Annals of Coloproctology

Original Articles

Colorectal cancer

Stratification of rate of lymph node metastasis according to risk factors and oncologic outcomes in patients who underwent radical resection for rectal neuroendocrine tumors: Myung Jae Jin, Sung Sil Park, Dong-Eun Lee, Sung Chan Park, Dong Woon Lee, Kiho You, Hee Jin Chang, Chang Won Hong, Dae Kyung Sohn, Kyung Su Han, Bun Kim, Byung Chang Kim, Jae Hwan Oh; Ann Coloproctol. 2023;39(6):467-473. Published online April 28, 2023; DOI: https://doi.org/10.3393/ac.2022.00913.0130

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Purpose
Most predictive factors for lymph node metastasis in rectal neuroendocrine tumors (NETs) have been based on local and endoscopic resection. We aimed to evaluate the risk factors for lymph node metastasis in patients who underwent radical resection for rectal NETs and stratify the risk of lymph node metastasis.
Methods
Sixty-four patients who underwent radical resection for rectal NETs between January 2001 and January 2018 were included. We investigated the risk factors of lymph node metastasis using clinicopathologic data. We also performed a risk stratification for lymph node metastases using the number of previously known risk factors. For oncologic outcomes, the 5-year overall survival and recurrence-free survival were evaluated in both groups.
Results
Among the patients who underwent radical surgery, 32 (50.0%) had lymph node metastasis and 32 (50.0%) had non–lymph node metastasis. In the multivariable analysis, only the male sex was identified as a risk factor for lymph node metastasis (odds ratio, 3.695; 95% confidence interval, 1.128–12.105; P=0.031). When there were 2 or more known risk factors, the lymph node metastasis rate was significantly higher than when there were one or no risk factors (odds ratio, 3.667; 95% confidence interval, 1.023–13.143; P=0.046). There was also no statistical difference between the 2 groups in 5-year overall survival (P=0.431) and 5-year recurrence-free survival (P=0.144).
Conclusion
We found that the rate of lymph node metastasis increased significantly when the number of known risk factors is 2 or more.

Citations

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Lateral pelvic lymph nodes dissection of rectal neuroendocrine neoplasms: A prospective case-series and literature review
Yueyang Zhang, Yi Yang, Changyuan Gao, Hong Zhao, Haitao Zhou
Surgery.2024;[Epub] CrossRef

Complication,Biomarker & risk factor

Intraoperative fluorescence angiography as an independent factor of anastomotic leakage and a nomogram for predicting leak for colorectal anastomoses: Mikhail Alekseev, Evgeny Rybakov, Evgeniy Khomyakov, Irina Zarodnyuk, Yuri Shelygin; Ann Coloproctol. 2022;38(5):380-386. Published online July 22, 2021; DOI: https://doi.org/10.3393/ac.2021.00171.0024

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11 Citations

Abstract PDF

Purpose
Colorectal anastomotic leakage (AL) is a life-threatening complication, which increases morbidity, hospital stay and cost of treatment. The aim of this study is to identify risk factors, including intraoperative indocyanine green fluorescence angiography (ICG FA), associated with the leak of stapled colorectal anastomosis.
Methods
Four hundred twenty-nine consecutive patients underwent surgery between 2017 and 2019 for benign (n=10, 2.3%) or malignant (n=419, 97.7%) and rectal (n=349, 81.4%) or distal sigmoid (n=80, 18.6%) lesions with double-stapling technique reconstruction were included into retrospective study. Univariate analysis and multivariate logistic regression of the tumor-, patient- and treatment-related risk factors of AL was performed.
Results
An AL developed in 52 patients (12.1%). In multivariate analysis following variables were independently associated with AL; male sex (odds ratio [OR], 3.8; 95% confidence interval [CI], 1.9−7.7; P<0.01), anastomosis at ≤6.5 cm from anal verge (OR, 3.1; 95% CI, 1.3−7.5; P=0.01), and age of ≤62.5 years (OR, 2.1; 95% CI, 1.1−4.1; P=0.03). ICG FA was found as independent factor reducing colorectal AL rate (OR, 0.4; 95% CI, 0.2−0.8; P=0.02). A nomogram with high discriminative ability (concordance index, 0.81) was created.
Conclusion
ICG FA is a modifiable surgery-related risk factor associated with a decrease of colorectal AL rate. A suggested nomogram, which takes into consideration ICG FA, might be helpful to identify the individual risk of AL.

Citations

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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
RISK FACTORS AND PREVENTIVE MEASURES OF SURGICAL COMPLICATIONS IN THE TREATMENT OF RECTAL CANCER
Світлана Віталіївна Маліборська, Y.D. Partykevych, A.E. Kryzhanivska
Art of Medicine.2024; : 282. CrossRef
The impact of powered circular staplers on anastomotic leak in left-sided colorectal cancer surgeries
Hayoung Lee, Yong Sik Yoon, Young Il Kim, Eun Jung Park, Min Hyun Kim, Jong Lyul Lee, Chan Wook Kim, In Ja Park, Seok-Byung Lim
Surgical Endoscopy.2024; 38(10): 6111. CrossRef
Predictive Factors for Anastomotic Leakage Following Colorectal Cancer Surgery: Where Are We and Where Are We Going?
Christos Tsalikidis, Athanasia Mitsala, Vasileios I. Mentonis, Konstantinos Romanidis, George Pappas-Gogos, Alexandra K. Tsaroucha, Michail Pitiakoudis
Current Oncology.2023; 30(3): 3111. CrossRef
The effect of neoadjuvant treatment on postoperative morbidity in upper rectal cancer
S. N. Lukmonov, Ya. V. Belenkaya, M. S. Lebedko, S. S. Gordeev, Z. Z. Mammadli
Pelvic Surgery and Oncology.2023; 13(2): 46. CrossRef
The Safe Values of Quantitative Perfusion Parameters of ICG Angiography Based on Tissue Oxygenation of Hyperspectral Imaging for Laparoscopic Colorectal Surgery: A Prospective Observational Study
Gyung Son, Armaan Nazir, Mi Yun, In Lee, Sun Im, Jae Kwak, Sang-Ho Park, Kwang-Ryul Baek, Ines Gockel
Biomedicines.2023; 11(7): 2029. CrossRef
Risk assessment of rectal anastomotic leakage (RAREAL) after DIXON in non-emergency patients with rectal cancer
Xue-Cong Zheng, Jin-Bo Su, Jin-Jie Zheng
BMC Gastroenterology.2023;[Epub] CrossRef
Impact of Postoperative Naples Prognostic Score to Predict Survival in Patients with Stage II–III Colorectal Cancer
Su Hyeong Park, Hye Seung Woo, In Kyung Hong, Eun Jung Park
Cancers.2023; 15(20): 5098. CrossRef
Fluorescence-guided colorectal surgery: applications, clinical results, and protocols
Jin-Min Jung, In Ja Park, Eun Jung Park, Gyung Mo Son
Annals of Surgical Treatment and Research.2023; 105(5): 252. CrossRef
Preventing Anastomotic Leakage, a Devastating Complication of Colorectal Surgery
Hyun Gu Lee
The Ewha Medical Journal.2023;[Epub] CrossRef
Updates of Risk Factors for Anastomotic Leakage after Colorectal Surgery
Eugenia Claudia Zarnescu, Narcis Octavian Zarnescu, Radu Costea
Diagnostics.2021; 11(12): 2382. CrossRef

Benign proctology,Postoperative outcome & ERAS,Complication

Predictors of postoperative urinary retention after semiclosed hemorrhoidectomy: Hong Yoon Jeong, Seok Gyu Song, Jong Kyun Lee; Ann Coloproctol. 2022;38(1):53-59. Published online July 21, 2021; DOI: https://doi.org/10.3393/ac.2021.00304.0043

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Abstract PDF

Purpose
This study was performed to analyze the predictors that might contribute to urinary retention following semiclosed hemorrhoidectomy under spinal anesthesia.
Methods
This retrospective study enrolled 2,176 consecutive patients with symptomatic grade III to IV hemorrhoids who underwent semiclosed hemorrhoidectomy between September 2018 and September 2019.
Results
Among the 2,176 patients, 1,878 (86.3%) had no postoperative urinary retention, whereas 298 (13.7%) developed urinary retention after hemorrhoidectomy. The percentage of males was significantly higher in the retention group than in the non-retention group (60.4% vs. 48.1%; P=0.001). The risk of urinary retention was 1.52-fold higher in males than in females (95% confidence interval [CI], 1.13–2.04; P=0.005), 1.62-fold higher in old age (95% CI, 1.14–2.28; P=0.006), and 1.37-fold higher with high body mass index (BMI) (95% CI, 1.04–1.81; P=0.025). Patients with ≥4 resected hemorrhoids had a higher odds ratio (OR) of 1.46 (95% CI, 1.12–1.89; P=0.005) than patients with <4 resected hemorrhoids. Among the supplementary medication, patients who used analgesics had a higher OR of 2.06 (95% CI, 1.57–2.68; P=0.001) than those who did not.
Conclusion
Male sex, age, high BMI, number of resected hemorrhoids, and supplementary analgesics are independent risk factors for urinary retention after semiclosed hemorrhoidectomy.

