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Volume 37(4); August 2021
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Editorial
Rectal cancer, Functional outcomes, Malignant disease,Colorectal cancer,Postoperative outcome & ERAS
The Optimal Time for Urinary Catheter Removal in Enhanced Recovery After Surgery (ERAS) Protocol After Laparoscopic Rectal Cancer Surgery: When and How?
Jaeim Lee
Ann Coloproctol. 2021;37(4):193-194.   Published online August 25, 2021
DOI: https://doi.org/10.3393/ac.2021.00668.0095
  • 3,786 View
  • 99 Download
  • 1 Web of Science
  • 1 Citations
PDF

Citations

Citations to this article as recorded by  
  • Perioperative outcomes of laparoscopic low anterior resection using ArtiSential® versus robotic approach in patients with rectal cancer: a propensity score matching analysis
    I. K. Kim, C. S. Lee, J. H. Bae, S. R. Han, W. Alshalawi, B. C. Kim, I. K. Lee, D. S. Lee, Y. S. Lee
    Techniques in Coloproctology.2024;[Epub]     CrossRef
Letter to the Editor
Benign GI diease,Benign diesease & IBD,Functional outcome
A Modified Boston Bowel Preparation Scale After Colorectal Surgery
Lorenzo Dioscoridi, Edoardo Forti, Francesco Pugliese, Marcello Cintolo, Angelo Italia, Marta Bini, Giulia Bonato, Aurora Giannetti, Massimiliano Mutignani
Ann Coloproctol. 2021;37(4):195-195.   Published online November 13, 2019
DOI: https://doi.org/10.3393/ac.2019.08.20
  • 3,316 View
  • 76 Download
PDF
Review
Benign GI diease,Benign diesease & IBD,Epidemiology & etiology
The Epidemiology and Etiology of Right-Sided Colonic Diverticulosis: A Review
Greg A. Turner, Michael J. O’Grady, Rachel V. Purcell, Frank A. Frizelle
Ann Coloproctol. 2021;37(4):196-203.   Published online July 21, 2021
DOI: https://doi.org/10.3393/ac.2021.00192.0027
  • 6,669 View
  • 170 Download
  • 12 Web of Science
  • 13 Citations
AbstractAbstract PDF
Diverticulosis of the colon is a common condition in Western countries and most patients will remain asymptomatic, but some will present with symptoms of acute diverticulitis or bleeding. Our understanding of diverticulosis is evolving but is mostly derived from diverticulosis affecting the left-sided colon. In contrast, right-sided colonic diverticulosis (RCD) is more commonly seen in Asian countries but is much less common overall. Based on the marked differences in epidemiology, it is commonly thought that these are 2 distinct disease processes. A review of the literature describing the epidemiology and etiology of RCD was performed, with a comparison to the current understanding of left-sided diverticulosis. RCD is becoming increasingly common. The epidemiology of RCD shows it to be a mostly acquired condition, and not congenital as previously thought. Many factors in the etiology of RCD are similar to that seen in left-sided diverticulosis, with a few variations. It is therefore likely that most cases of RCD represent the same disease process that is seen in the left colon.

