Annals of Coloproctology

Volume 32(1); February 2016

Editorials

Extralevator Abdominoperineal Resection in the Prone Position: Young Jin Kim; Ann Coloproctol. 2016;32(1):1-2. Published online February 29, 2016; DOI: https://doi.org/10.3393/ac.2016.32.1.1

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Extralevator abdominoperineal excision for advanced low rectal cancer: Where to go
Yu Tao, Jia-Gang Han, Zhen-Jun Wang
World Journal of Gastroenterology.2020; 26(22): 3012. CrossRef

Impact of Visceral Fat Area in Colorectal Surgery: Ji Yeon Kim; Ann Coloproctol. 2016;32(1):3-4. Published online February 29, 2016; DOI: https://doi.org/10.3393/ac.2016.32.1.3

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Quality of Life After a Low Anterior Resection in Elderly Patients: Byung Chun Kim; Ann Coloproctol. 2016;32(1):5-6. Published online February 29, 2016; DOI: https://doi.org/10.3393/ac.2016.32.1.5

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Major Low Anterior Resection Syndrome (LARS) and Quality of Life in Patients With Low Rectal Cancer: A Preoperative Survey Using LARS Score and European Organisation for Research and Treatment of Cancer’s 30-Item Core Quality of Life Questionnaire
Ly Huu Phu, Ho Tat Bang, Nguyen Viet Binh, Hoang Danh Tan, Ung Van Viet, Nguyen Trung Tin
Cureus.2023;[Epub] CrossRef
Efficacy and safety of sequential neoadjuvant chemotherapy and short-course radiation therapy followed by delayed surgery in locally advanced rectal cancer: a single-arm phase II clinical trial with subgroup analysis between the older and young patients
Alimohammad Bananzadeh, Ali Akbar Hafezi, NamPhong Nguyen, Shapour Omidvari, Ahmad Mosalaei, Niloofar Ahmadloo, Mansour Ansari, Mohammad Mohammadianpanah
Radiation Oncology Journal.2021; 39(4): 270. CrossRef
Health-Related Quality of Life in Older Adults with Colorectal Cancer
Evan Lapinsky, Lillian C. Man, Amy R. MacKenzie
Current Oncology Reports.2019;[Epub] CrossRef

Review

Vaginal Approaches Using Synthetic Mesh to Treat Pelvic Organ Prolapse: Jei Won Moon, Hee Dong Chae; Ann Coloproctol. 2016;32(1):7-11. Published online February 29, 2016; DOI: https://doi.org/10.3393/ac.2016.32.1.7

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Pelvic organ prolapse (POP) is a very common condition in elderly women. In women with POP, a sacrocolpopexy or a vaginal hysterectomy with anterior and posterior colporrhaphy has long been considered as the gold standard of treatment. However, in recent decades, the tendency to use a vaginal approach with mesh for POP surgery has been increasing. A vaginal approach using mesh has many advantages, such as its being less invasive than an abdominal approach and easier to do than a laparoscopic approach and its having a lower recurrence rate than a traditional approach. However, the advantages of a vaginal approach with mesh for POP surgery must be weighed against the disadvantages. Specific complications that have been reported when using mesh in POP procedures are mesh erosion, dyspareunia, hematomas, urinary incontinence and so on, and evidence supporting the use of transvaginal surgery with mesh is still lacking. Hence, surgeons should understand the details of the surgical pelvic anatomy, the various surgical techniques for POP surgery, including using mesh, and the possible side effects of using mesh.