Citations

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Comparison of the effect of hot and cold compresses on post‐operative urinary retention in older patients: A clinical trial study
Tayebeh Mirzaei, Farkhondeh Roudbari, Ali Ravari, Sakineh Mirzaei, Elham Hassanshahi
International Journal of Urological Nursing.2024;[Epub] CrossRef
General anesthesia with local infiltration reduces urine retention rate and prolongs analgesic effect than spinal anesthesia for hemorrhoidectomy
Chun-Yu Lin, Yi-Chun Liu, Jun-Peng Chen, Pei-Hsuan Hsu, Szu-Ling Chang
Frontiers in Surgery.2024;[Epub] CrossRef
Effective non-surgical treatment of hemorrhoids with sclerosing foam and novel injection device
Juan Cabrera Garrido, Gonzalo López González
Gastroenterology & Endoscopy.2024; 2(4): 176. CrossRef
Ten-year multicentric retrospective analysis regarding postoperative complications and impact of comorbidities in hemorrhoidal surgery with literature review
Cosmin Moldovan, Elena Rusu, Daniel Cochior, Madalina Elena Toba, Horia Mocanu, Razvan Adam, Mirela Rimbu, Adrian Ghenea, Florin Savulescu, Daniela Godoroja, Florin Botea
World Journal of Clinical Cases.2023; 11(2): 366. CrossRef
Effect of single spinal anesthesia with two doses ropivacaine on urinary retention after hemorrhoidectomy in male patients
Lei-lei Wang, Meng Kang, Li-xin Duan, Xu-fei Chang, Xiao-xin Li, Xiang-yang Guo, Zhi-yu Kang, Yong-zheng Han
Frontiers in Surgery.2023;[Epub] CrossRef
Efficacy of Low-Frequency Electroacupuncture on Urinary Retention After Spinal Anesthesia
Mina Olia, Aliakbar Jafarian, Masood Mohseni
Journal of PeriAnesthesia Nursing.2023; 38(5): 745. CrossRef
Laser hemorrhoidoplasty combined with blind hemorrhoidal artery ligation compared to Milligan–Morgan hemorrhoidectomy in patients with second and third degree piles; a prospective randomized study
Amir F. Abdelhamid, Mohamed M. Elsheikh, Osama H. Abdraboh
The Egyptian Journal of Surgery.2023; 42(3): 669. CrossRef
Tarlov cyst with self-healing cauda equina syndrome following combined spinal-epidural anesthesia: a case report
Zhexuan Chen, Chuxi Lin
BMC Anesthesiology.2023;[Epub] CrossRef

Malignant disease,Rectal cancer, Prognosis and adjuvant therapy,Colorectal cancer

Effect of Adjuvant Chemotherapy on Elderly Stage II High-Risk Colorectal Cancer Patients: Yujin Lee, Inseok Park, Hyunjin Cho, Geumhee Gwak, Keunho Yang, Byung-Noe Bae; Ann Coloproctol. 2021;37(5):298-305. Published online July 6, 2021; DOI: https://doi.org/10.3393/ac.2020.00829.0118

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16 Citations

Abstract PDF

Purpose
Adjuvant chemotherapy (AC) is recommended for patients with stage II colorectal cancer with adverse features. However, the effect of adjuvant treatment in elderly patients with high-risk stage II colorectal cancer remains controversial. This study aimed to investigate the oncologic outcomes in elderly high-risk stage II colorectal cancer patients who underwent curative resection with or without AC.
Methods
Patients aged over 70 years having stage II colorectal adenocarcinoma with at least 1 adverse feature who underwent radical surgery between 2008 and 2017 at a single center were included. We compared recurrence-free survival (RFS) and overall survival (OS) between patients who received more than 80% of the planned AC cycle (the AC+ group) and those who did not receive it (the AC− group).
Results
The AC+ and AC– group contained 46 patients and 50 patients, respectively. The log-rank test revealed no significant intergroup differences in RFS (P = 0.083) and OS (P = 0.122). In the subgroup of 27 patients with more than 2 adverse features, the AC+ group (n = 16) showed better RFS (P = 0.006) and OS (P = 0.025) than the AC− group. In this subgroup, AC was the only significant factor affecting RFS in the multivariate analysis (P = 0.023). AC was significantly associated with OS (P = 0.033) in the univariate analysis, but not in the multivariate analysis (P = 0.332).
Conclusion
Among elderly patients with stage II high-risk colorectal cancer, the AC+ group did not show better RFS or OS than the AC− group. However, selected patients with more than 2 adverse features might benefit from AC.

Citations

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A Prognostic Model Based on the Log Odds Ratio of Positive Lymph Nodes Predicts Prognosis of Patients with Rectal Cancer
Jian Li, Yu zhou Yang, Peng Xu, Cheng Zhang
Journal of Gastrointestinal Cancer.2024; 55(3): 1111. CrossRef
Complete Obstruction, a Real Risk Factor: A Comprehensive Study on Obstruction in Stage IIA Colon Cancer With Propensity Score Matching Analysis
Soo Young Oh, Chan Wook Kim, Seonok Kim, Min Hyun Kim, Young Il Kim, Jong Lyul Lee, Yong Sik Yoon, In Ja Park, Seok-Byung Lim, Chang Sik Yu
Clinical Colorectal Cancer.2024; 23(2): 135. CrossRef
Clinical implication of tissue carcinoembryonic antigen expression in association with serum carcinoembryonic antigen in colorectal cancer
Abdulmohsin Fawzi Aldilaijan, Young Il Kim, Chan Wook Kim, Yong Sik Yoon, In Ja Park, Seok-Byung Lim, Jihun Kim, Jun-Soo Ro, Jin Cheon Kim
Scientific Reports.2023;[Epub] CrossRef
Advances in the Treatment of Colorectal Cancer with Peritoneal Metastases: A Focus on Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy
Youngbae Jeon, Eun Jung Park
The Ewha Medical Journal.2023;[Epub] CrossRef
Oncologic outcomes in elderly patients who underwent hysterectomy for endometrial cancer: a multi-institutional survey in Kinki District, Japan
Tomohito Tanaka, Suguru Yamashita, Haruo Kuroboshi, Junya Kamibayashi, Atsushi Sugiura, Kaori Yoriki, Taisuke Mori, Kazuharu Tanaka, Aiko Nagashima, Michihide Maeda, Shoji Kamiura, Yukako Mizuno, Noriko Ohtake, Tomoyuki Ichimura, Taiki Kikuchi, Yuri Nobut
International Journal of Clinical Oncology.2022; 27(6): 1084. CrossRef
Does adjuvant chemotherapy improve outcomes in elderly patients with colorectal cancer? A systematic review and meta-analysis of real-world studies
Jianbing Chen, Chengda Zhang, Yajuan Wu
Expert Review of Gastroenterology & Hepatology.2022; 16(4): 383. CrossRef
Risk factors for recurrence in elderly patients with stage II colorectal cancer: a multicenter retrospective study
Takuki Yagyu, Manabu Yamamoto, Akimitsu Tanio, Kazushi Hara, Ken Sugezawa, Chihiro Uejima, Kyoichi Kihara, Shigeru Tatebe, Yasuro Kurisu, Shunsuke Shibata, Toshio Yamamoto, Hiroshi Nishie, Setsujo Shiota, Hiroaki Saito, Takuji Naka, Kenji Sugamura, Kuniyu
BMC Cancer.2022;[Epub] CrossRef
Effects of the Enhanced Recovery After Surgery (ERAS) Program for Colorectal Cancer Patients Undergoing Laparoscopic Surgery
Jeongwon Yeom, Hee-Sook Lim
Clinical Nutrition Research.2022; 11(2): 75. CrossRef
The Prognostic Reliability of Lymphovascular Invasion for Patients with T3N0 Colorectal Cancer in Adjuvant Chemotherapy Decision Making
Hayoung Lee, Seung-Yeon Yoo, In Ja Park, Seung-Mo Hong, Seok-Byung Lim, Chang Sik Yu, Jin Cheon Kim
Cancers.2022; 14(12): 2833. CrossRef
Is the oncological impact of vascular invasion more important in right colon cancer?
Gyung Mo Son
Journal of Minimally Invasive Surgery.2022; 25(2): 49. CrossRef
Molecular analyses of peritoneal metastasis from colorectal cancer
Chang Hyun Kim
Journal of the Korean Medical Association.2022; 65(9): 586. 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
Molecular Analyses in Peritoneal Metastasis from Colorectal Cancer: A Review-An English Version
Chang Hyun Kim
Journal of the Anus, Rectum and Colon.2022; 6(4): 197. 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
Adjuvant chemotherapy benefits on patients with elevated carcinoembryonic antigen in stage IIA colon cancer: a SEER-based analysis
Huabin Zhou, Songsheng Wang, Zhai Cai, Enming Qiu, Qianyun Chen, Xi Rao, Shuai Han, Zhou Li
International Journal of Colorectal Disease.2022; 37(12): 2481. CrossRef
Elderly High-Risk Stage II Colorectal Cancer Patients: Candidates for Improving Outcome?
Min Ki Kim
Annals of Coloproctology.2021; 37(5): 267. CrossRef

Malignant disease, Rectal cancer,Prognosis and adjuvant therapy,Colorectal cancer,Epidemiology & etiology

Characteristics of Patients Presented With Metastases During or After Completion of Chemoradiation Therapy for Locally Advanced Rectal Cancer: A Case Series: Radwan Torky, Mohammed Alessa, Ho Seung Kim, Ahmed Sakr, Eman Zakarneh, Fozan Sauri, Heejin Bae, Nam Kyu Kim; Ann Coloproctol. 2021;37(3):186-191. Published online September 18, 2020; DOI: https://doi.org/10.3393/ac.2020.08.10.1

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4 Citations

Abstract PDF

Purpose
Locally advanced rectal cancer (LARC) is managed by chemoradiotherapy (CRT), followed by surgery. Herein we reported patients with metastases during or after CRT.
Methods
Data of patients with LARC who received CRT from 2008 to 2017 were reviewed. Patients with metastases after CRT were included. Those with metastatic tumors at the initial diagnosis were excluded.
Results
Fourteen patients (1.3%) of 1,092 who received CRT presented with metastases. Magnetic resonance circumferential resection margin (mrCRM) and mesorectal lymph nodes (LNs) were positive in 12 patients (85.7%). Meanwhile, magnetic resonance extramural vascular invasion (mrEMVI) was positive in 10 patients (71.4%). Magnetic resonance tumor regression grade (mrTRG) 4 and mrTRG5 was detected in 5 and 1 patient respectively. Ten patients (71.4%) underwent combined surgery and 3 (21.4%) received palliative chemotherapy.
Conclusion
Patients with metastases after CRT showed a higher rate of positive mrCRM, mrEMVI, mesorectal LNs, and poor tumor response. Further studies with a large number of patients are necessary for better survival outcomes in LARC.

