, Michael J. Stamos, Alessio Pigazzi
Surgical Endoscopy.2021; 35(6): 2986. CrossRef
Effects of laparoscopic vs open abdominal surgery on costs and hospital readmission rate and its effect modification by surgeons’ case volume
Thomas H. Shin, Sabine Friedrich, Gabriel A. Brat, Maira I. Rudolph, Vicki Sein, Ronny Munoz-Acuna, Timothy T. Houle, Cristina R. Ferrone, Matthias Eikermann
Surgical Endoscopy.2020; 34(10): 1. CrossRef
Minimally invasive interventions in emergency large bowel surgery
B.M. Niyozbekov, T.Z. Rzaev, Z.B. Khalilov, M.A. Chinikov
Khirurgiya. Zhurnal im. N.I. Pirogova.2020; (6): 109. CrossRef
Procedural and post-operative complications associated with laparoscopic versus open abdominal surgery for right-sided colonic cancer resection
Yong Sheng Li, Fan Chun Meng, Jun Kai Lin
Medicine.2020; 99(40): e22431. CrossRef
Did we prioritize quality improvement in general surgery: Time for a focus on outcomes and enhanced recovery care plans?
Byron D. Hughes, Eric Sieloff, Hemalkumar B. Mehta, Anthony J. Senagore
The American Journal of Surgery.2019; 217(3): 534. CrossRef
Enhanced recovery after surgery for emergency colorectal surgery: Are there any differences between intra-abdominal infection and other indications?
V. Lohsiriwat
Journal of Visceral Surgery.2019; 156(6): 489. CrossRef
Réhabilitation améliorée dans les urgences chirurgicales colorectales : quelles différences entre les péritonites et les autres indications ?
V. Lohsiriwat
Journal de Chirurgie Viscérale.2019; 156(6): 523. CrossRef
Role of Emergency Laparoscopic Colectomy for Colorectal Cancer
Abigail E. Vallance, Deborah S. Keller, James Hill, Michael Braun, Angela Kuryba, Jan van der Meulen, Kate Walker, Manish Chand
Annals of Surgery.2019; 270(1): 172. CrossRef
Emergent Laparoscopic Colectomy Is an Effective Alternative to Open Resection for Benign and Malignant Diseases: a Meta-Analysis
Sun-Bing Xu, Zhong Jia, Yi-Ping Zhu, Ren-chao Zhang, Ping Wang
Indian Journal of Surgery.2017; 79(2): 116. CrossRef
Colectomie par laparoscopie ou par laparotomie pour tumeur colique droite en occlusion : revue systématique de la littérature et méta-analyse
R. Cirocchi, F.C. Campanile, S. Di Saverio, G. Popivanov, L. Carlini, D. Pironi, R. Tabola, N. Vettoretto
Journal de Chirurgie Viscérale.2017; 154(6): 399. CrossRef
Laparoscopic versus open colectomy for obstructing right colon cancer: A systematic review and meta-analysis
R. Cirocchi, F. Cesare Campanile, S. Di Saverio, G. Popivanov, L. Carlini, D. Pironi, R. Tabola, N. Vettoretto
Journal of Visceral Surgery.2017; 154(6): 387. CrossRef
A systematic review and overview of health economic evaluations of emergency laparotomy
Sohail Bampoe, Peter M. Odor, S. Ramani Moonesinghe, Matthew Dickinson
Perioperative Medicine.2017;[Epub] CrossRef
Laparoscopic approach in gastrointestinal emergencies
Rosa M Jimenez Rodriguez, Juan José Segura-Sampedro, Mercedes Flores-Cortés, Francisco López-Bernal, Cristobalina Martín, Verónica Pino Diaz, Felipe Pareja Ciuro, Javier Padillo Ruiz
World Journal of Gastroenterology.2016; 22(9): 2701. CrossRef
Meta-analysis of the risk of small bowel obstruction following open or laparoscopic colorectal surgery
T Yamada, K Okabayashi, H Hasegawa, M Tsuruta, J-H Yoo, R Seishima, Y Kitagawa
British Journal of Surgery.2016; 103(5): 493. CrossRef
A nationwide assessment comparing nonelective open with minimally invasive complex colorectal procedures
A. T. Schlussel, M. B. Lustik, E. K. Johnson, J. A. Maykel, B. J. Champagne, A. Damle, H. M. Ross, S. R. Steele
Colorectal Disease.2016; 18(3): 301. CrossRef
Caecal pneumatosis is not an absolute contraindication for endoluminal stenting in patients with acute malignant large bowel obstruction
James Ngu, Bettina Lieske, Kok Hong Dedrick Chan, Tian Zhi Lim, Wai‐Kit Cheong, Ker‐Kan Tan
ANZ Journal of Surgery.2014; 84(10): 772. CrossRef
Robotic right colectomy for hemorrhagic right colon cancer: a case report and review of the literature of minimally invasive urgent colectomy
Emanuele Felli, Francesco Brunetti, Mara Disabato, Chady Salloum, Daniel Azoulay, Nicola de’Angelis
World Journal of Emergency Surgery.2014;[Epub] CrossRef
Laparoscopic Surgery in Luminal Gastrointestinal Emergencies—a Review of Current Status
Ajay Gupta, Khalid Habib, Athur Harikrishnan, Niraj Khetan
Indian Journal of Surgery.2014; 76(6): 436. CrossRef
Sham Feeding? Same Feeding?
Hungdai Kim
Annals of Coloproctology.2013; 29(6): 224. CrossRef