Citations

Citations to this article as recorded by  
  • Right‐sided colonic diverticulitis. Short and long‐term surgical outcomes and 2‐year quality of life
    Sara Lauricella, Francesco Brucchi, Dario Palmisano, Gianandrea Baldazzi, Luca Bottero, Diletta Cassini, Giuseppe Faillace
    World Journal of Surgery.2024; 48(2): 484.     CrossRef
  • 49-jährige Patientin mit Unterbauchschmerz rechts
    Achim Jatkowski, Arne Dehling, Wolfram Zoller
    Zeitschrift für Gastroenterologie.2024; 62(02): 171.     CrossRef
  • Features of colonic diverticulitis in children and adolescents: A multicenter study
    Ji-Won Han, Joonhyuk Son, Chaeyoun Oh
    Asian Journal of Surgery.2024; 47(5): 2195.     CrossRef
  • Right Upper Quadrant Pain: A Rare Presentation of Diverticulitis
    Rediet Tefera Atalay, Oluwapelumi Kolawole, Girma M Ayele, Abay A Gobezie, Angesom Kibreab, Miriam B Michael
    Cureus.2024;[Epub]     CrossRef
  • Colonic Diverticulosis at Colonoscopy in Africa: A Systematic Review and Meta-Analysis of Pooled Estimates
    Emeka Ray-Offor, Stella-Maris Egboh, Rex F.O.A. Ijah, Sameh Hany Emile, Steven D. Wexner
    Digestive Surgery.2024; 41(2): 63.     CrossRef
  • Genetic, epigenetic and environmental factors in diverticular disease: systematic review
    Hannah N Humphrey, Pauline Sibley, Eleanor T Walker, Deborah S Keller, Francesco Pata, Dale Vimalachandran, Ian R Daniels, Frank D McDermott
    BJS Open.2024;[Epub]     CrossRef
  • Beyond the Norm: Acute Multifocal Diverticulitis
    Bianca Thakkar, Jasmine Tidwell, Minh Thu T. Nguyen, Gengsheng Yu, Neil Parikh
    ACG Case Reports Journal.2024; 11(9): e01505.     CrossRef
  • Right-Sided Diverticulitis: A Rare Cause of Right-Sided Abdominal Pain
    Athanasios Papatriantafyllou, Paraskevi Dedopoulou, Konstantina Soukouli, Ioannis Karioris, Stylianos Tsochatzis
    Cureus.2023;[Epub]     CrossRef
  • Diverticulosis and Diverticulitis: Epidemiology, Pathophysiology, and Current Treatment Trends
    Mohit Bhatia, Aastha Mattoo
    Cureus.2023;[Epub]     CrossRef
  • Diagnosis and Treatment of Colonic Diverticular Disease
    You Sun Kim
    The Korean Journal of Gastroenterology.2022; 79(6): 233.     CrossRef
  • When to Perform a Colonoscopy in Diverticular Disease and Why: A Personalized Approach
    Antonio Tursi, Valerio Papa, Loris Riccardo Lopetuso, Lorenzo Maria Vetrone, Antonio Gasbarrini, Alfredo Papa
    Journal of Personalized Medicine.2022; 12(10): 1713.     CrossRef
  • Right-sided colopleural fistula secondary to diverticular disease: a case report
    Summer Hassan, Primal Singh
    Journal of Medical Case Reports.2022;[Epub]     CrossRef
  • Case Series of Right Colon Diverticulitis in the West: A Neglected Disease?
    Lucas Faraco Sobrado, Tarsila Gomes Caldas, Carolina Graciolli Facanali, Leonardo Bustamente-Lopez, Carlos Walter Sobrado
    Journal of Coloproctology.2022; 42(04): 302.     CrossRef
Original Articles
Malignant disease, Functional outcomes,Colorectal cancer,Postoperative outcome & ERAS
Systematic Early Urinary Catheter Removal Integrated in the Full Enhanced Recovery After Surgery (ERAS) Protocol After Laparoscopic Mid to Lower Rectal Cancer Excision: A Feasibility Study
Hélène Meillat, Cloé Magallon, Clément Brun, Cécile de Chaisemartin, Laurence Moureau-Zabotto, Julien Bonnet, Marion Faucher, Bernard Lelong
Ann Coloproctol. 2021;37(4):204-211.   Published online April 22, 2021
DOI: https://doi.org/10.3393/ac.2020.05.22
  • 3,579 View
  • 108 Download
  • 10 Web of Science
  • 7 Citations
AbstractAbstract PDF
Purpose
Enhanced Recovery After Surgery (ERAS) programs advocate early urinary catheter removal after rectal cancer surgery; however, the optimal duration remains unclear. This study assessed the feasibility of the early urinary catheter removal protocol after rectal cancer surgery within an ERAS pathway and identified predictive factors for failure of this strategy.
Methods
Between March 2017 and October 2018, all unselected and consecutive patients who underwent rectal cancer resection and benefited from our ERAS program were included. Urinary complications (infection and retention) were prospectively recorded. Success was defined as catheter removal on postoperative day (POD) 3 without urinary complications.
Results
Of 135 patients (male, 63.7%; neoadjuvant chemoradiation, 57.0%; urology history, 17.8%), 120 had early urinary catheter removal with no complications (success rate, 88.9%), 8 did not have urinary catheter removal on POD 3 due to clinical judgment or prescription error, 5 experienced a urinary tract infection, and 2 had acute urinary retention. Obesity (odds ratio [OR], 0.16; P = 0.003), American Society of Anesthesiologists physical status classification > II (OR, 0.28; P = 0.048), antiaggregant platelet medication (OR, 0.12; P < 0.001), absence of anastomosis (OR, 0.1; P = 0.003), and prolonged operative time (OR, 0.21; P = 0.020) were predictive factors for failure. Conversely, optimal compliance with the ERAS program (OR, 7.68; P < 0.001), postoperative nonsteroidal anti-inflammatory drug use (OR, 21.71; P < 0.001), and balanced intravenous fluid therapy (OR, 7.87; P = 0.001) were associated with increased strategy success.
Conclusion
Withdrawal of the urinary catheter on POD 3 was successfully achieved after laparoscopic rectal resection and can be safely implemented in the ERAS program.