Citations

Citations to this article as recorded by

Unveiling the profound advantages of total neoadjuvant therapy in rectal cancer: a trailblazing exploration
Kyung Uk Jung, Hyung Ook Kim, Hungdai Kim, Donghyoun Lee, Chinock Cheong
Annals of Surgical Treatment and Research.2023; 105(6): 341. CrossRef
Advances in the Treatment of Colorectal Cancer with Peritoneal Metastases: A Focus on Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy
Youngbae Jeon, Eun Jung Park
The Ewha Medical Journal.2023;[Epub] CrossRef
Recent Advance in the Surgical Treatment of Metastatic Colorectal Cancer-An English Version
Eun Jung Park, Seung Hyuk Baik
Journal of the Anus, Rectum and Colon.2022; 6(4): 213. CrossRef
Update on Diagnosis and Treatment of Colorectal Cancer
Chan Wook Kim
The Ewha Medical Journal.2022;[Epub] CrossRef

Risk Factors for Colorectal Cancer in Korea: A Population-Based Retrospective Cohort Study: Soomin Nam, Yoon Jung Choi, Dong Wook Kim, Eun-Cheol Park, Jung-Gu Kang; Ann Coloproctol. 2019;35(6):347-356. Published online November 13, 2019; DOI: https://doi.org/10.3393/ac.2019.10.21

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26 Web of Science
24 Citations

Abstract PDF

Purpose
The incidence of colorectal cancer in Korea has recently increased, making it the second most common cancer in men and the third most common cancer in women. Risk factors for colorectal cancer have been studied worldwide, but risk factors specific for the Korean population have not been established. In this study, we investigated incidence trends and risk factors of colorectal cancer in Korea.
Methods
A total of 8,846,749 subjects were included. Colorectal cancer incidence was investigated using Korea National Health Insurance Service claim data from 2004 to 2014. Colorectal cancer diagnoses were obtained by evaluating colorectal cancer diagnostic codes and the cancer registry for cost sharing. Risk factor identification for colorectal cancer was obtained from National Health Examination data from 2004 to 2005. Cox proportional hazard model statistical analysis was used to determine risk factors of colorectal cancer.
Results
The incidence of colorectal cancer gradually increased from 2006 to 2014 (from 45.4/100,000 to 54.5/100,000). There was a predominance among men (1.47:1), but incidence trends were similar in both sexes. Old age, high body mass index, and no history of colonoscopy were identified as risk factors in both sexes. High fasting blood glucose, familial history of cancer, frequent alcohol intake, and current smoker were identified as risk factors, especially in men.
Conclusion
The incidence of colorectal cancer has been increasing in Korea. Colonoscopy screening was a protective factor for colorectal cancer, and active use of colonoscopy may reduce incidence. Early diagnosis and care are important, particularly for the high-risk group.

Citations

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Triglyceride-Glucose Index, Modifiable Lifestyle, and Risk of Colorectal Cancer: A Prospective Analysis of the Korean Genome and Epidemiology Study
Anthony Kityo, Sang-Ah Lee
Journal of Epidemiology and Global Health.2024; 14(3): 1249. CrossRef
A Stool DNA-Based SDC2 Methylation Test for the Early Detection of Colorectal Cancer in an Asymptomatic, High-Risk Population: A Multicenter Prospective Randomized Trial
Chang Woo Kim, Hyunjin Kim, Hyoung Rae Kim, Daeyeon David Won, Woo Jung Nam, Byung Soh Min, Tae Jeong Oh, Sungwhan An, Suk-Hwan Lee
American Journal of Gastroenterology.2024;[Epub] CrossRef
Risks of colorectal cancer and biliary cancer according to accompanied primary sclerosing cholangitis in Korean patients with ulcerative colitis: a nationwide population-based study
Eun Hye Oh, Ye-Jee Kim, Minju Kim, Seung Ha Park, Tae Oh Kim, Sang Hyoung Park
Intestinal Research.2023; 21(2): 252. CrossRef
Impact of early age at menopause on disease outcomes in postmenopausal women with rheumatoid arthritis: a large observational cohort study of Korean patients with rheumatoid arthritis
Eun Hye Park, Eun Ha Kang, Yun Jong Lee, You-Jung Ha
RMD Open.2023; 9(1): e002722. CrossRef
Complex role of oestrogens in the risk and severity of rheumatoid arthritis in menopause
Maurizio Cutolo, Emanuele Gotelli
RMD Open.2023; 9(2): e003176. CrossRef
Clinical Implication of Lateral Pelvic Lymph Node Metastasis in Rectal Cancer Treated with Neoadjuvant Chemoradiotherapy
In Ja Park
The Ewha Medical Journal.2022; 45(1): 3. CrossRef
Effect of colorectal cancer screening on long‐term survival of colorectal cancer patients: Results of the Korea National Cancer Screening Program
Xuan Quy Luu, Kyeongmin Lee, Jae Kwan Jun, Mina Suh, Kyu‐Won Jung, Kui Son Choi
International Journal of Cancer.2022; 150(12): 1958. CrossRef
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Kui Seon Park, Young Ki Hong, Yoon Jung Choi, Jung Gu Kang
Annals of Coloproctology.2022; 38(5): 362. CrossRef
Association of Physical Activity and Sedentary Behavior With the Risk of Colorectal Cancer
Sanghyun An, Sungjin Park
Journal of Korean Medical Science.2022;[Epub] CrossRef
Characteristics and outcomes of colorectal cancer surgery by age in a tertiary center in Korea: a retrospective review
Tae-Hoon Lee, Jeong Min Choo, Jeong Sub Kim, Seon Hui Shin, Ji-Seon Kim, Se-Jin Baek, Jung-Myun Kwak, Jin Kim, Seon-Hahn Kim
Annals of Coloproctology.2022; 38(3): 244. CrossRef
Clinicopathologic characteristics and survival of patients with double primary malignancies: breast and colorectal cancer
Hyundo Lee, Hae Won Lee, Eun Jung Park, Jeonghyun Kang, Seung Hyuk Baik
Annals of Coloproctology.2022; 38(3): 197. CrossRef
Impact of Preoperative Visceral Fat Area Measured by Bioelectrical Impedance Analysis on Clinical and Oncologic Outcomes of Colorectal Cancer
Kyeong Eui Kim, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek
Nutrients.2022; 14(19): 3971. CrossRef
The Link between Food Environment and Colorectal Cancer: A Systematic Review
Noor Azreen Masdor, Azmawati Mohammed Nawi, Rozita Hod, Zhiqin Wong, Suzana Makpol, Siok-Fong Chin
Nutrients.2022; 14(19): 3954. 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
Multidisciplinary treatment strategy for early colon cancer
Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim
Journal of the Korean Medical Association.2022; 65(9): 558. CrossRef
Multidisciplinary Treatment Strategy for Early Colon Cancer: A Review-An English Version
Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim
Journal of the Anus, Rectum and Colon.2022; 6(4): 203. 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
Immune Microenvironment and Immunotherapeutic Management in Virus-Associated Digestive System Tumors
Panagiotis Sarantis, Eleni-Myrto Trifylli, Evangelos Koustas, Kostas A. Papavassiliou, Michalis V. Karamouzis, Athanasios G. Papavassiliou
International Journal of Molecular Sciences.2022; 23(21): 13612. CrossRef
Gender difference in metabolic syndrome and incident colorectal adenoma
Mei-Sheng Ku, Sherry Yueh-Hsia Chiu, Kuo-Liong Chien, Yi-Chia Lee, Sam Li-Sheng Chen, Chih-Dao Chen
Medicine.2021; 100(22): e26121. CrossRef
Clinical characteristics of patients in their forties who underwent surgical resection for colorectal cancer in Korea
Chang Sin Lee, Se-Jin Baek, Jung-Myun Kwak, Jin Kim, Seon-Hahn Kim
World Journal of Gastroenterology.2021; 27(25): 3901. CrossRef
Pan-Asian adapted ESMO Clinical Practice Guidelines for the diagnosis treatment and follow-up of patients with localised colon cancer
T. Yoshino, G. Argilés, E. Oki, E. Martinelli, H. Taniguchi, D. Arnold, S. Mishima, Y. Li, B.K. Smruti, J.B. Ahn, I. Faud, C.E. Chee, K.-H. Yeh, P.-C. Lin, C. Chua, H.H. Hasbullah, M.A. Lee, A. Sharma, Y. Sun, G. Curigliano, H. Bando, F. Lordick, T. Yaman
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Genotypic and Phenotypic Characteristics of Hereditary Colorectal Cancer
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Low circulating 25-hydroxyvitamin D level is associated with increased colorectal cancer mortality: a systematic review and dose–response meta-analysis
Guanghai Wu, Mei Xue, Yongjie Zhao, Youkui Han, Shuai Zhang, Judong Zhang, Chao Li, Jing Xu
Bioscience Reports.2020;[Epub] CrossRef
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Management of Colonic Diverticulitis Tailored to Location and Severity: Comparison of the Right and the Left Colon: Byeoung Hoon Chung, Gi Won Ha, Min Ro Lee, Jong Hun Kim; Ann Coloproctol. 2016;32(6):228-233. Published online December 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.6.228

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22 Citations

Abstract PDF

Purpose

This study assessed optimal management of colonic diverticulitis as functions of disease location and severity and factors associated with complicated diverticulitis.