Feasibility of Hand-Assisted Laparoscopic Surgery as Compared to Open Surgery for Sigmoid Colon Cancer: A Case-Controlled Study: Sang Eun Nam, Eun-Joo Jung, Chun-Geun Ryu, Jin Hee Paik, Dae-Yong Hwang; Ann Coloproctol. 2013;29(1):17-21. Published online February 28, 2013; DOI: https://doi.org/10.3393/ac.2013.29.1.17

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Abstract PDF

Purpose

The aim of this study was to evaluate short-term clinical outcomes by comparing hand-assisted laparoscopic surgery (HALS) with open surgery for sigmoid colon cancer.

Methods

Twenty-six patients who underwent a hand-assisted laparoscopic anterior resection (HAL-AR group) and 52 patients who underwent a conventional open anterior resection during the same period were enrolled (open group) in this study with a case-controlled design.

Results

Pathologic parameters were similar between the two groups. The incidences of immediate postoperative leukocytosis were 38.5% in the HAL-AR group and 69.2% in the open group (P = 0.009). There were no significant differences between the two groups as to leukocyte count, hemoglobin, and hematocrits (P = 0.758, P = 0.383, and P = 0.285, respectively). Of the postoperative recovery indicators, first flatus, sips of water and soft diet started on postoperative days 3, 5, 7 in the HALS group and on days 4, 5, 6 in the open group showed statistical significance (P = 0.021, P = 0.259, and P = 0.174, respectively). Administration of additional pain killers was needed for 1.2 days in the HAL-AR group and 2.4 days in the open group (P = 0.002). No significant differences in the durations of hospital stay and the rates of postoperative complications were noted, and no postoperative mortality was encountered in either group.

Conclusion

The patients with sigmoid colon cancer who underwent a HAL-AR had a lower incidence of postoperative leukocytosis, less administration of pain killers, and faster first flatus than those who underwent open surgery. Clinical outcomes for patients' recovery and pathology status were similar between the two groups. Therefore, a HAL-AR for sigmoid colon cancer is feasible and has the same benefit as minimally invasive surgery.

Citations

Citations to this article as recorded by

Hand-assisted laparoscopic surgery versus conventional open surgery in intraoperative and postoperative outcomes for colorectal cancer
Xubing Zhang, Qingbin Wu, Chaoyang Gu, Tao Hu, Liang Bi, Ziqiang Wang
Medicine.2017; 96(33): e7794. CrossRef
Hand-Assisted Laparoscopic Surgery: A Versatile Tool for Colorectal Surgeons
Ju Yong Cheong, Christopher J. Young
Annals of Coloproctology.2017; 33(4): 125. CrossRef
Hand-assisted laparoscopic vs open colectomy: an assessment from the American College of Surgeons National Surgical Quality Improvement Program procedure-targeted cohort
Cigdem Benlice, Meagan Costedio, Luca Stocchi, Maher A. Abbas, Emre Gorgun
The American Journal of Surgery.2016; 212(5): 808. CrossRef
Learning curve for hand-assisted laparoscopic D2 radical gastrectomy
Jia-Qing Gong
World Journal of Gastroenterology.2015; 21(5): 1606. CrossRef
Hand-assisted laparoscopic versus laparoscopy-assisted D2 radical gastrectomy: a prospective study
JiaQing Gong, YongKuan Cao, YunMing Li, GuoHu Zhang, PeiHong Wang, GuoDe Luo
Surgical Endoscopy.2014; 28(10): 2998. CrossRef

Safety and Feasibility of a Laparoscopic Colorectal Cancer Resection in Elderly Patients: Duck Hyoun Jeong, Hyuk Hur, Byung Soh Min, Seung Hyuk Baik, Nam Kyu Kim; Ann Coloproctol. 2013;29(1):22-27. Published online February 28, 2013; DOI: https://doi.org/10.3393/ac.2013.29.1.22

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21 Citations

Abstract PDF

Purpose

The aim of this study is to assess the effects of age on the short-term outcomes of a laparoscopic resection of colorectal cancer in elderly (≥75 years old), as compared with younger (<75 years old), patients.