Citations

Citations to this article as recorded by  
  • Perioperative outcomes of laparoscopic low anterior resection using ArtiSential® versus robotic approach in patients with rectal cancer: a propensity score matching analysis
    I. K. Kim, C. S. Lee, J. H. Bae, S. R. Han, W. Alshalawi, B. C. Kim, I. K. Lee, D. S. Lee, Y. S. Lee
    Techniques in Coloproctology.2024;[Epub]     CrossRef
  • Sex Disparities in Rectal Cancer Surgery: An In-Depth Analysis of Surgical Approaches and Outcomes
    Chungyeop Lee, In Ja Park
    The World Journal of Men's Health.2024; 42(2): 304.     CrossRef
  • Suprapubic versus transurethral catheterization for bladder drainage in male rectal cancer surgery (GRECCAR10), a randomized clinical trial
    B. Trilling, F. Tidadini, Z. Lakkis, M. Jafari, A. Germain, E. Rullier, J. Lefevre, J. J. Tuech, A. Kartheuser, D. Leonard, M. Prudhomme, G. Piessen, J. M. Regimbeau, E. Cotte, D. Duprez, B. Badic, Y. Panis, M. Rivoire, B. Meunier, G. Portier, J. L. Bosso
    Techniques in Coloproctology.2024;[Epub]     CrossRef
  • Immediate urinary catheter removal after colorectal surgery with the enhanced recovery after surgery protocol
    In Kyeong Kim, Chul Seung Lee, Jung Hoon Bae, Seung Rim Han, Do Sang Lee, In Kyu Lee, Yoon Suk Lee
    International Journal of Colorectal Disease.2023;[Epub]     CrossRef
  • Predictors of urinary tract infection after lower gastrointestinal surgery
    Gianluca Buzzi, Maria Antonello, Federico Scognamiglio, Ottavia De Simoni, Gaya Spolverato, Pierluigi Pilati, Salvatore Pucciarelli, Imerio Angriman, Marco Scarpa, Ignazio Castagliuolo
    Langenbeck's Archives of Surgery.2023;[Epub]     CrossRef
  • The Latest Results and Future Directions of Research for Enhanced Recovery after Surgery in the Field of Colorectal Surgery
    Min Ki Kim
    The Ewha Medical Journal.2023;[Epub]     CrossRef
  • The feasibility and advantages of immediate removal of urinary catheter after lobectomy: A prospective randomized trial
    Lei Zhang, Xueying Yang, Ye Tian, Qian Yu, Yang Xu, Di Zhou, Zhuo Wu, Xitong Zhao
    Nursing Open.2021; 8(6): 2942.     CrossRef
Benign proctology
Anal Dysplasia Among Patients With Multiple Human Papillomavirus Anal Lesions: Mosaic or Homogeneity?
Emilie Lafferre, Laurent Abramowitz, Francine Walker, Dalila Benabderrhamanne, Anne Laurain, Xavier Duval, Florence Tubach
Ann Coloproctol. 2021;37(4):212-217.   Published online July 29, 2020
DOI: https://doi.org/10.3393/ac.2020.06.11.1
  • 3,005 View
  • 89 Download
AbstractAbstract PDF
Purpose
Anal dysplasia is caused by chronic infection with the human papillomavirus and exposes to the risk of anal cancer. The aim of this study was to evaluate the distribution of dysplasia anal grade among patients operated on for multiple anal condylomas with no macroscopic differences.
Methods
This is a cross-sectional study of patients operated on for multiple anal condylomas including a mapping of dysplasia by performing systematically for each patient one biopsy on visible lesion from each of the 4 quadrants on anal margin and in anal canal. All biopsies were read independently by 2 different pathologists.
Results
Among 72 patients, 60 were men and 48 were human immunodeficiency virus (HIV)-infected with a median age of 37.5 years. The proportion of high-grade squamous intraepithelial lesion (HSIL) was higher in the anal canal (41.7%) compared to the margin (20.8%) (P = 0.004). HSIL frequency did not differ according to the quadrant (anterior, posterior, right, and left) of the 2 areas. HSIL on anal canal was not associated with HSIL on anal margin and vice versa (P = 0.390). Neither age nor sex was associated to HSIL but HIV positivity increased the risk of HSIL on the anal margin (P = 0.010).
Conclusion
Anal dysplasia is heterogeneously distributed in the anal canal as well as between anal canal and anal margin. The diagnostic of the grade of dysplasia for a person should require multiple biopsies on the canal and anal margin.
Benign proctology,Biomarker & risk factor
Factors Predicting the Presence of Concomitant Enterocele and Rectocele in Female Patients With External Rectal Prolapse
Akira Tsunoda, Tomoko Takahashi, Kenji Sato, Hiroshi Kusanagi
Ann Coloproctol. 2021;37(4):218-224.   Published online January 12, 2021
DOI: https://doi.org/10.3393/ac.2020.07.16
  • 3,956 View
  • 133 Download
  • 3 Web of Science
  • 4 Citations
AbstractAbstract PDF
Purpose
External rectal prolapse (ERP) is frequently associated with other pelvic disorders, such as enterocele, rectocele, and perineal descent. Evacuation proctography makes it possible to visualize the development of such anatomical abnormalities. The aim of this study was to identify the variables that would predict associated abnormalities in patients with ERP.
Methods
Between February 2010 and August 2019, 124 female patients with ERP, who were evaluated using proctography were included in this study. Enterocele was diagnosed when the extension of the loop of the small bowel was located between the vagina and rectum. A significant rectocele was defined as >20 mm in diameter. Multivariate analysis was used to establish which morphological parameters best predicted the presence of enterocele or rectocele.
Results
Sixty-five patients had ERP alone, while 59 patients (47.6%) had additional findings on proctography. The most frequently associated abnormality was enterocele with 48 of the patients (38.7%) having this condition. Rectocele was detected in 17 of the 124 patients (13.7%). The median length of the ERP was 30 mm (range, 7 to 147 mm). The results of the stepwise multiple regression analysis showed that a history of hysterectomy and the length of the ERP were significantly associated with the presence of enterocele. The analysis showed that the longer the prolapse, the higher the incidence of enterocele. A history of hysterectomy was also significantly associated with the presence of rectocele.
Conclusion
Patients with ERP often have associated anatomical abnormalities and should be investigated thoroughly before planning surgical treatment.