Citations

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Is HALP score a predictor of poor prognosis in patients with hematologic malignancies admitted to the intensive care unit?
Sevil Sadri, Burcu Tunay
The Egyptian Journal of Internal Medicine.2024;[Epub] CrossRef
Effects of mesh surgery on sexual function in pelvic prolapse and urinary incontinence
Gökmen Sukgen, Adem Altunkol, Ayşe Yiğit
International braz j urol.2021; 47(1): 82. CrossRef
Functional outcomes of synthetic tape and mesh revision surgeries: a monocentric experience
Salima Ismail, Emmanuel Chartier-Kastler, Christine Reus, Jérémy Cohen, Thomas Seisen, Véronique Phé
International Urogynecology Journal.2019; 30(5): 805. CrossRef
Comparison of advantages and disadvantages of 4- and 6-arm mesh prostheses in reconstructive surgery of the urogenital prolapse in women
О. V. Snurnitsina, M. V. Yenikeev, A. N. Nikitin, L. M. Rapoport, D. V. Enikeev, D. G. Tsarichenko, M. V. Lobanov, A. F. Abdusalamov
Andrology and Genital Surgery.2018; 19(4): 70. CrossRef

Original Articles

Short-term Outcomes of an Extralevator Abdominoperineal Resection in the Prone Position Compared With a Conventional Abdominoperineal Resection for Advanced Low Rectal Cancer: The Early Experience at a Single Institution: Seungwan Park, Hyuk Hur, Byung Soh Min, Nam Kyu Kim; Ann Coloproctol. 2016;32(1):12-19. Published online February 29, 2016; DOI: https://doi.org/10.3393/ac.2016.32.1.12

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Abstract PDF

Purpose

This study compared the perioperative and pathologic outcomes between an extralevator abdominoperineal resection (APR) in the prone position and a conventional APR.

Methods

Between September 2011 and March 2014, an extralevator APR in the prone position was performed on 13 patients with rectal cancer and a conventional APR on 26 such patients. Patients' demographics and perioperative and pathologic outcomes were obtained from the colorectal cancer database and electronic medical charts.

Results

Age and preoperative carcinoembryonic antigen (CEA) level were significantly different between the conventional and the extralevator APR in the prone position (median age, 65 years vs. 55 years [P = 0.001]; median preoperative CEA level, 4.94 ng/mL vs. 1.81 ng/mL [P = 0.011]). For perioperative outcomes, 1 (3.8%) intraoperative bowel perforation occurred in the conventional APR group and 2 (15.3%) in the extralevator APR group. In the conventional and extralevator APR groups, 12 (46.2%) and 6 patients (46.2%) had postoperative complications, and 8 (66.7%) and 2 patients (33.4%) had major complications (Clavien-Dindo III/IV), respectively. The circumferential resection margin involvement rate was higher in the extralevator APR group compared with the conventional APR group (3 of 13 [23.1%] vs. 3 of 26 [11.5%]).

Conclusion

The extralevator APR in the prone position for patients with advanced low rectal cancer has no advantages in perioperative and pathologic outcomes over a conventional APR for such patients. However, through early experience with a new surgical technique, we identified various reasons for the lack of favorable outcomes and expect sufficient experience to produce better peri- or postoperative outcomes.

