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Less is more: lessons from the COVID-19 pandemic in transfusion strategies after colorectal surgery

Park EJ

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Tips and tricks for robotic lateral pelvic node dissection

Ngu JCY, Teo NZ

Lateral pelvic node dissection can be challenging. In addition to detailed anatomical knowledge of the pelvic side wall, surgeons also need to be proficient in performing fine dissection within the...
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Are the width, length, depth, and area of submucosal invasion predictive of lymph node metastasis in pT1 colorectal cancer?

Maynovskaia O, Rybakov E, Chernyshov S, Khomyakov E, Achkasov S

Purpose: Submucosa-limited (pathological T1, pT1) colorectal cancers (CRCs) pose a continuing challenge in the choice of treatment options, which range from local excision to radical surgery. The aim of this...
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Robotic natural orifice specimen extraction surgery (NOSES) for anterior resection

Pham TD, Larach T, Othman B, Rajkomar A, Heriot AG, Warrier SK, Smart P

Minimally invasive colorectal surgery is currently well-accepted, with open techniques being reserved for very difficult cases. Laparoscopic colectomy has been proven to have lower mortality, complication, and ostomy rates; a...
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Perioperative considerations for acute appendicitis in patients with COVID-19 infection: two case reports

Kim IK, Kwag Sj, Kim HG, Ju YT, Lee SJ, Park TJ, Jeong SH, Jung EJ, Lee JK

We report considerations related with surgery through 2 cases of acute apendicitis with COVID-19 infection. In November and December 2020, two patients infected with COVID-19 developed acute apendicitis and underwent...
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Essential anatomy for lateral lymph node dissection

Yokoyama Y, Nozawa H, Sasaki K, Murono K, Emoto S, Matsuzaki H, Abe S, Nagai Y, Yoshioka Y, Shinagawa T, Sonoda H, Hojo D, Ishihara S

In Western countries, the gold-standard therapeutic strategy for rectal cancer is preoperative chemoradiotherapy (CRT) following total mesorectal excision (TME), without lateral lymph node dissection (LLND). However, preoperative CRT has recently...
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Computed tomography–assessed presarcopenia and clinical outcomes after laparoscopic surgery for rectal cancer

Song JH, Oh RK, Lee JE, Lee KH, Kim JY, Kim JS

Purpose: Previous studies have reported that presarcopenia negatively affects rectal cancer treatment. However, most studies have analyzed patients including majority of open surgery, and the association between presarcopenia and clinical...
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Is restrictive transfusion sufficient in colorectal cancer surgery? A retrospective study before and during the COVID-19 pandemic in Korea

Kim HK, Kim HS, Noh GT, Nam JH, Chung SS, Kim KH, Lee RA

Purpose: Blood transfusion is one of the most common procedures used to treat anemia in colorectal surgery. Despite controversy regarding the adverse effects of blood products, surgeons have maintained standards...
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Stratification of rate of lymph node metastasis according to risk factors and oncologic outcomes in patients who underwent radical resection for rectal neuroendocrine tumors

Jin MJ, Park SS, Lee DE, Park SC, Lee DW, You K, Chang HJ, Hong CW, Sohn DK, Han KS, Kim B, Kim BC, Oh JH

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...
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Exfoliate cancer cell analysis in rectal cancer surgery: comparison of laparoscopic and transanal total mesorectal excision, a pilot study

You K, Hwang JA, Sohn DK, Lee DW, Park SS, Han KS, Hong CW, Kim B, Kim BC, Park SC, Oh JH

Purpose: Minimally invasive surgery (MIS) is currently the standard treatment for rectal cancer. However, its limitations include complications and incomplete total mesorectal resection (TME) due to anatomical features and technical...
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Survival outcomes of salvage surgery in the watch-and-wait approach for rectal cancer with clinical complete response after neoadjuvant chemoradiotherapy: a systematic review and meta-analysis

Lin W, Wee IJY, Seow-En I, Chok AY, Tan EKW

Purpose: This systematic review and meta-analysis compared the outcomes of the watch-and-wait (WW) approach versus radical surgery (RS) in rectal cancers with clinical complete response (cCR) after neoadjuvant chemoradiotherapy. Methods: This...
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Impact of consolidation chemotherapy in poor responders to neoadjuvant radiation therapy: magnetic resonance imaging–based clinical-radiological correlation in high-risk rectal cancers

Patel S, Ankathi S, Haria P, Kazi M, Desouza AL, Saklani A

Purpose: The current study was conducted to examine the role of consolidation chemotherapy after neoadjuvant radiation therapy (NART) in decreasing the involvement of the mesorectal fascia (MRF) in high-risk locally...
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