Methods

A retrospective analysis of patients who underwent laparoscopic surgery for colorectal cancer between January 2007 and December 2009 was performed. There were two groups: age <75 years old (group A) and age ≥75 years old (group B). The perioperative outcomes between group A and group B were compared.

Results

The study included 824 patients in group A and 92 patients in group B. The body mass index (BMI) and the American Society of Anesthesiologists (ASA) score were significantly different between group B and group A (BMI: 22.5 vs. 23.5, P = 0.002; ASA score: 1.88 vs. 1.48, P = 0.001). Mean operating times were similar between the groups (325.4 minutes vs. 351.6 minutes, P = 0.07). We observed a higher overall complication rate in group B than in group A (12.0% vs. 6.2%, P = 0.047), but the number of severe complications of Accordion Severity Classification ≥3 (those that required an invasive procedure) was not significantly different between the two groups (6.5% vs. 3.4%, P = 0.142). There was no significant difference in the length of hospital stay (13.0 days vs. 12.0 days, P = 0.053).

Conclusion

Although the elderly patients had a significantly higher overall postoperative complication rate, no significant difference was seen in either the number of severe complications of Accordion Severity Classification ≥3 or in the length of hospital stay. A laparoscopic colorectal cancer resection in elderly patients, especially those aged 75 years or older, is safe and feasible.