Citations

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Management of left-sided malignant colorectal obstructions with curative intent: a network meta-analysis
Tyler McKechnie, Jeremy E. Springer, Zacharie Cloutier, Victoria Archer, Karim Alavi, Aristithes Doumouras, Dennis Hong, Cagla Eskicioglu
Surgical Endoscopy.2023; 37(6): 4159. CrossRef
Prone Versus Supine Position in Abdominoperineal Resection: Outcomes in the Laparoscopic Era
Cecilia Ferrari, Carmen Martinez Sanchez, Jesus Bollo, Pilar Hernandez, Lorena Cambeiro, Claudia Codina, Eduardo Targarona
Journal of Laparoendoscopic & Advanced Surgical Techniques.2021; 31(4): 382. CrossRef
Surgical Treatment of Low-Lying Rectal Cancer: Updates
Cristopher Varela, Nam Kyu Kim
Annals of Coloproctology.2021; 37(6): 395. CrossRef
Perioperative and oncological outcomes of abdominoperineal resection in the prone position vs the classic lithotomy position: A systematic review with meta‐analysis
Jose Wilson B. Mesquita‐Neto, Hassan Mouzaihem, Francisco Igor B. Macedo, Lance K. Heilbrun, Donald W. Weaver, Steve Kim
Journal of Surgical Oncology.2019; 119(7): 979. CrossRef
Prone Compared With Lithotomy for Abdominoperineal Resection: A Systematic Review and Meta-analysis
Tyler McKechnie, Yung Lee, Jeremy E. Springer, Aristithes G. Doumouras, Dennis Hong, Cagla Eskicioglu
Journal of Surgical Research.2019; 243: 469. CrossRef
Perineal Wound Complications After Extralevator Abdominoperineal Excision for Low Rectal Cancer
Jia Gang Han, Zhen Jun Wang, Zhi Gang Gao, Guang Hui Wei, Yong Yang, Zhi Wei Zhai, Bao Cheng Zhao, Bing Qiang Yi
Diseases of the Colon & Rectum.2019; 62(12): 1477. CrossRef
Critical and Challenging Issues in the Surgical Management of Low-Lying Rectal Cancer
Aeris Jane D. Nacion, Youn Young Park, Seung Yoon Yang, Nam Kyu Kim
Yonsei Medical Journal.2018; 59(6): 703. CrossRef
EXTRALEVATOR ABDOMINOPERINEAL EXCISION OF THE RECTUM: SHORT-TERM OUTCOMES IN COMPARISON WITH CONVENTIONAL SURGERY
R. A. Murashko, I. B. Uvarov, E. A. Ermakov, V. B. Kaushanskiy, R. V. Konkov, D. D. Sichinava, B. N. Sadikov
Koloproktologia.2017; (4): 34. CrossRef
Extralevator Abdominoperineal Resection in the Prone Position
Young Jin Kim
Annals of Coloproctology.2016; 32(1): 1. CrossRef

Distribution and Impact of the Visceral Fat Area in Patients With Colorectal Cancer: Hyeon Yu, Yong-Geul Joh, Gyung-Mo Son, Hyun-Sung Kim, Hong-Jae Jo, Hae-Young Kim; Ann Coloproctol. 2016;32(1):20-26. Published online February 29, 2016; DOI: https://doi.org/10.3393/ac.2016.32.1.20

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Abstract PDF

Purpose

The purposes of this study were to investigate the distribution of the visceral fat area (VFA) and general obesity and to compare visceral and general obesity as predictors of surgical outcomes of a colorectal cancer resection.

Methods

The prospectively collected data of 102 patients with preoperatively-diagnosed sigmoid colon or rectal cancer who had undergone a curative resection at Pusan National University Yangsan Hospital between April 2011 and September 2012 were reviewed retrospectively. Men with a VFA of >130 cm² and women with a VFA of >90 cm² were classified as obese (VFA-O, n = 22), and the remaining patients were classified as nonobese (VFA-NO, n = 80).

Results

No differences in morbidity, mortality, postoperative bowel recovery, and readmission rate after surgery were observed between the 2 groups. However, a significantly higher number of harvested lymph nodes was observed in the VFA-NO group compared with the VFA-O group (19.0 ± 1.0 vs. 13.5 ± 1.2, respectively, P = 0.001).

Conclusion

Visceral obesity has no influence on intraoperative difficulties, postoperative complications, and postoperative recovery in patients with sigmoid colon or rectal cancer.