Citations

Citations to this article as recorded by  
  • Small intestine prolapse after vaginal hysterectomy with vaginal dome rupture. A clinical case
    Aydar M. Ziganshin, Irina G. Mukhametdinova, Victoria F. Allayarova, Elina A. Shayhieva
    Journal of obstetrics and women's diseases.2023; 71(6): 107.     CrossRef
  • Comments on: factors predicting the presence of concomitant enterocele and rectocele in female patients with external rectal prolapse
    Ingrid Melo-Amaral, Adrian Teran-Cardoza, Cristopher Varela
    Annals of Coloproctology.2022; 38(1): 93.     CrossRef
  • Robot-Assisted Colorectal Surgery
    Young Il Kim
    The Ewha Medical Journal.2022;[Epub]     CrossRef
  • Treatment of Hemorrhoid in Unusual Condition-Pregnancy
    Hyo Seon Ryu
    The Ewha Medical Journal.2022;[Epub]     CrossRef
Special issue, Malignant disease, Rectal cancer,Colorectal cancer,Epidemiology & etiology
Modifications to Treatment Plan of Rectal Cancer in Response to COVID-19 at the Philippine General Hospital
Sofia Isabel T. Manlubatan, Marc Paul J. Lopez, Mark Augustine S. Onglao, Hermogenes J. Monroy III
Ann Coloproctol. 2021;37(4):225-231.   Published online August 6, 2021
DOI: https://doi.org/10.3393/ac.2021.00381.0054
  • 3,456 View
  • 80 Download
  • 6 Web of Science
  • 6 Citations
AbstractAbstract PDF
Purpose
The coronavirus disease 2019 (COVID-19) pandemic has strained healthcare resources worldwide. Despite the high number of cases, cancer management should remain one of the priorities of healthcare, as any delay would potentially cause disease progression.
Methods
This was an observational study that included nonmetastatic rectal cancer patients managed at the Philippine General Hospital from March 16 to May 31, 2020, coinciding with the lockdown. The treatment received and their outcomes were investigated.
Results
Of the 52 patients included, the majority were female (57.7%), belonging to the age group of 50 to 69 years (53.8%), and residing outside the capital (59.6%). On follow-up, 23.1% had no disease progression, 17.3% had local progression, 28.8% had metastatic progression, 19.2% have died, and 11.5% were lost to follow up. The initial plan for 47.6% patients was changed. Of the 21 patients with nonmetastatic disease, 2 underwent outright resection. The remaining 19 required neoadjuvant therapy. Eight have completed their neoadjuvant treatment, 8 are undergoing treatment, 2 had their treatment interrupted, and 1 has yet to begin treatment. Among the 9 patients who completed neoadjuvant therapy, only 1 was able to undergo resection on time. The rest were delayed, with a median time of 4 months. One has repeatedly failed to arrive for her surgery due to public transport limitations. There was 1 adjuvant chemotherapy-related mortality.
Conclusion
Delays in cancer management resulted in disease progression in several patients. Alternative neoadjuvant treatment options should be considered while taking into account oncologic outcomes, acceptable toxicity, and limitation of potential COVID-19 exposure.