Methods

This retrospective review analyzed 202 patients diagnosed between 2007 and 2014 at Chonbuk National University Hospital, South Korea, with colonic diverticulitis by using abdominopelvic computed tomography. Diverticulitis location was determined, and disease severity was categorized using the modified Hinchey classification.

Results

Patients included 108 males (53.5%) and 94 females (46.5%); of these, 167 patients (82.7%) were diagnosed with right-sided and 35 (17.3%) with left-sided colonic diverticulitis. Of the 167 patients with right-sided colonic diverticulitis, 12 (7.2%) had complicated and 155 (92.8%) had uncomplicated diverticulitis; of these, 157 patients (94.0%) were successfully managed conservatively. Of the 35 patients with left-sided colonic diverticulitis, 23 (65.7%) had complicated and 12 (34.3%) had uncomplicated diverticulitis; of these, 23 patients (65.7%) were managed surgically. Among patients with right-sided diverticulitis, those with complicated disease were significantly older (54.3 ± 12.7 years vs. 42.5 ± 13.4 years, P = 0.004) and more likely to be smokers (66.7% vs. 32.9%, P = 0.027) than those with uncomplicated disease. However, among patients with left-sided diverticulitis, those with complicated disease had significantly lower body mass index (BMI; 21.9 ± 4.7 kg/m² vs. 25.8 ± 4.3 kg/m², P = 0.021) than those with uncomplicated disease.

Conclusion

Conservative management may be effective in patients with right-sided diverticulitis and patients with uncomplicated left-sided colonic diverticulitis. Surgical management may be required for patients with complicated left-sided diverticulitis. Factors associated with complicated diverticulitis include older age, smoking and lower BMI.

Citations

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World Journal of Surgery.2024; 48(6): 1509. CrossRef
Current Diagnosis and Management of Acute Colonic Diverticulitis: What You Need To Know
Lisa M. Kodadek, Kimberly A. Davis
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Source control in emergency general surgery: WSES, GAIS, SIS-E, SIS-A guidelines
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World Journal of Emergency Surgery.2023;[Epub] CrossRef
Diagnosis and management of acute colonic diverticulitis: results of a survey among Korean gastroenterologists
Jae Gon Lee, Yong Eun Park, Ji Young Chang, Hyun Joo Song, Duk Hwan Kim, Young Joo Yang, Byung Chang Kim, Shin Hee Lee, Myung-Won You, Seong-Eun Kim
The Korean Journal of Internal Medicine.2023; 38(5): 672. CrossRef
Right-sided diverticulitis in a Western population
Adi Rov, Anat Ben-Ari, Eyal Barlev, David Pelcman, Sergio Susmalian, Haim Paran
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JS Tsang, Chi Chung Foo, Jeremy Yip, Hok Kwok Choi, Wai Lun Law, Oswens Siu Hung Lo
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Elective surgical management of diverticulitis
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WSES/GAIS/SIS-E/WSIS/AAST global clinical pathways for patients with intra-abdominal infections
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World Journal of Emergency Surgery.2021;[Epub] CrossRef
Right sided diverticulitis in western countries: A review
Angelo Gabriele Epifani, Diletta Cassini, Roberto Cirocchi, Caterina Accardo, Francesca Di Candido, Massimiliano Ardu, Gianandrea Baldazzi
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Difference in Clinical Features between Right- and Left-Sided Acute Colonic Diverticulitis
Kil-yong Lee, Jaeim Lee, Youn Young Park, Younglim Kim, Seong Taek Oh
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2020 update of the WSES guidelines for the management of acute colonic diverticulitis in the emergency setting
Massimo Sartelli, Dieter G. Weber, Yoram Kluger, Luca Ansaloni, Federico Coccolini, Fikri Abu-Zidan, Goran Augustin, Offir Ben-Ishay, Walter L. Biffl, Konstantinos Bouliaris, Rodolfo Catena, Marco Ceresoli, Osvaldo Chiara, Massimo Chiarugi, Raul Coimbra,
World Journal of Emergency Surgery.2020;[Epub] CrossRef
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Nippon Daicho Komonbyo Gakkai Zasshi.2020; 73(6): 244. CrossRef
Meta‐analysis of the demographic and prognostic significance of right‐sided versus left‐sided acute diverticulitis
S. Hajibandeh, S. Hajibandeh, N. J. Smart, A. Maw
Colorectal Disease.2020; 22(12): 1908. CrossRef
Long-term outcome and management of right colonic diverticulitis in western countries: Multicentric Retrospective Study
L. Courtot, V. Bridoux, Z. Lakkis, G. Piessen, G. Manceau, A. Mulliri, G. Meurette, A. Bouayed, A. Vénara, B. Blanc, N. Tabchouri, E. Salamé, M. Ouaïssi
Journal of Visceral Surgery.2019; 156(4): 296. CrossRef
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L. Courtot, V. Bridoux, Z. Lakkis, G. Piessen, G. Manceau, A. Mulliri, G. Meurette, A. Bouayed, A. Vénara, B. Blanc, N. Tabchouri, E. Salamé, M. Ouaïssi
Journal de Chirurgie Viscérale.2019; 156(4): 322. CrossRef
Prospective randomized clinical trial of uncomplicated right-sided colonic diverticulitis: antibiotics versus no antibiotics
Jeong Yeon Kim, Sung Gil Park, Hee Joon Kang, Young Ah Lim, Kyung Ho Pak, Tae Yoo, Won Tae Cho, Dong Woo Shin, Jong Wan Kim
International Journal of Colorectal Disease.2019; 34(8): 1413. CrossRef
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Taeyoung Yoo, Keun Ho Yang, Jungbin Kim, Inseok Park, Hyunjin Cho, Geumhee Gwak, Byung Noe Bae, Ki Hwan Kim
Annals of Coloproctology.2018; 34(1): 23. CrossRef
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International Journal of Colorectal Disease.2018; 33(5): 525. CrossRef
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Annals of Coloproctology.2016; 32(6): 206. CrossRef

Outcomes and Risk Factors Affecting Mortality in Patients Who Underwent Colorectal Emergency Surgery: Nam Ho Oh, Kyung Jong Kim; Ann Coloproctol. 2016;32(4):133-138. Published online August 31, 2016; DOI: https://doi.org/10.3393/ac.2016.32.4.133

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10 Citations

Abstract PDF

Purpose

Emergency colorectal surgery has a high risk of mortality and morbidity because of incomplete bowel preparation, bacterial proliferation, and contamination. In this study, we investigated the outcomes and the risk factors affecting mortality in patients who had undergone emergency surgery for the treatment of various colorectal diseases.

Methods

This study is a retrospective analysis of prospectively collected data to survey the clinical results for patients who had undergone emergency colorectal surgery from January 2014 to December 2014. We analyzed various clinicopathologic factors, which were divided into 3 categories: preoperative, intraoperative, and postoperative.

Results

A total of 50 patients had undergone emergency colorectal surgery during the time period covered by this study. Among them, 10 patients (20%) died during the postoperative period. A simple linear regression analysis showed that the risk factors for mortality were old age, preoperative hypotension, and a high American Society of Anesthesiologist (ASA) score. Moreover, a multiple linear regression analysis showed a high ASA score and preoperative hypotension to be independent risk factors.

Conclusion

In this study, emergency colorectal surgery showed a relatively high mortality rate. Furthermore, the independent risk factors for mortality were preoperative hypotension and high ASA score; thus, patients with these characteristics need to be evaluated more carefully and receive better care if the mortality rate is to be reduced.

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Incidence and Risk Factors of Parastomal Hernia: Yeun Ju Sohn, Sun Mi Moon, Ui Sup Shin, Sun Hee Jee; J Korean Soc Coloproctol. 2012;28(5):241-246. Published online October 31, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.5.241

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52 Citations

Abstract PDF

Purpose

Among the various stoma complications, the parastomal hernia (PSH) is the most common. Prevention of PSH is very important to improve the quality of life and to prevent further serious complications. The aim of this study was to analyze the incidence and the risk factors of PSH.

Methods

From January 2002 and October 2008, we retrospectively reviewed 165 patients who underwent an end colostomy. As a routine oncologic follow-up, abdomino-pelvic computed tomography was used to examine the occurrence of the PSH. The associations of age, sex, body mass index (BMI), history of steroid use and comorbidities to the development of the PSH were analyzed. The median duration of the follow-up was 36 months (0 to 99 months).

Results

During follow-up, 50 patients developed a PSH and the 5-year cumulative incidence rate of a PSH, obtained by using the Kaplan-Meier method, was 37.8%. In the multivariate COX analysis, female gender (hazard ratio [HR], 3.29; 95% confidence interval [CI], 1.77 to 6.11; P < 0.0001), age over 60 years (HR, 2.37; 95% CI, 1.26 to 4.46; P = 0.01), BMI more than 25 kg/m² (HR, 1.8; 95% CI, 1.02 to 3.16; P = 0.04), and hypertension (HR, 2.08; 95% CI, 1.14 to 3.81; P = 0.02) were all independent risk factors for the development of a PSH.

Conclusion

The 5-year incidence rate of a PSH was 37.8%. The significant risk factors of a PSH were as follows: female gender, age over 60 years, BMI more than 25 kg/m², and hypertension. Using a prophylactic mesh during colostomy formation might be advisable when the patients have these factors.