Citations

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Evaluation of Laparoscopic Colorectal Resection Among Elderly Individuals With Colorectal Malignancy: A Single-center Retrospective Analysis
Yanru Zhang, Tufeng Chen, Xiaofeng Yang, Yiquan Li, Purun Lei
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2024; 34(3): 281. CrossRef
Risk Factors for Postoperative Paralytic Ileus in Advanced-age Patients after Laparoscopic Colorectal Surgery: A Retrospective Study of 124 Consecutive Patients
Takaaki Fujimoto, Tatsuya Manabe, Kumpei Yukimoto, Yasuhiro Tsuru, Hiroshi Kitagawa, Keiichiro Okuyama, Shin Takesue, Keita Kai, Hirokazu Noshiro
Journal of the Anus, Rectum and Colon.2023; 7(1): 30. CrossRef
Laparoscopic rectal cancer resection yields comparable clinical and oncological results with shorter hospital stay compared to open access: a 5-year national cohort
Elisabeth Myrseth, Petter Fosse Gjessing, Linn Såve Nymo, Hartwig Kørner, Jan Terje Kvaløy, Stig Norderval
International Journal of Colorectal Disease.2023;[Epub] CrossRef
Effect of intraoperative blood loss on postoperative complications and prognosis of patients with colorectal cancer: A meta‑analysis
Zi-Wei Li, Xin-Peng Shu, Ze-Lin Wen, Fei Liu, Xu-Rui Liu, Quan Lv, Xiao-Yu Liu, Wei Zhang, Dong Peng
Biomedical Reports.2023;[Epub] CrossRef
Lower conversion rate with robotic assisted rectal resections compared with conventional laparoscopy; a national cohort study
Elisabeth Myrseth, Linn Såve Nymo, Petter Fosse Gjessing, Hartwig Kørner, Jan Terje Kvaløy, Stig Norderval
Surgical Endoscopy.2022; 36(5): 3574. CrossRef
Age and comorbidities do not affect short-term outcomes after laparoscopic rectal cancer resection in elderly patients. A multi-institutional cohort study in 287 patients
Roberto Peltrini, Nicola Imperatore, Filippo Carannante, Diego Cuccurullo, Gabriella Teresa Capolupo, Umberto Bracale, Marco Caricato, Francesco Corcione
Updates in Surgery.2021; 73(2): 527. CrossRef
Perioperative and oncologic outcomes in young and octogenarian patients with colorectal cancer: a comparison at the extremes
Dedrick Kok Hong Chan, Sze Wai Leong, Christopher Hang Liang Keh
Langenbeck's Archives of Surgery.2021; 406(7): 2399. CrossRef
Decreasing Postoperative Pulmonary Complication Following Laparoscopic Surgery in Elderly Individuals with Colorectal Cancer: A Competing Risk Analysis in a Propensity Score–Weighted Cohort Study
Yih-Jong Chern, Jeng-Fu You, Ching-Chung Cheng, Jing-Rong Jhuang, Chien-Yuh Yeh, Pao-Shiu Hsieh, Wen-Sy Tsai, Chun-Kai Liao, Yu-Jen Hsu
Cancers.2021; 14(1): 131. CrossRef
Short- and long-term outcomes of laparoscopic surgery for colorectal cancer in the elderly aged over 80 years old versus non-elderly: a retrospective cohort study
Yoshitake Ueda, Norio Shiraishi, Takahide Kawasaki, Tomonori Akagi, Shigeo Ninomiya, Hidefumi Shiroshita, Tsuyoshi Etoh, Masafumi Inomata
BMC Geriatrics.2020;[Epub] CrossRef
Short-term outcomes of laparoscopic surgery for colorectal cancer in the elderly versus non-elderly: a systematic review and meta-analysis
Nobuaki Hoshino, Yudai Fukui, Koya Hida, Yoshiharu Sakai
International Journal of Colorectal Disease.2019; 34(3): 377. CrossRef
Outcomes of laparoscopic surgery for pT3/pT4 colorectal cancer in young vs. old patients
Gabriele Bellio, Marina Troian, Arianna Pasquali, Nicolò de Manzini
Minerva Chirurgica.2019;[Epub] CrossRef
Long-term outcomes of colorectal endoscopic submucosal dissection in elderly patients
Yoshifumi Takahashi, Ken-ichi Mizuno, Kazuya Takahashi, Hiroki Sato, Satoru Hashimoto, Manabu Takeuchi, Masaaki Kobayashi, Junji Yokoyama, Yuichi Sato, Shuji Terai
International Journal of Colorectal Disease.2017; 32(4): 567. CrossRef
Results of surgical treatment of colorectal cancer in nonagenarian patients
Arthur Manoel Braga de Albuquerque Gomes, Fábio Lopes de Queiroz, Rodrigo de Almeida Paiva
Journal of Coloproctology.2017; 37(04): 285. CrossRef
Evaluation of short-term outcomes of laparoscopic-assisted surgery for colorectal cancer in elderly patients aged over 75 years old: a multi-institutional study (YSURG1401)
Keisuke Kazama, Toru Aoyama, Tsutomu Hayashi, Takanobu Yamada, Masakatsu Numata, Shinya Amano, Mariko Kamiya, Tsutomu Sato, Takaki Yoshikawa, Manabu Shiozawa, Takashi Oshima, Norio Yukawa, Yasushi Rino, Munetaka Masuda
BMC Surgery.2017;[Epub] CrossRef
Laparoscopic Surgery for Rectal Cancer after Preoperative Chemoradiation in Elderly Patients
Je-Min Choi, Seung-Hun Lee, Seung-Hyun Lee, Byung-Kwon Ahn
The Journal of Minimally Invasive Surgery.2017; 20(3): 108. CrossRef
Elderly patients have more infectious complications following laparoscopic colorectal cancer surgery
C. L. Kvasnovsky, K. Adams, M. Sideris, J. Laycock, A. K. Haji, A. Haq, J. Nunoo‐Mensah, S. Papagrigoriadis
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Laparoscopic surgery for patients with colorectal cancer produces better short‐term outcomes with similar survival outcomes in elderly patients compared to open surgery
Soo Yun Moon, Sohee Kim, Soo Young Lee, Eon Chul Han, Sung‐Bum Kang, Seung‐Yong Jeong, Kyu Joo Park, Jae Hwan Oh
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Katsuji Tokuhara, Kazuyoshi Nakatani, Yosuke Ueyama, Kazuhiko Yoshioka, Masanori Kon
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Case Reports

Rectal Perforation Caused by Anal Stricture After Hemorrhoid Treatment: Yong Joon Suh, Heon-Kyun Ha, Heung-Kwon Oh, Rumi Shin, Seung-Yong Jeong, Kyu Joo Park; Ann Coloproctol. 2013;29(1):28-30. Published online February 28, 2013; DOI: https://doi.org/10.3393/ac.2013.29.1.28

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Abstract PDF

Inappropriate therapies for hemorrhoids can lead to various complications including anorectal stricture. We report a patient presenting with catastrophic rectal perforation due to severe anal stricture after inappropriate hemorrhoid treatment. A 67-years old man with perianal pain visited the emergency room. The hemorrhoids accompanied by constipation, had tortured him since his youth. Thus he had undergone injection sclerotherapy several times by an unlicensed therapist and hemorrhoidectomy twice at the clinics of private practitioners. His body temperature was as high as 38.5℃. The computed tomographic scan showed a focal perforation of posterior rectal wall. The emergency operation was performed. The fibrotic tissues of the anal canal were excised. And then a sigmoid loop colostomy was constructed. The patient was discharged four days following the operation. This report calls attention to the enormous risk of unlicensed injection sclerotherapy and overzealous hemorrhoidectomy resulting in scarring, progressive stricture, and eventual rectal perforation.