Citations

Citations to this article as recorded by  
  • Influence of the COVID-19 Pandemic on the Treatment Patterns and Outcomes of Colorectal Cancer
    In Ja Park
    The Ewha Medical Journal.2023;[Epub]     CrossRef
  • Short-Term Impact of Temporary Shutdown of a University-Affiliated Hospital on Patients With Colorectal Cancer During the Coronavirus Disease 2019 Pandemic
    Youn Young Park, Jaeim Lee, Kil-yong Lee, Seong Taek Oh
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • Surgical safety in the COVID-19 era: present and future considerations
    Young Il Kim, In Ja Park
    Annals of Surgical Treatment and Research.2022; 102(6): 295.     CrossRef
  • The effect of the COVID-19 pandemic on the outcomes of surgically treated colorectal diseases: a retrospective cohort study
    Gülten Çiçek Okuyan, Melih Yıldırım
    Annals of Surgical Treatment and Research.2022; 103(2): 104.     CrossRef
  • Epidemiology, risk factors, and prevention of colorectal cancer
    Kyung Uk Jung, Hyung Ook Kim, Hungdai Kim
    Journal of the Korean Medical Association.2022; 65(9): 549.     CrossRef
  • Epidemiology, Risk Factors, and Prevention of Colorectal Cancer-An English Version
    Kyung Uk Jung, Hyung Ook Kim, Hungdai Kim
    Journal of the Anus, Rectum and Colon.2022; 6(4): 231.     CrossRef
Benign GI diease,Benign diesease & IBD,Postoperative outcome & ERAS,Minimally invasive surgery
Comparing the Postoperative Outcomes of Single-Incision Laparoscopic Appendectomy and Three Port Appendectomy With Enhanced Recovery After Surgery Protocol for Acute Appendicitis: A Propensity Score Matching Analysis
Won Jong Kim, Hyeong Yong Jin, Hyojin Lee, Jung Hoon Bae, Wooree Koh, Ji Yeon Mun, Hee Ju Kim, In Kyu Lee, Yoon Suk Lee, Chul Seung Lee
Ann Coloproctol. 2021;37(4):232-238.   Published online September 30, 2020
DOI: https://doi.org/10.3393/ac.2020.09.15
  • 4,107 View
  • 104 Download
  • 13 Web of Science
  • 17 Citations
AbstractAbstract PDF
Purpose
The objective of this study was to compare the perioperative outcomes between single-incision laparoscopic appendectomy (SILA) and 3-port conventional laparoscopic appendectomy (CLA) in enhanced recovery after surgery (ERAS) protocol.
Methods
Of 101 laparoscopic appendectomy with ERAS protocol cases for appendicitis from March 2019 to April 2020, 54 patients underwent SILA with multimodal analgesic approach (group 1) while 47 patients received CLA with multimodal analgesic approach (group 2). SILA and CLA were compared with the single institution’s ERAS protocol. To adjust for baseline differences and selection bias, operative outcomes and complications were compared after propensity score matching (PSM).
Results
After 1:1 PSM, well-matched 35 patients in each group were evaluated. Postoperative hospital stays for patients in group 1 (1.2 ± 0.8 vs. 1.6 ± 0.8 days, P = 0.037) were significantly lesser than those for patients in group 2. However, opioid consumption (2.0 mg vs. 1.4 mg, P=0.1) and the postoperative scores of visual analogue scale for pain at 6 hours (2.4±1.9 vs. 2.8 ± 1.4, P = 0.260) and 12 hours (2.4 ± 2.0 vs. 2.9 ± 1.5, P = 0.257) did not show significant difference between the 2 groups.
Conclusion
SILA resulted in shortening the length of hospitalization without increase in complications or readmission rates compared to CLA with ERAS protocol.