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The clinical applications of D-type parastomal hernia repair surgery
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Comparison of the 3-D mesh and Sugarbaker repair for parastomal hernia: a single center experience in China
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Lap-re-Do Keyhole versus Lap-re-Do Sugarbaker techniques in large parastomal hernia repair: a retrospective cohort study
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A giant parastomal hernia in a high risk patient: preparation to make surgery worthwhile
Seda Gunes, Ali Bohlok, Antoine El Asmar, Thibaut Engels, Marie Magdelaine Lefort, Eleonora Farinella, Issam El Nakadi
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Ryan Howard, Farizah Rob, Jyothi Thumma, Anne Ehlers, Sean O’Neill, Justin B. Dimick, Dana A. Telem
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Journal of Basic and Clinical Health Sciences.2023; 7(2): 773. CrossRef
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Advances in Clinical Medicine.2023; 13(07): 11825. CrossRef
Risk Factors for the Development of Parastomal Hernia: A Narrative Review
Teodora Elena Manole, Ion Daniel, Bolocan Alexandra, Păduraru N. Dan, Octavian Andronic
Saudi Journal of Medicine & Medical Sciences.2023; 11(3): 187. CrossRef
Modified Approach for Extraperitoneal Colostomy Creation in Laparoscopic Abdominoperineal Resection
Xiang Zhang, Xin Li, Zhiqiang Cheng, Kexin Wang, Yong Dai, Yanlei Wang
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Jonathan Frigault, Simon Lemieux, Dominic Breton, Philippe Bouchard, Alexandre Bouchard, Roger C. Grégoire, François Letarte, Gilles Bouchard, Vincent Boun, Katia Massé, Sébastien Drolet
Hernia.2022; 26(2): 495. CrossRef
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Noriaki Ohara, Kay Uehara, Atsushi Ogura, Masanori Sando, Toshisada Aiba, Yuki Murata, Takashi Mizuno, Kokuryo Toshio, Yukihiro Yokoyama, Satoko Ishigaki, Yuanying Li, Hiroshi Yatsuya, Tomoki Ebata
Surgery Today.2022; 52(6): 953. CrossRef
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Niu Niu, Shizheng Du, Dongliang Yang, Liuliu Zhang, Bainv Wu, Xiaoxu Zhi, Jun Li, Dejing Xu, Yinan Zhang, Aifeng Meng
International Journal of Colorectal Disease.2022; 37(3): 507. CrossRef
An Analysis of the Risk Factors for the Development of Parastomal Hernia: A Single Institutional Experience
Faiza H Soomro, Sufyan Azam, Sritharan Ganeshmoorthy, Peter Waterland
Cureus.2022;[Epub] CrossRef
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F. Pizza, D. D’Antonio, F. S. Lucido, P. Del Rio, C. Dell’Isola, L. Brusciano, S. Tolone, L. Docimo, C. Gambardella
Hernia.2022; 26(2): 507. CrossRef
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World Journal of Surgical Oncology.2022;[Epub] CrossRef
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S. Täckström, A. Chabok, K. Smedh, M. Nikberg
Hernia.2022; 26(2): 517. CrossRef
Incidence and risk factors for parastomal hernia with a permanent colostomy
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Journal of Surgical Research.2022; 280: 27. CrossRef
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Journal of Interdisciplinary Medicine.2022; 7(2): 31. CrossRef
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Indian Journal of Surgery.2021; 83(S3): 749. CrossRef
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Jonathan Frigault, Simon Lemieux, Dominic Breton, Gilles Bouchard, Sébastien Drolet
Langenbeck's Archives of Surgery.2021; 406(5): 1643. CrossRef
Short-term outcomes of laparoscopic Sugarbaker repair of parastomal hernia
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Vietnam Journal of Endolaparoscopic Surgery.2021;[Epub] CrossRef
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Syed Mohiuddin, Barnaby C. Reeves, Neil J. Smart, William Hollingworth
Colorectal Disease.2021; 23(11): 2967. CrossRef
Abdominal Oblique Internal and External Muscles Gap Colostomy for Lower Incidence of Parastomal Hernia and Higher Quality of Life: A Retrospective Cohort Study
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World Journal of Surgery.2021; 45(12): 3623. CrossRef
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International Journal of Colorectal Disease.2020; 35(2): 199. CrossRef
Stoma-Related Complications Following Ostomy Surgery in 3 Acute Care Hospitals
Robert Pearson, Stephen R. Knight, James C. K. Ng, Isabell Robertson, Clare McKenzie, Angus M. Macdonald
Journal of Wound, Ostomy & Continence Nursing.2020; 47(1): 32. CrossRef
Stomach in a parastomal hernia: a rare complication of stomas
Onyekachi Ezekiel Ekowo, Ammar Al Midani, Yasser Abdulaal, Mohamed Boshnaq
BMJ Case Reports.2020; 13(8): e234325. CrossRef
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Journal of Coloproctology.2020; 40(04): 311. CrossRef
Radiological progression of end colostomy trephine diameter and area
K. K. Ho, T. Economou, N. J. Smart, I. R. Daniels
BJS Open.2019; 3(1): 112. CrossRef
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Shari Friedman, Zina J. Ricci, Marjorie W. Stein, Ellen L. Wolf, Tulay Ekinci, Fernanda S. Mazzariol, Mariya Kobi
Clinical Imaging.2019; 56: 17. CrossRef
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International Journal of Colorectal Disease.2019; 34(7): 1267. CrossRef
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Colorectal Disease.2019; 21(11): 1326. CrossRef
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The American Surgeon™.2019; 85(7): 738. CrossRef
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R. M. Andersen, T. W. Klausen, A. K. Danielsen, A. Vinther, I. Gögenur, T. Thomsen
Colorectal Disease.2018; 20(4): 331. CrossRef
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Surgical Endoscopy.2017; 31(4): 1966. CrossRef
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M. López-Cano, H.-T. Brandsma, K. Bury, B. Hansson, I. Kyle-Leinhase, J. G. Alamino, F. Muysoms
Hernia.2017; 21(2): 177. CrossRef
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G. Dapri, L. Gerard, L. Cardinali, D. Repullo, I. Surdeanu, S. H. Sondji, G.-B. Cadière, S. Saussez
Techniques in Coloproctology.2017; 21(1): 73. CrossRef
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Scandinavian Journal of Gastroenterology.2017; 52(10): 1078. CrossRef
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Sarah S. Fox, Randy Janczyk, Jeremy A. Warren, Alfredo M. Carbonell, Benjamin K. Poulose, Michael J. Rosen, William W. Hope
The American Surgeon™.2017; 83(8): 881. CrossRef
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Timothy F. Donahue, Bernard H. Bochner
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Zachary A. Gregg, Haisar E. Dao, Steven Schechter, Nishit Shah
Journal of the American College of Surgeons.2014; 218(6): 1105. CrossRef
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Surgery Today.2014; 44(8): 1465. CrossRef

Clinicopathologic Factors Affecting Recurrence after Curative Surgery for Stage I Colorectal Cancer: Min Ae Keum, Seok-Byung Lim, Sun A Kim, Yong Sik Yoon, Chan Wook Kim, Chang Sik Yu, Jin Cheon Kim; J Korean Soc Coloproctol. 2012;28(1):49-55. Published online February 29, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.1.49

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Abstract PDF

Purpose

The objective of the current study was to identify the clinicopathological risk factors affecting recurrence after a curative resection for stage I colorectal cancer.

Methods

We retrospectively studied 434 patients who underwent a curative resection for stage I colorectal cancer between January 1999 and December 2004. Postoperative oral chemotherapy was performed in 189 patients (45.3%). The following prognostic factors were correlated with recurrence: age, gender, preoperative carcinoembryonic antigen level, location of tumor, T stage, size of tumor, histologic differentiation, growth pattern, and lymphovascular invasion. The median follow-up duration was 65 months.

Results

The overall recurrence rate was 4.6% (20/434). The median time to recurrence was 33 months. Two-thirds of the recurrence occurred more than two years after surgery. Risk factors associated with recurrence were rectal cancer (P = 0.009), T2 stage (P = 0.010), and infiltrative growth pattern (P = 0.020). A Cox proportional hazards regression analysis demonstrated that the infiltrative growth pattern was an independent predictor for recurrence. Tumor cell budding was observed in all pathologic reviews with recurrence.

Conclusion

Long-term follow-up is necessary for stage I colorectal patients with high risk factors like rectal cancer, T2 stage, and infiltrative growth pattern.