Citations

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Impact of visceral fat area on short-term outcomes in robotic surgery for mid and low rectal cancer
Shuai Zhao, Yue Ma, Ruiqi Li, Jiajie Zhou, Longhe Sun, Qiannan Sun, Wei Wang, Daorong Wang
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Does the visceral fat area impact the histopathology specimen metrics after total mesorectal excision for distal rectal cancer?
M Gachabayov, DM Felsenreich, S Bhatti, R Bergamaschi, Seon-Hahn Kim, Guglielmo Niccolo Piozzi, Rosa Jimenez-Rodriguez, Li-Jen Kuo, Tomohiro Yamaguchi, Fabio Cianchi, Oktar Asoglu, Vusal Aliyev, Dejan Ignjatovic, Yosef Nasseri, Moshe Barnajian, Dorin E. P
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Visceral obesity and anastomotic leakage rates in colorectal cancer: a systematic review and meta-analysis
Linchong Yu, Wenjiang Wu, Shijun Xia, Yue Li, Zhigang Xu
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Kyeong Eui Kim, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
Nutrients.2022; 14(19): 3971. CrossRef
Computed Tomography Assessment of Fat Distribution and Staple-Line Leak Risk After Sleeve Gastrectomy
Martin Gaillard, Antonio Esposito, Panagiotis Lainas, Pauline Cerbelaud, Cosmin Sebastian Voican, Rodi Courie, Pierre Chague, Gabriel Perlemuter, Laurence Rocher, Ibrahim Dagher, Hadrien Tranchart
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Wouter M. Verduin, Anne-Loes K. Warps, Rick van den Helder, Hieronymus J. Doodeman, Alexander P.J. Houdijk
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Ana Silva, Francisco Gomes, Sofia S. Pereira, Mariana P. Monteiro, António Araújo, Gil Faria
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The Relationship Between Colorectal Cancer and Abdominal Adipose Tissue Distribution
Fatma Esra BAHADIR ÜLGER, Ümit AKYÜZ
Journal of Contemporary Medicine.2021; 11(3): 288. CrossRef
Impact of subcutaneous and visceral fat adiposity in patients with colorectal cancer
Jin-Mok Kim, Eric Chung, Eun-Suk Cho, Jae-Hoon Lee, Su-Jin Shin, Hye Sun Lee, Eun Jung Park, Seung Hyuk Baik, Kang Young Lee, Jeonghyun Kang
Clinical Nutrition.2021; 40(11): 5631. CrossRef
Impact of Visceral Fat Area Measured by Bioelectrical Impedance Analysis on Clinico-Pathologic Outcomes of Colorectal Surgery
Kyeong Eui Kim, Woo Jin Song, Minji Seok, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
Journal of Clinical Nutrition.2021; 13(1): 17. CrossRef
Impact of adiposity on staging and prognosis of colorectal cancer
Ana Silva, Gil Faria, António Araújo, Mariana P. Monteiro
Critical Reviews in Oncology/Hematology.2020; 145: 102857. CrossRef
Impact of visceral obesity and sarcobesity on surgical outcomes and recovery after laparoscopic resection for colorectal cancer
C. Pedrazzani, C. Conti, G.A. Zamboni, M. Chincarini, G. Turri, A. Valdegamberi, A. Guglielmi
Clinical Nutrition.2020; 39(12): 3763. CrossRef
Which obesity-associated parameters can better reflect the risk of the occurrence of the anastomotic leakage?
Zeyang Chen, Jiejin Yang, Zining Liu, Yuyang Zhang, Jiali Sun, Pengyuan Wang
Scandinavian Journal of Gastroenterology.2020; 55(4): 466. CrossRef
BMI May Be a Prognostic Factor for Local Advanced Rectal Cancer Patients Treated with Long-Term Neoadjuvant Chemoradiotherapy