Citations

Citations to this article as recorded by  
  • Perioperative outcomes of laparoscopic low anterior resection using ArtiSential® versus robotic approach in patients with rectal cancer: a propensity score matching analysis
    I. K. Kim, C. S. Lee, J. H. Bae, S. R. Han, W. Alshalawi, B. C. Kim, I. K. Lee, D. S. Lee, Y. S. Lee
    Techniques in Coloproctology.2024;[Epub]     CrossRef
  • Challenging issues of implementing enhanced recovery after surgery programs in South Korea
    Soo-Hyuk Yoon, Ho-Jin Lee
    Anesthesia and Pain Medicine.2024; 19(1): 24.     CrossRef
  • A Single Site Approach to Appendicitis: A Review of a Single Center
    Yoshito Tsuji, Yujiro Nishizawa, Yuki Ozato, Akira Inoue, Yoshinori Kagawa
    Nippon Daicho Komonbyo Gakkai Zasshi.2024; 77(3): 161.     CrossRef
  • The “Hansol-roll” folding method for placement of self-gripping (ProGrip™) mesh in single-port inguinal hernia repair using ArtiSential®
    Gwan Chul Lee, Dong Woo Kang, Choon Sik Chung, Chul Seung Lee
    Asian Journal of Surgery.2024; 47(7): 3272.     CrossRef
  • Comparison between liquid skin adhesive and wound closure strip for skin closure after subcuticular suturing in single-port laparoscopic appendectomy: a single-center retrospective study in Korea
    Kyeong Eui Kim, Yu Ra Jeon, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
    Journal of Minimally Invasive Surgery.2024; 27(1): 14.     CrossRef
  • Progress in Clinical Treatment of Uncomplicated Acute Appendicitis in Children
    珊 白
    Advances in Clinical Medicine.2024; 14(04): 471.     CrossRef
  • Single-incision laparoscopic total extraperitoneal inguinal-hernia repair using the new articulating instruments: A video vignette
    Chul Seung Lee, Gwan Chul Lee, Choon Sik Chung, Dong Keun Lee
    Asian Journal of Surgery.2024; 47(8): 3586.     CrossRef
  • Risk factors for prolonged hospitalization and delayed treatment completion after laparoscopic appendectomy in patients with uncomplicated acute appendicitis
    Jiyoung Shin, Myong Hoon Ihn, Kyung Sik Kim, Sang Hyun Kim, Jihyoun Lee, Sangchul Yun, Sung Woo Cho
    Annals of Coloproctology.2023; 39(1): 50.     CrossRef
  • A prospective randomized controlled study comparing patient-reported scar evaluation of single-port versus multiport laparoscopic appendectomy for acute appendicitis
    Kyeong Eui Kim, In Soo Cho, Sung Uk Bae, Woon Kyung Jeong, Hyung Jin Kim, Seong Kyu Baek
    Journal of Minimally Invasive Surgery.2023; 26(2): 55.     CrossRef
  • The Latest Results and Future Directions of Research for Enhanced Recovery after Surgery in the Field of Colorectal Surgery
    Min Ki Kim
    The Ewha Medical Journal.2023;[Epub]     CrossRef
  • Analyzing the conversion factors associated with switching from a single-incision, one-puncture procedure to a two-site, three-port procedure in pediatric laparoscopic appendectomy
    Keisuke Yano, Mitsuru Muto, Toshio Harumatsu, Taichiro Nagai, Masakazu Murakami, Chihiro Kedoin, Ayaka Nagano, Mayu Matsui, Koshiro Sugita, Shun Onishi, Koji Yamada, Waka Yamada, Makoto Matsukubo, Tatsuru Kaji, Satoshi Ieiri
    Journal of Pediatric Endoscopic Surgery.2022; 4(2): 49.     CrossRef
  • Laparoscopic Appendectomy Using the Surgical-Glove Port Through an Umbilical Incision: A Single-Center Retrospective Study
    Tran Que Son, Tran Hieu Hoc, Vu Duc Long, Tran Thanh Tung, Nguyen Minh Tuan, Bui Minh Hue, Nguyen Van Minh, Nguyen Toan Thang
    Cureus.2022;[Epub]     CrossRef
  • Single-port robotic totally extraperitoneal(TEP) inguinal hernia repair using the da Vinci SP platform: A video vignette
    Dongjun Kim, Chul Seung Lee
    Asian Journal of Surgery.2022; 45(10): 2062.     CrossRef
  • Single-incision compared with conventional laparoscopy for appendectomy in acute appendicitis: a systematic review and meta-analysis
    Changjia Li, Yukun Liu, Yumin Jiang, Yongjing Xu, Zhiwei Wang
    International Journal of Colorectal Disease.2022; 37(9): 1925.     CrossRef
  • Enhanced recovery after surgery pathways for patients undergoing laparoscopic appendectomy
    Abhijit Nair, Hamed Humayid Mohammed Al-Aamri, Osama Azmy Ishaq, Parwez Waseemul Haque
    Journal of Acute Disease.2022; 11(5): 173.     CrossRef
  • Robot-Assisted Colorectal Surgery
    Young Il Kim
    The Ewha Medical Journal.2022;[Epub]     CrossRef
  • Enhanced recovery after surgery: importance of compliance audits
    Jung Hoon Bae
    Journal of the Korean Medical Association.2021; 64(12): 820.     CrossRef
Benign GI diease,Malignant disease,Minimally invasive surgery
Surgical Outcomes of Single-Port Laparoscopic Surgery Compared With Conventional Laparoscopic Surgery for Appendiceal Mucinous Neoplasm
In Jun Yang, Minseol Seo, Heung-Kwon Oh, Jeehye Lee, Jung Wook Suh, Duck-Woo Kim, Sung-Bum Kang
Ann Coloproctol. 2021;37(4):239-243.   Published online June 4, 2021
DOI: https://doi.org/10.3393/ac.2020.11.08
  • 3,182 View
  • 66 Download
  • 4 Web of Science
  • 6 Citations
AbstractAbstract PDF
Purpose
This study aimed to evaluate the safety and feasibility of single-port laparoscopic surgery (SLS) for appendiceal mucinous neoplasm (AMN) when compared with conventional laparoscopic surgery (CLS).
Methods
This retrospective study enrolled patients who underwent surgery for AMN between July 2014 and June 2020 at Seoul National University Bundang Hospital. Patient demographics, surgical data, pathology, hospital stay, postoperative morbidity, and follow-up data were extracted from electronic records for analysis.
Results
We enrolled 18 patients who underwent SLS and 22 who underwent CLS. The SLS group included patients who underwent partial cecectomy (14 patients), ileocecectomy (3 patients), and right hemicolectomy (1 patient). The CLS group included patients who underwent appendectomy (4 patients), partial cecectomy (11 patients), ileocecectomy (5 patients), and right hemicolectomy (2 patients). Operation type was not significantly different between groups (P = 0.213). No patient required open surgery in the SLS group in contrast to the CLS group (13.6%; P = 0.238). The operative time tended to be shorter in the SLS group than the CLS group (median [interquartile range]: 52.5 minutes [40–65.2 minutes] and 60 minutes [40–120 minutes], respectively; P = 0.251). Morbidity was 5.5% in the SLS group and 9.0% in the CLS group (P = 0.692). Surgical margins were clear in all cases. The median duration of postoperative hospital stay was 2.0 and 4.0 days in the SLS and CLS groups, respectively (P = 0.013). No recurrence occurred in either group during follow-up.
Conclusion
This study indicates that SLS is a safe and feasible surgical approach for AMN.