Citations

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Tumor-Informed Circulating Tumor DNA for Minimal Residual Disease Detection in the Management of Colorectal Cancer
Oluwadunni E. Emiloju, Michael Storandt, Tyler Zemla, Nguyen Tran, Krishan Jethwa, Amit Mahipal, Jessica Mitchell, Cornelius Thiels, Kellie Mathis, Robert McWilliams, Joleen Hubbard, Frank Sinicrope, Qian Shi, Zhaohui Jin
JCO Precision Oncology.2024;[Epub] CrossRef
Determinants of survival and recurrence in patients with stage I colorectal cancer
Alimohammad Bananzadeh, Mahshid Bahadori, Mohammad Mohammadianpanah, Faramarz Pakravan, Sara Shojaei-Zarghani, Ali Reza Safarpour
Frontiers in Surgery.2024;[Epub] CrossRef
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Karin Nyström, Louise Olsson
World Journal of Surgery.2024; 48(6): 1521. CrossRef
Survival outcomes of stage I colorectal cancer: development and validation of the ACEPLY model using two prospective cohorts
Qingbin Wu, Pengju Chen, Chi Shu, Lin Chen, Zechuan Jin, Jun Huang, Xin Wang, Xue Li, Mingtian Wei, Tinghan Yang, Xiangbing Deng, Aiwen Wu, Yazhou He, Ziqiang Wang
BMC Medicine.2023;[Epub] CrossRef
Risk factors of recurrence in TNM stage I colorectal cancer
Jin-Hee Paik, Chun-Geun Ryu, Dae-Yong Hwang
Annals of Surgical Treatment and Research.2023; 104(5): 281. CrossRef
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Ryosuke Okamura, Yoshiro Itatani, Yusuke Fujita, Nobuaki Hoshino, Shintaro Okumura, Kazuhiro Nishiyama, Koya Hida, Kazutaka Obama
World Journal of Surgical Oncology.2023;[Epub] CrossRef
Immediate Adjuvant Chemotherapy in Non-Metastatic Colon Cancer: Phase I Trial Evaluating a Novel Treatment Protocol
Mehraneh D. Jafari, Joseph C. Carmichael, Farshid Dayyani, Chelsea McKinney, Lari Wenzel, Jason A. Zell, Alessio Pigazzi
Clinical Colorectal Cancer.2022; 21(2): 114. CrossRef
The clinic factors in evaluating long-term outcomes of patients with stage I colorectal cancer
Zechuan Jin, Qingbin Wu, Xiangbing Deng, Ziqiang Wang
Asian Journal of Surgery.2022; 45(11): 2231. CrossRef
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International Journal of Colorectal Disease.2022; 37(6): 1403. CrossRef
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Seminars in Cancer Biology.2021; 71: 42. CrossRef
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Alexander R Gupta, Gavitt A Woodard, David M Jablons, Michael J Mann, Johannes R Kratz
Future Oncology.2021; 17(34): 4785. CrossRef
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Hye-Sol Jung, Seung-Bum Ryoo, Han-Ki Lim, Min Jung Kim, Sang Hui Moon, Ji Won Park, Seung-Yong Jeong, Kyu Joo Park
Cancers.2021; 13(21): 5294. CrossRef
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Andreas H Marx, Claudius Mickler, Guido Sauter, Ronald Simon, Luigi M Terracciano, Jakob R Izbicki, Till S Clauditz
International Journal of Colorectal Disease.2020; 35(2): 259. CrossRef
Factors influencing recurrence of stage I–III rectal cancer in regional Australia
Lucy Haggstrom, Sharlyn Kang, Robert Winn, Soni Putnis, Elias Nasser, James Chen, Morteza Aghmesheh, Daniel Brungs
ANZ Journal of Surgery.2020; 90(12): 2490. CrossRef
Pathological risk factors and predictive endoscopic factors for lymph node metastasis of T1 colorectal cancer: a single-center study of 846 lesions
Chihiro Yasue, Akiko Chino, Manabu Takamatsu, Ken Namikawa, Daisuke Ide, Shoichi Saito, Masahiro Igarashi, Junko Fujisaki
Journal of Gastroenterology.2019; 54(8): 708. CrossRef
Influence of gross tumor morphology on clinicopathological profile of colorectal cancers
Mudassir Ahmad Khan, Nisar A. Chowdri, Showkat Ali Bhat, Fazl Q. Parray, Rauf A. Wani, Asif Mehraj
Current Medicine Research and Practice.2019; 9(5): 172. CrossRef
Predictive Nomogram for Recurrence of Stage I Colorectal Cancer After Curative Resection
Chan Kim, Woo Ram Kim, Ki-Yeol Kim, Hong Jae Chon, Seung Hoon Beom, Hyojoong Kim, Minkyu Jung, Sang Joon Shin, Nam Kyu Kim, Joong Bae Ahn
Clinical Colorectal Cancer.2018; 17(3): e513. CrossRef
Emergency resection surgery for colorectal cancer: Patterns of recurrent disease and survival
Joe Littlechild, Muneer Junejo, Anne-Marie Simons, Finlay Curran, Darren Subar
World Journal of Gastrointestinal Pathophysiology.2018; 9(1): 8. CrossRef
Identification of Recurrence—Predictive Indicators in Stage I Colorectal Cancer
Jun Ho Lee, Jong Lyul Lee, In Ja Park, Seok‐Byung Lim, Chang Sik Yu, Jin Cheon Kim
World Journal of Surgery.2017; 41(4): 1126. CrossRef
Recommendations for reporting tumor budding in colorectal cancer based on the International Tumor Budding Consensus Conference (ITBCC) 2016
Alessandro Lugli, Richard Kirsch, Yoichi Ajioka, Fred Bosman, Gieri Cathomas, Heather Dawson, Hala El Zimaity, Jean-François Fléjou, Tine Plato Hansen, Arndt Hartmann, Sanjay Kakar, Cord Langner, Iris Nagtegaal, Giacomo Puppa, Robert Riddell, Ari Ristimäk
Modern Pathology.2017; 30(9): 1299. CrossRef
Tumor budding in colorectal cancer—ready for diagnostic practice?
Viktor H. Koelzer, Inti Zlobec, Alessandro Lugli
Human Pathology.2016; 47(1): 4. CrossRef
Loss of CDH1 (E-cadherin) expression is associated with infiltrative tumour growth and lymph node metastasis
Sun A Kim, Kentaro Inamura, Mai Yamauchi, Reiko Nishihara, Kosuke Mima, Yasutaka Sukawa, Tingting Li, Mika Yasunari, Teppei Morikawa, Kathryn C Fitzgerald, Charles S Fuchs, Kana Wu, Andrew T Chan, Xuehong Zhang, Shuji Ogino, Zhi Rong Qian
British Journal of Cancer.2016; 114(2): 199. CrossRef
Recurrence in patients with stage I colorectal cancer
Patrick Ely Teloken, David Ransom, Ian Faragher, Ian Jones, Peter Gibbs, Cameron Platell
ANZ Journal of Surgery.2016; 86(1-2): 49. CrossRef
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International Surgery.2015; 100(4): 617. CrossRef
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Experimental and Therapeutic Medicine.2015; 10(2): 484. CrossRef
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Eva Karamitopoulou, Inti Zlobec, Viktor Hendrik Koelzer, Rupert Langer, Heather Dawson, Alessandro Lugli
Histopathology.2015; 67(4): 464. CrossRef
Tumor budding in the clinical management of colon and rectal cancer
Viktor H Koelzer, Inti Zlobec, Alessandro Lugli
Colorectal Cancer.2014; 3(4): 387. CrossRef
Clinical Management of Localized Colon Cancer with Capecitabine
J. Quidde, D. Arnold, A. Stein
Clinical Medicine Insights: Oncology.2012; 6: CMO.S8194. CrossRef
Early Detection of Colorectal Cancer, Is It a Guarantee for the Cure of Cancer?
Kang Young Lee
Journal of the Korean Society of Coloproctology.2012; 28(1): 6. CrossRef

Risk Factors for Anastomotic Leakage after Laparoscopic Rectal Resection: Dong Hyun Choi, Jae Kwan Hwang, Yong Tak Ko, Han Jeong Jang, Hyeon Keun Shin, Young Chan Lee, Cheong Ho Lim, Seung Kyu Jeong, Hyung Kyu Yang; J Korean Soc Coloproctol. 2010;26(4):265-273. Published online August 31, 2010; DOI: https://doi.org/10.3393/jksc.2010.26.4.265

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Abstract PDF

Purpose

The anastomotic leakage rate after rectal resection has been reported to be approximately 2.5-21 percent, but most results were associated with open surgery. The aim of this study was to identify risk factors and their relationship to the experience of the surgeon for anastomotic leakage after laparoscopic rectal resection.

Methods

Between March 2003 and December 2008, 156 patients underwent a laparoscopic rectal resection without a diverting ileostomy. The patients' characteristics, the details of treatment, the intraoperative results, and the postoperative results were recorded prospectively. Univariate and multivariate analyses were applied to identify risk factors for anastomotic leakage.

Results

The majority of operations were performed for malignant disease (n = 150; 96.2%), and 96 patients (61.5%) were males. Conversion to open surgery occurred in 1 case (0.6%). The anastomotic leak rate was 10.3% (16/156), and there were no mortalities. In the univariate analysis, tumor location, anastomotic level, intraoperative events, and operation time were associated with increased anastomotic leakage rate. In the multivariate analysis, anastomotic level (odds ratio [OR], 6.855; 95% confidence interval [CI], 1.271 to 36.964) and operation time (OR, 8.115; 95% CI, 1.982 to 33.222) were significantly associated with anastomotic leakage.

Conclusion

The important risk factors for anastomotic leakage after laparoscopic rectal resection without a diverting ileostomy were low anastomosis and long operation time. An additional procedure, such as diverting stoma, may reduce the anastomotic leakage if it is selectively applied in cases with these risk factors.