Hengchang Liu, Ran Wei, Chunxiang Li, Zhixun Zhao, Xu Guan, Ming Yang, Zheng Liu, Xishan Wang, Zheng Jiang
Cancer Management and Research.2020; Volume 12: 10321. CrossRef
Influence of Visceral Fat in the Outcomes of Colorectal Cancer
André Goulart, Nuno Malheiro, Hugo Rios, Nuno Sousa, Pedro Leão
Digestive Surgery.2019; 36(1): 33. CrossRef
Visceral fat area, not body mass index, predicts postoperative 30-day morbidity in patients undergoing colon resection for cancer
Benjamin A. Kuritzkes, Emmanouil P. Pappou, Ravi P. Kiran, Onur Baser, Liqiong Fan, Xiaotao Guo, Binsheng Zhao, Stuart Bentley-Hibbert
International Journal of Colorectal Disease.2018; 33(8): 1019. CrossRef
Assessment of Computed Tomography (CT)-Defined Muscle and Adipose Tissue Features in Relation to Short-Term Outcomes After Elective Surgery for Colorectal Cancer: A Multicenter Approach
Lisa Martin, Jessica Hopkins, Georgios Malietzis, J. T. Jenkins, Michael B. Sawyer, Ron Brisebois, Anthony MacLean, Gregg Nelson, Leah Gramlich, Vickie E. Baracos
Annals of Surgical Oncology.2018; 25(9): 2669. CrossRef
Impact of Visceral Fat Area in Colorectal Surgery
Ji Yeon Kim
Annals of Coloproctology.2016; 32(1): 3. CrossRef

Quality of Life After a Low Anterior Resection for Rectal Cancer in Elderly Patients: Verena N.N. Kornmann, Marieke S. Walma, Marnix A.J. de Roos, Djamila Boerma, Henderik L. van Westreenen; Ann Coloproctol. 2016;32(1):27-32. Published online February 29, 2016; DOI: https://doi.org/10.3393/ac.2016.32.1.27

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Abstract PDF

Purpose

Fecal incontinence is a major concern, and its incidence increases with age. Quality of life may decrease due to fecal incontinence after both sphincter-saving surgery and a rectal resection with a permanent stoma. This study investigated quality of life, with regard to fecal incontinency, in elderly patients after rectal-cancer surgery.

Methods

All patients who underwent elective rectal surgery with anastomosis for rectal cancer between December 2008 and June 2012 at two Dutch hospitals were eligible for inclusion. The Wexner and the fecal incontinence quality of life (FIQoL) scores were collected. Young (<70 years of age) and elderly (≥70 years of age) patients were compared.

Results

Seventy-nine patients were included, of whom 19 were elderly patients (24.1%). All diverting stomas that had been placed (n = 60, 75.9%) had been closed at the time of the study. There were no differences in Wexner or FIQoL scores between the young and the elderly patients. Also, there were no differences between patients without a diverting stoma and patients in whom bowel continuity had been restored. Elderly females had significantly worse scores on the FIQoL subscales of coping/behavior (P = 0.043) and depression/self-perception (P = 0.004) than young females. Elderly females scored worse on coping/behavior (P = 0.010) and depression/self-perception (P = 0.036) than elderly males. Young and elderly males had comparable scores.

Conclusion

Quality of life with regard to fecal incontinency is worse in elderly females after sphincter-preserving surgery for rectal cancer. Patients should be informed of this impact, and a definite stoma may be considered in this patient group.