Citations

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Laser hemorrhoidoplasty for hemorrhoidal disease: a systematic review and meta-analysis
Hendry Lie, Evelyn Franca Caesarini, Antonius Agung Purnama, Andry Irawan, Taufik Sudirman, Wifanto Saditya Jeo, Bernardus Parish Budiono, Erik Prabowo, M. Iqbal Rivai, Ryanto Karobuana Sitepu
Lasers in Medical Science.2022; 37(9): 3621. CrossRef

A Large Polypoid Vascular Ectasia Removed by Using a Polypectomy With a Detachable Snare in an Asymptomatic Patient: Byung Hyun Yu, Sung Jae Shin, Kwang Wook Lee, Kyoung Ho Ryoo, Jeong Ook Wi, Joon Hwan Yoo, Jeong Woo Choi; Ann Coloproctol. 2013;29(1):31-33. Published online February 28, 2013; DOI: https://doi.org/10.3393/ac.2013.29.1.31

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3 Citations

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Vascular ectasia is a well-known cause of lower gastrointestinal bleeding in the elderly. Endoscopically, it usually appears as a flat or elevated bright red lesion. We report on an extremely rare case of a large, pedunculated, polypoid vascular ectasia in an asymptomatic patient. A large pedunculated polypoid mass in the sigmoid colon was observed on colonoscopy during a regular health check-up, and a polypectomy was performed using a detachable snare. In histology, vessels with massive dilation were found mainly in the submucosa, which was consistent with vascular ectasia.

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Colonic pedunculated polypoid vascular ectasia mimicking ileocolic intussusception: a rare case report
Ujwal Raut, Santosh Thapa, Garima Shrestha, Sandesh Shah, Utsav Karki
Annals of Medicine & Surgery.2023; 85(7): 3674. CrossRef
Colonic Polypoid Vascular Ectasia in a Patient With Rectal Prolapse
Ryan Meader, Ahmed Khattab, Nahren Asado, Scott Siglin
Cureus.2022;[Epub] CrossRef
Endoscopic Resection of Colonic Vascular Ectasia Mimicking as a Pedunculated Polypoid Lesion
Sang Hoon Lee, Sung Chul Park, Sung Joon Lee, Seung-Joo Nam, Seung Koo Lee
The Korean Journal of Gastroenterology.2019; 73(6): 370. CrossRef

Unusual Case of Solitary Perineal Subcutaneous Metastasis From Sigmoid Colon Cancer: Taek-Gu Lee, Sang-Jeon Lee; Ann Coloproctol. 2013;29(1):34-37. Published online February 28, 2013; DOI: https://doi.org/10.3393/ac.2013.29.1.34

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2 Citations

Abstract PDF

Subcutaneous metastasis from colorectal cancer is an unusual presentation. Most perineal subcutaneous metastases are found in extensive involvements of multiorgan metastases or local recurrences of rectal cancer. Subcutaneous metastasis from colon cancer is considered as a distant metastasis with poor prognosis. We report an unusual case of solitary subcutaneous metastasis beneath the perineum without solid organ involvement after a curative anterior resection for sigmoid colon cancer. The patient underwent a perineal resection, and chemotherapy with the FOLFOX (fluorouracil, leucovorin, and oxaliplatin) regimen was instituted. Eight months later, multiple lung metastases were found, and chemotherapy was restarted with the FOLFIRI (fluorouracil, leucovorin, and irinotecan) regimen. However, lung metastases progressed, and new metastases appeared at the adrenal glands, the kidneys and the cerebellum. The patient died 30 months after the diagnosis of perineal subcutaneous metastasis. He lived relatively long in comparison with patients in previous reports.

Citations

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Cutaneous metastasis of ascending colon cancer harboring a BRAF V600E mutation
Lianggong Liao, Qian Cheng, Guangsheng Zhu, Feng Pei, Shengwei Ye
Medicine.2020; 99(21): e20026. CrossRef
Late isolated subcutaneous metastasis from colon cancer
Fabio Carboni, Ferdinando Marandino, Mario Valle
ANZ Journal of Surgery.2019;[Epub] CrossRef

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