Citations

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Innovative Medicine of Kuban.2024; (3): 131. CrossRef
Anastomotic Leak Rate and Prolonged Postoperative Paralytic Ileus in Patients Undergoing Laparoscopic Surgery for Colo-Rectal Cancer After Placement of No-Coil Endoanal Tube
Michele Ammendola, Giorgio Ammerata, Francesco Filice, Rosalinda Filippo, Michele Ruggiero, Roberto Romano, Riccardo Memeo, Patrick Pessaux, Giuseppe Navarra, Severino Montemurro, Giuseppe Currò
Surgical Innovation.2023; 30(1): 20. CrossRef
Potential short-term outcome advantage of low vs. high ligation of inferior mesenteric artery for sigmoid and rectal cancer: propensity score matching analysis
Chia-Chen Hsu, Yu-Jen Hsu, Yih-Jong Chern, Bor-Kang Jong, Chun-Kai Liao, Pao-Shiu Hsieh, Wen-Sy Tsai, Jeng-Fu You
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Christos Tsalikidis, Athanasia Mitsala, Vasileios I. Mentonis, Konstantinos Romanidis, George Pappas-Gogos, Alexandra K. Tsaroucha, Michail Pitiakoudis
Current Oncology.2023; 30(3): 3111. CrossRef
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Tatsunosuke Harada, Yasuhiro Ishiyama, Yume Minagawa, Shingo Ito, Masataka Oneyama, Kazuhiro Narita
Nihon Daicho Komonbyo Gakkai Zasshi.2023; 76(6): 420. CrossRef
Preservation of the left colic artery in modified laparoscopic anterior rectal resections without auxiliary abdominal incisions for transanal specimen retrieval
Yulin Liu, Peng Yu, Han Li, Lijian Xia, Xiangmin Li, Meijuan Zhang, Zhonghui Cui, Jingbo Chen
BMC Surgery.2022;[Epub] CrossRef
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Frontiers in Surgery.2022;[Epub] CrossRef
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Pelvic Surgery and Oncology.2022; 12(2): 17. CrossRef
Intracorporeal reinforcement with barbed suture is associated with low anastomotic leakage rates after laparoscopic low anterior resection for rectal cancer: a retrospective study
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Shravani Sripathi, Mashal I Khan, Naomi Patel, Roja T Meda, Surya P Nuguru, Sriker Rachakonda
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Cancers.2022; 14(21): 5464. CrossRef
Association between circular stapler size and anastomotic leakage after laparoscopic low anterior resection for rectal cancer
Yugang Jiang, Hongyuan Chen, Meng Kong, Dong Sun, Hongguang Sheng
Journal of Cancer Research and Therapeutics.2022; 18(7): 1931. CrossRef
Preliminary surgical outcomes of laparoscopic right hemicolectomy with transrectal specimen extraction: a propensity score matching study of 120 cases (with video)
Mingguang Zhang, Zheng Liu, Peng Sun, Xiyue Hu, Haitao Zhou, Zheng Jiang, Jianqiang Tang, Qian Liu, Xishan Wang
Gastroenterology Report.2022;[Epub] CrossRef
Anastomotic Leak in Colorectal Surgery: Predictive Factors and Survival
Swetha Prabhakaran, Sowmya Prabhakaran, Wei Mou Lim, Glen Guerra, Alexander G. Heriot, Joseph C. Kong
Polish Journal of Surgery.2022; 95(5): 56. CrossRef
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Alban Zarzavadjian Le Bian, Nicolas Tabchouri, Christine Denet, Théophile Guilbaud, Anaïs Laforest, Christophe Tresallet, Jean-Marc Ferraz, Brice Gayet, David Fuks
Journal of Laparoendoscopic & Advanced Surgical Techniques.2021; 31(9): 1040. CrossRef
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Rui Du, Jiajie Zhou, Guifan Tong, Yue Chang, Dongliang Li, Feng Wang, Xu Ding, Qi Zhang, Wei Wang, Liuhua Wang, Daorong Wang
European Journal of Surgical Oncology.2021; 47(7): 1514. CrossRef
Risk factors of symptomatic anastomotic leakage and its impacts on a long-term survival after laparoscopic low anterior resection for rectal cancer: a retrospective single-center study
Xinyu Qi, Maoxing Liu, Kai Xu, Pin Gao, Fei Tan, Zhendan Yao, Nan Zhang, Hong Yang, Chenghai Zhang, Jiadi Xing, Ming Cui, Xiangqian Su
World Journal of Surgical Oncology.2021;[Epub] CrossRef
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Jiawen Zhang, Linhua Jiang, Xinguo Zhu
Cancer Management and Research.2021; Volume 13: 7579. CrossRef
A Retrospective Study of Risk Factors for Symptomatic Anastomotic Leakage after Laparoscopic Anterior Resection of the Rectal Cancer without a Diverting Stoma
Zhi-Jie Wang, Qian Liu
Gastroenterology Research and Practice.2020; 2020: 1. CrossRef
Impact of the number of stapler firings on anastomotic leakage in laparoscopic rectal surgery: a systematic review and meta-analysis
Z. Balciscueta, N. Uribe, L. Caubet, M. López, I. Torrijo, J. Tabet, M. C. Martín
Techniques in Coloproctology.2020; 24(9): 919. CrossRef
Computed tomography based cross-sectional anatomy of the pelvis predicts surgical outcome after rectal cancer surgery
Gyoung Tae Noh, Soon Sup Chung, Kwang Ho Kim, Ryung-Ah Lee
Annals of Surgical Treatment and Research.2020; 99(2): 90. CrossRef
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World Journal of Surgical Oncology.2020;[Epub] CrossRef
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BMC Gastroenterology.2020;[Epub] CrossRef
Prediction model for anastomotic leakage after laparoscopic rectal cancer resection
Enesh Shiwakoti, Jianning Song, Jun Li, Shanshan Wu, Zhongtao Zhang
Journal of International Medical Research.2020; 48(9): 030006052095754. CrossRef
Drainage smell and peritonitis are efficient indicators of anastomotic leakage after laparoscopic rectal cancer resection
Enesh Shiwakoti, Jianning Song, Jun Li, Shanshan Wu, Zhongtao Zhang
Journal of International Medical Research.2020; 48(11): 030006052097076. CrossRef
Laparoscopic loop ileostomy reversal with intracorporeal anastomosis is associated with shorter length of stay without increased direct cost
Sarath Sujatha-Bhaskar, Matthew Whealon, Colette S. Inaba, Christina Y. Koh, Mehraneh D. Jafari, Steven Mills, Alessio Pigazzi, Michael J. Stamos, Joseph C. Carmichael
Surgical Endoscopy.2019; 33(2): 644. CrossRef
Risk and early predictive factors of anastomotic leakage in laparoscopic low anterior resection for rectal cancer
Masahiro Fukada, Nobuhisa Matsuhashi, Takao Takahashi, Hisashi Imai, Yoshihiro Tanaka, Kazuya Yamaguchi, Kazuhiro Yoshida
World Journal of Surgical Oncology.2019;[Epub] CrossRef
Male gender is associated with an increased risk of anastomotic leak in rectal cancer patients after total mesorectal excision
Chi Zhou, Xian-rui Wu, Xuan-hui Liu, Yu-feng Chen, Jia Ke, Xiao-wen He, Xiao-sheng He, Tuo Hu, Yi-feng Zou, Xiao-bin Zheng, Hua-shan Liu, Jian-cong Hu, Xiao-jian Wu, Jian-ping Wang, Ping Lan
Gastroenterology Report.2018; 6(2): 137. CrossRef
Predictive factors for anastomotic leakage after laparoscopic colorectal surgery
Antonio Sciuto, Giovanni Merola, Giovanni D De Palma, Maurizio Sodo, Felice Pirozzi, Umberto M Bracale, Umberto Bracale
World Journal of Gastroenterology.2018; 24(21): 2247. CrossRef
Predictive Factors for Small Intestinal and Colonic Anastomotic Leak: a Multivariate Analysis
Ahmad Sakr, Sameh Hany Emile, Emad Abdallah, Waleed Thabet, Wael Khafagy
Indian Journal of Surgery.2017; 79(6): 555. CrossRef
Smoking and tumor obstruction are risk factors for anastomotic leakage after laparoscopic anterior resection during rectal cancer treatment
Hiroyuki Matsuzaki, Soichiro Ishihara, Kazushige Kawai, Koji Murono, Kensuke Otani, Koji Yasuda, Takeshi Nishikawa, Toshiaki Tanaka, Tomomichi Kiyomatsu, Keisuke Hata, Hiroaki Nozawa, Toshiaki Watanabe
Journal of the Anus, Rectum and Colon.2017; 1(1): 7. CrossRef
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Víctor Peralta Ruiz
Revista de Indias.2016; 76(266): 173. CrossRef
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Svetozar Antovic, Aleksandar Mitevski, Aleksandar Karagozov, Biljana Kuzmanovska, Nikola Jankulovski
PRILOZI.2016;[Epub] CrossRef
Preoperative, intraoperative and postoperative risk factors for anastomotic leakage after laparoscopic low anterior resection with double stapling technique anastomosis
Kenji Kawada, Yoshiharu Sakai
World Journal of Gastroenterology.2016; 22(25): 5718. CrossRef
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Hui Qu, Yao Liu, Dong-song Bi
Surgical Endoscopy.2015; 29(12): 3608. CrossRef
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S. AL Asari, M.S. Cho, N.K. Kim
European Journal of Surgical Oncology (EJSO).2015; 41(2): 175. CrossRef
Preoperative risk factors for anastomotic leakage after resection for colorectal cancer: a systematic review and meta‐analysis
H.‐C. Pommergaard, B. Gessler, J. Burcharth, E. Angenete, E. Haglind, J. Rosenberg
Colorectal Disease.2014; 16(9): 662. CrossRef
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Zhi-jie Cong, Liang-hao Hu, Jun-jie Xing, Zheng-qian Bian, Chuan-gang Fu, En-da Yu, Zhao-shen Li, Ming Zhong
International Surgery.2014; 99(2): 112. CrossRef
Anastomotic leakage as an outcome measure for quality of colorectal cancer surgery
H S Snijders, D Henneman, N L van Leersum, M ten Berge, M Fiocco, T M Karsten, K Havenga, T Wiggers, J W Dekker, R A E M Tollenaar, M W J M Wouters
BMJ Quality & Safety.2013; 22(9): 759. CrossRef
Systematic review of perioperative selective decontamination of the digestive tract in elective gastrointestinal surgery
D Roos, L M Dijksman, J G Tijssen, D J Gouma, M F Gerhards, H M Oudemans-van Straaten
British Journal of Surgery.2013; 100(12): 1579. CrossRef
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Zhi-Jie Cong, Liang-Hao Hu, Zheng-Qian Bian, Guang-Yao Ye, Min-Hao Yu, Yun-He Gao, Zhao-Shen Li, En-Da Yu, Ming Zhong, Georgina L Hold
PLoS ONE.2013; 8(9): e75519. CrossRef
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R. N. Whistance, R. O. Forsythe, A. G. K. McNair, S. T. Brookes, K. N. L. Avery, A. M. Pullyblank, P. A. Sylvester, D. G. Jayne, J. E. Jones, J. Brown, M. G. Coleman, S. J. Dutton, R. Hackett, R. Huxtable, R. H. Kennedy, D. Morton, A. Oliver, A. Russell,
Colorectal Disease.2013;[Epub] CrossRef
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Hossein Masoomi, Ruihong Luo, Steven Mills, Joseph C. Carmichael, Anthony J. Senagore, Michael J. Stamos
The American Journal of Surgery.2013; 205(4): 447. CrossRef
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William Kondo, Reitan Ribeiro, Carlos Henrique Trippia, Monica Tessmann Zomer
Case Reports in Obstetrics and Gynecology.2013; 2013: 1. CrossRef
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Surgical Science.2012; 03(07): 353. CrossRef
Randomized clinical trial of perioperative selective decontamination of the digestive tract versus placebo in elective gastrointestinal surgery
D Roos, L M Dijksman, H M Oudemans-van Straaten, L T de Wit, D J Gouma, M F Gerhards
British Journal of Surgery.2011; 98(10): 1365. CrossRef
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World Journal of Surgical Oncology.2011;[Epub] CrossRef