Citations

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Analyzing quality of life after low anterior resection for rectal cancer
Seyed Mostafa Meshkati Yazd, Reza Shahriarirad, Shayan Almasi, Darioush Naddaffard, Saman Sheikhi, Imana Mosayebi, Kimia Goudarzi, Seyed Mohsen Ahmadi Tafti, Behnam Behboudi, Alireza Kazemeini, Mohammad Reza Keramati
Irish Journal of Medical Science (1971 -).2024;[Epub] CrossRef
Patient-reported Bowel Function and Bowel-related Quality of Life After Pelvic Radiation for Rectal Adenocarcinoma: The Impact of Radiation Fractionation and Surgical Resection
Michael K. Rooney, Brian De, Kelsey Corrigan, Grace L. Smith, Cullen Taniguchi, Bruce D. Minsky, Ethan B. Ludmir, Eugene J. Koay, Prajnan Das, Albert C. Koong, Oliver Peacock, George Chang, Y. Nancy You, Van K. Morris, Graciela Nogueras-González, Emma B.
Clinical Colorectal Cancer.2023; 22(2): 211. CrossRef
Functional outcomes and local control are acceptable following hand‐sewn colo‐anal anastomoses for rectal cancer: Results of long‐term follow‐up
David Hudson, Fiona Entriken, Rupert Hodder, Michael Warner
ANZ Journal of Surgery.2022; 92(3): 390. CrossRef
Functional Bowel Complaints and the Impact on Quality of Life After Colorectal Cancer Surgery in the Elderly
Stijn H. J. Ketelaers, Maarten van Heinsbergen, Ricardo G. Orsini, F. Jeroen Vogelaar, Joop L. M. Konsten, Grard A. P. Nieuwenhuijzen, Harm J. T. Rutten, Jacobus W. A. Burger, Johanne G. Bloemen
Frontiers in Oncology.2022;[Epub] CrossRef
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Jennie Burch, Claire Taylor, Ana Wilson, Christine Norton
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Eun Jung Park, Seung Hyuk Baik
Precision and Future Medicine.2021; 5(4): 164. CrossRef
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Aart A. van der Wilt, Stéphanie O. Breukink, Rosel Sturkenboom, Laurents P. Stassen, Cornelius G. Baeten, Jarno Melenhorst
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Case Reports

Primary Retroperitoneal Mucinous Cystadenoma: Seok Youn Lee, Weon Cheol Han; Ann Coloproctol. 2016;32(1):33-37. Published online February 29, 2016; DOI: https://doi.org/10.3393/ac.2016.32.1.33

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Abstract PDF

Mucinous cystadenomas and cystadenocarcinomas of the ovary are clinically and histopathologically well-established common tumors. However, primary retroperitoneal mucinous cystic tumors are extremely rare, and although their histopathogenesis is still uncertain, several theories have been proposed. Most authors suggest that they develop through mucinous metaplasia in a preexisting mesothelium-lined cyst. An accurate preoperative diagnosis of these tumors is difficult because no effective diagnostic measures have been established. Delay in diagnosis and treatment of this tumor may be fatal for the patient because of complications such as rupture, infection, and malignant transformation. We describe the case of a 31-year-old woman with abdominal pain and a palpable mass. Computed tomography of the abdomen revealed a retroperitoneal cystic mass, which was resected successfully through laparoscopy. Histopathological examination of the resected mass confirmed the diagnosis of a primary retroperitoneal mucinous cystadenoma. The patient was discharged on postoperative day 5 without any complications.

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Masafumi TAKAHASHI, Takamitsu KATO, Shunsuke NAKAMURA, Hirotoshi TAKASHIMA
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Mohammed S. Foula, Abdullah S. AlQattan, Ahmed M. AlQurashi, Hassan M. AlShaqaq, M. Khalid Mirza Gari
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Spontaneous Transomental Hernia: Seung Hun Lee, Seung Hyun Lee; Ann Coloproctol. 2016;32(1):38-41. Published online February 29, 2016; DOI: https://doi.org/10.3393/ac.2016.32.1.38

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Abstract PDF

A transomental hernia through the greater or lesser omentum is rare, accounting for approximately 4% of internal hernias. Transomental hernias are generally reported in patients aged over fifty. In such instances, acquired transomental hernias are usual, are commonly iatrogenic, and result from surgical interventions or from trauma or peritoneal inflammation. In rare cases, such as the one described in this study, internal hernias through the greater or lesser omentum occur spontaneously as the result of senile atrophy without history of surgery, trauma, or inflammation. A transomental hernia has a high postoperative mortality rate of 30%, and emergency diagnosis and treatment are critical. We report a case of a spontaneous transomental hernia of the small intestine causing intestinal obstruction. An internal hernia with strangulation of the small bowel in the lesser sac was suspected from the image study. After an emergency laparotomy, a transomental hernia was diagnosed.

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