Citations

Citations to this article as recorded by  
  • Comparison between liquid skin adhesive and wound closure strip for skin closure after subcuticular suturing in single-port laparoscopic appendectomy: a single-center retrospective study in Korea
    Kyeong Eui Kim, Yu Ra Jeon, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
    Journal of Minimally Invasive Surgery.2024; 27(1): 14.     CrossRef
  • Transcecal endoscopic appendectomy for management of complex appendiceal polyps extending into the appendiceal orifice
    Tara Keihanian, Mai A Khalaf, Fuad Zain Aloor, Dina Hani Zamil, Salmaan Jawaid, Mohamed O. Othman
    Endoscopy International Open.2024; 12(08): E932.     CrossRef
  • Effect of intracorporeal anastomosis on postoperative ileus after laparoscopic right colectomy
    Sangwoo Kim, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek, Young-Gil Son
    Annals of Surgical Treatment and Research.2023; 104(3): 156.     CrossRef
  • A prospective randomized controlled study comparing patient-reported scar evaluation of single-port versus multiport laparoscopic appendectomy for acute appendicitis
    Kyeong Eui Kim, In Soo Cho, Sung Uk Bae, Woon Kyung Jeong, Hyung Jin Kim, Seong Kyu Baek
    Journal of Minimally Invasive Surgery.2023; 26(2): 55.     CrossRef
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    Han Deok Kwak
    Journal of Minimal Access Surgery.2023;[Epub]     CrossRef
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    Suk Jun Lee, Ji Hae Nahm, Jeonghyun Kang, Seung Hyuk Baik, Eun Jung Park
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Malignant disease,Rectal cancer,Prognosis and adjuvant therapy,Colorectal cancer
Clinical Outcomes of Neoadjuvant Chemotherapy in Colorectal Cancer Patients With Synchronous Resectable Liver Metastasis: A Propensity Score Matching Analysis
Sung Hae Park, Jung Kyong Shin, Woo Yong Lee, Seong Hyeon Yun, Yong Beom Cho, Jung Wook Huh, Yoon Ah Park, Jin Seok Heo, Gyu Seong Choi, Seung Tae Kim, Young Suk Park, Hee Cheol Kim
Ann Coloproctol. 2021;37(4):244-252.   Published online June 29, 2021
DOI: https://doi.org/10.3393/ac.2020.00710.0101
  • 6,297 View
  • 88 Download
  • 14 Web of Science
  • 14 Citations
AbstractAbstract PDF
Purpose
The survival benefit of neoadjuvant chemotherapy (NAC) prior to surgical resection in colorectal cancer with liver metastases (CRCLM) patients remains controversial. The aim of this study was to compare overall outcome of CRCLM patients who underwent NAC followed by surgical resection versus surgical treatment first.
Methods
We retrospectively analyzed 429 patients with stage IV colorectal cancer with synchronous liver metastases who underwent simultaneous liver resection between January 2008 and December 2016. Using propensity score matching, overall outcome between 60 patients who underwent NAC before surgical treatment and 60 patients who underwent surgical treatment first was compared.
Results
Before propensity score matching, metastatic cancer tended to involve a larger number of liver segments and the primary tumor size was bigger in the NAC group than in the primary resection group, so that a larger percentage of patients in the NAC group underwent major hepatectomy (P<0.001). After propensity score matching, demographic features and pathologic outcomes showed no significant differences between the 2 groups. In addition, there was no significant difference in short-term recovery outcomes such as postoperative morbidity (P=0.603) and oncologic outcome, including 3-year overall survival rate (P=0.285) and disease-free survival rate (P=0.730), between the 2 groups.
Conclusion
NAC prior to surgical treatment in CRCLM is considered a safe treatment that does not increase postoperative morbidity, and its impact on oncologic outcome was not inferior.