Review

Risk Factors of Colorectal Cancer.: Kim, Dong Hyun; J Korean Soc Coloproctol. 2009;25(5):356-362.; DOI: https://doi.org/10.3393/jksc.2009.25.5.356

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Abstract PDF

Colorectal cancer has been rapidly increasing in Korea during the past decades, which was known as low risk area. The age-standardized mortality rates increased from 3.0 to 14.5 in 100,000 for men and from 2.3 to 7.9 in 100,000 for women between 1983 and 2008. According to the National Cancer Registry, the age-standardized incidence rates of total colorectal cancer were increased by 7.3% and 5.5% for men and women, respectively, between 1999 and 2005, while the incidence rates of the most prevalent cancers in Korea, such as stomach, liver, and cervical cancers, have decreased during the same period. Westernized dietary and lifestyle-related factors seem to be closely related to the increased risk of colorectal cancer. Higher intakes of red and processed meat, a lack of physical activity, obesity, and alcohol drinking have been suggested to be risk factors for colorectal cancer in the numerous epidemiologic studies, while higher intakes of dietary fiber, green leafy vegetables, some micronutrients abundant in vegetables and fruits, such as folate, and calcium were reported to be protective factors. Since many of the diet and lifestyle-related factors for colorectal cancer are modifiable, it is urgently needed to set up comprehensive primary prevention program against colorectal cancer to effectively cope with the rapidly increasing cancer in Korea.

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Original Articles

Risk Factors for Anastomotic Leakage after a Low Anterior Resection for Rectal Cancer.: Yoon, Seok jun , Kim, Jin soo , Min, Byung so , Kim, Nam Kyu , Baik, Seung Hyuk , Lee, Kang Young , Sohn, Seung Kook , Cho, Jang Hwan; J Korean Soc Coloproctol. 2007;23(5):365-373.; DOI: https://doi.org/10.3393/jksc.2007.23.5.365

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Abstract PDF

PURPOSE
Clinical anastomotic leakage remains a major problem after a low anterior resection for rectal cancer, so indentifing risk factors influencing anastomotic leakage is important. The aim of this study was to assess the association between risk factors and anastomotic leakage.
RESULTS
One thousand two hundred eight patients underwent a primary resection for rectal cancer from June 1993 to March 2007. We used hospital records and the colorectal cancer registry to analyze retrospectively the case histories of those patients. The operations were performed using a low anterior resection with the double stapling method. All patients underwent a tumor-specific mesorectal excision. Of the total, thirty-eight patients showed anastomotic leakage. Univariate and multivariate analyses were performed to assess the risk factors affecting to the anastomotic leakage.
RESULTS
The rate of anastomotic leakage was 3.2% (38 of 1,208 patients) with a mortality rate of 7.9% (3 of 38 patients). The overall mortality rate was 0.3% (3 of 1,208 patients). Males accounted for 28 of the 38 patients with leakage, and female accounted for the the account for the remnant 10. The mean age was 53.7 years (33~74 years). The mean leakage day was 11.8th day (3~37th day) after the operation, and the mean hospital day was 39.2 days (7~131 days). The mean body mass index (BMI) was 22.7 kg/m2 (15.7~30.8 kg/m2). The mean operation time was 230.5 minutes (90~425 minutes), and the mean bleeding loss was 519.5 cc (0~3,500 cc).
CONCLUSIONS
Significant risk factors for anastomotic leakage after primary resection for rectal cancer were the transfusion amount during surgery, a preliminary colostomy, and nodal stage.

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Clinical Characteristics of Synchronous Adenomas Designated as Risk Factors of Metachronous Malignancy in Colorectal Cancer.: Jung, Sang Hun , Kim, Hee Cheol , Yu, Chang Sik , Kim, Jin Cheon; J Korean Soc Coloproctol. 2007;23(4):237-244.; DOI: https://doi.org/10.3393/jksc.2007.23.4.237

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Abstract PDF

PURPOSE
More than 80% of colorectal cancers are known to occur from adenomas, but only a subset of adenomas undergoes malignant transformation. The aim of this retrospective study was to assess clinicopathologic characteristics of synchronous adenomas associated with metachronous malignant neoplasms in colorectal cancer patients.
METHODS
Three hundred sixty-eight colorectal cancer patients with synchronous adenomas who underwent a complete polypectomy were consecutively enrolled between 1995 and 2002. The patients with familial adenomatous polyposis (FAP), hereditary nonpolyposis colorectal cancer (HNPCC), and synchronous colorectal cancers with invasion beyond the submucosa, and patients who underwent a total colectomy were excluded.
RESULTS
The mean age were 60 years (range, 27~83), and the male- to-female ratio was 2.6:1. The mean number of synchronous adenomos was 2.4 (1~22). The incidence of metachronous adenomas was 44.3% (163 patients), and that of metachronous malignant neoplasms was 5.2% (19 patients), consisting of 9 carcinomas and 10 malignant polyps (or adenomas with malignant change). In the multivariate analysis, the variables associated a metachronous adenoma were sex (male), location of the primary tumor, and multiple synchronous adenomas. The independent risk factors of metachronous malignant neoplasms were synchronous neoplastic adenomas (OR, 3.8; 95% CI, 1.24~11.83) and large adenomas (OR, 3.64; 95% CI, 1.17~11.27). The mean free-inverval of matachronous malignant neoplasms was 24 months (range, 12~52).
CONCLUSIONS
Colorectal cancer patients with synchronous adenomas are prone to be at risk for recurrent adenomas and malignant tumors. High- risk patients for metachnonous malignant neoplasms should be considered for frequent colonoscopy follow-up.

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Risk factors of advanced metachronous neoplasms in surveillance after colon cancer resection
Kwangwoo Nam, Jeong Eun Shin
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The Risk Factors of Lymph Node Metastasis in Submucosal Invasive Colorectal Cancer.: Choi, Pyong Wha , Yu, Chang Sik , Jang, Se Jin , Kim, Mi Jung , Han, Kyong Rok , Jung, Sang Hun , Yoon, Yong Sik , Kim, Hee Cheol , Kim, Jin Cheon; J Korean Soc Coloproctol. 2006;22(4):264-270.

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Abstract PDF: PURPOSE
Recent studies have shown a 7~15% lymph node (LN) metastasis rate in submucosal invasive colorectal cancer (SICC). Identification of risk factors for LN metastasis is crucial in the choice of therapeutic modalities for SICC. The present study was performed to assess the possibility of LN metastasis and to determine the risk factors of LN metastasis in SICC.
METHODS
A retrospective study of 168 patients with SICC who underwent a curative resection between June 1989 and December 2004 at Asan Medical Center was conducted. The level of submucosal invasion was classified into upper third (sm1), middle third (sm2), and lower third (sm3) according to the submucosal depth of invasion. The following carcinoma-related variables were assessed: tumor size, tumor location, level of submucosal invasion, cell differentiation, lymphovascular invasion, neural invasion, and tumor cell dissociation (TCD).
RESULTS
The overall LN metastasis rate was 14.3%. According to the level of submucosal invasion, LN metastasis was seen as follows: sm1, n=4 (4.2%), sm2, n= 10 (21.3%), and sm3, n=10 (38.5%) (P=0.039). According to cell differentiation, LN metastasis was observed as follows: well-differentiated, n=4 (4.9%), moderately differentiated, n=19 (22.9%), and poorly differentiated, n=1 (25.0%) (P=0.028). Nineteen of the 66 cases (28.8%) with TCD had significantly higher risk of LN metastasis as did 5 of the 102 cases (4.9%) without TCD (P=0.045). No statistical difference was observed in the risk of LN metastasis with regard to tumor location, tumor size, neural invasion, or lymphovascular invasion.
CONCLUSIONS
Submucosal invasion, cell differentiation, and tumor cell dissociation were significant pathologic predictors of LN metastasis in SICC. As SICC has considerable risk of LN metastasis, local excision should be reserved to highly selective sm1 cancers.

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