Citations

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    Hyo Seon Ryu, Hyun Jung Kim, Woong Bae Ji, Byung Chang Kim, Ji Hun Kim, Sung Kyung Moon, Sung Il Kang, Han Deok Kwak, Eun Sun Kim, Chang Hyun Kim, Tae Hyung Kim, Gyoung Tae Noh, Byung-Soo Park, Hyeung-Min Park, Jeong Mo Bae, Jung Hoon Bae, Ni Eun Seo, Cha
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    Michelle.R. de Graaff, Joost M. Klaase, Ronald M. van Dam, Koert F.D. Kuhlmann, Geert Kazemier, Rutger-Jan Swijnenburg, Arthur K.E. Elfrink, Cees Verhoef, J.Sven Mieog, Peter B. van den Boezem, Paul Gobardhan, Arjen M. Rijken, Daan J. Lips, Wouter G.K. Le
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    Hannah Kim, An Na Seo, Soo Yeun Park
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  • Fluorescence-guided colorectal surgery: applications, clinical results, and protocols
    Jin-Min Jung, In Ja Park, Eun Jung Park, Gyung Mo Son
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  • Recurrence Patterns and Risk Factors after Curative Resection for Colorectal Cancer: Insights for Postoperative Surveillance Strategies
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    Young Il Kim, In Ja Park
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    Yu-Juan Jiang, Si-Cheng Zhou, Jing-Hua Chen, Jian-Wei Liang
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    Chang Hyun Kim
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    Eun Jung Park, Seung Hyuk Baik
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    Chan Wook Kim
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    In Ja Park
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    Chang Hyun Kim
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    Eun Jung Park, Seung Hyuk Baik
    Journal of the Korean Medical Association.2022; 65(9): 568.     CrossRef
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    Hwa Jung Kim
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Special issue, Malignant disease, Rectal cancer,Colorectal cancer,Epidemiology & etiology
Has the COVID-19 Pandemic Caused Upshifting in Colorectal Cancer Stage?
Ji Ha Lim, Woo Yong Lee, Seong Hyeon Yun, Hee Cheol Kim, Yong Beom Cho, Jung Wook Huh, Yoon Ah Park, Jung Kyong Shin
Ann Coloproctol. 2021;37(4):253-258.   Published online August 9, 2021
DOI: https://doi.org/10.3393/ac.2021.00269.0038
  • 3,963 View
  • 90 Download
  • 19 Web of Science
  • 19 Citations
AbstractAbstract PDF
Purpose
Coronavirus disease 2019 (COVID-19) has affected many parts of daily life and healthcare, including cancer screening and diagnosis. The purpose of this study was to determine whether there was an upshift in the colorectal cancer stage at diagnosis due to delays related to the COVID-19 outbreak.
Methods
From January to June of each year from 2017 to 2020, a total of 3,229 patients who were first diagnosed with colorectal cancer were retrospectively reviewed. Those enrolled from 2017 to 2019 were classified as the ‘pre-COVID’ group, and those enrolled in 2020 were classified as the ‘COVID’ group. The primary outcome was the rate of stage IV disease at the time of diagnosis.
Results
There was no statistically significant difference in the proportion of stage IV patients between the pre-COVID and COVID groups (P=0.19). The median preoperative carcinoembryonic antigen level in the COVID group was higher than in the pre-COVID group in all stages (all P<0.05). In stage I, II patients who underwent radical surgery, the lymphatic invasion was more presented in COVID patients (P=0.009).
Conclusion
We did not find significant stage upshifting in colorectal cancer during the COVID-19 outbreak. However, there were more initially unresectable stage IV colorectal cancer patients with a low conversion rate to resectable status, and more patients had factors related to poor prognosis. These results may become more apparent over time, so it is vital not to neglect cancer screening to not delay the diagnosis during the COVID-19 epidemic.

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    Emma Bradley, Magge Deepa
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    In Ja Park
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    Nikolaos Pararas, Anastasia Pikouli, Dimitrios Papaconstantinou, Georgios Bagias, Constantinos Nastos, Andreas Pikoulis, Dionysios Dellaportas, Panagis Lykoudis, Emmanouil Pikoulis
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    Young Il Kim, In Ja Park
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Malignant disease,Prognosis and adjuvant therapy,Colorectal cancer
Prognostic Factors Affecting Disease-Free Survival and Overall Survival in T4 Colon Cancer
Taeyeong Eom, Yujin Lee, Jungbin Kim, Inseok Park, Geumhee Gwak, Hyunjin Cho, Keunho Yang, Kiwhan Kim, Byung-Noe Bae
Ann Coloproctol. 2021;37(4):259-265.   Published online June 24, 2021
DOI: https://doi.org/10.3393/ac.2020.00759.0108
Correction in: Ann Coloproctol 2023;39(5):444
  • 4,782 View
  • 101 Download
  • 15 Web of Science
  • 15 Citations
AbstractAbstract PDF
Purpose
It is known that as the T stage of a carcinoma progresses, the prognosis becomes poorer. However, there are few studies about factors that affect the prognosis of T4 advanced colon cancer. This study aimed to identify the prognostic factors associated with disease-free survival (DFS) and overall survival (OS) in T4 colon cancer.
Methods
Patients diagnosed with stage T4 on histopathology after undergoing curative surgery for colon cancer between March 2009 and March 2018 were retrospectively analyzed for factors related to postoperative survival. Primary outcomes were DFS and OS.
Results
Eighty-two patients were included in the study. DFS and OS of the pathologic (p) T4b group were not inferior to that of the pT4a group. Multivariate analysis showed that differentiation (hazard ratio [HR], 4.994; P = 0.005), and laparoscopic surgery (HR, 0.323; P = 0.008) were significant prognostic factors for DFS, while differentiation (HR, 7.904; P ≤ 0.001) and chemotherapy (HR, 0.344; P = 0.038) were significant prognostic factors for OS.
Conclusion
Tumor differentiation, laparoscopic surgery, and adjuvant chemotherapy were found to be significant prognostic factors in patients with T4 colon cancer. Adjuvant chemotherapy and curative resections by laparoscopy might improve the prognosis in these patients.

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    Chang Hyun Kim
    Journal of the Anus, Rectum and Colon.2022; 6(4): 197.     CrossRef
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