Evidence-based medicine in surgical education.

abstract：:Nodal dissemination in locally advanced rectal cancer occurs mainly in two directions: upward and lateral. Lateral node involvement has been demonstrated; however, lateral lymph node dissection (LLND) is not routinely performed in Western countries and the focus is more on neoadjuvant treatment regimens. The main reas...

journal_title：Clinics in colon and rectal surgery

authors： Kusters M,Uehara K,Velde CJHV,Moriya Y

更新日期：2017-11-01 00:00:00

abstract：:The incidence of Crohn's disease in the pediatric population is increasing. While pediatric patients with Crohn's disease exhibit many of the characteristics of older patients, there are important differences in the clinical presentation and course of disease that can impact the clinical decisions made during treatmen...

journal_title：Clinics in colon and rectal surgery

authors： von Allmen D

更新日期：2018-03-01 00:00:00

abstract：:Colorectal cancer, which kills more than 50,000 patients every year in the United States and costs more than $6 billion in direct health costs, is a prime target for cancer prevention. Computed tomography colonography (CTC) has emerged as a minimally invasive, structural examination of the entire colon that can comple...

journal_title：Clinics in colon and rectal surgery

authors： Thomas J,Carenza J,McFarland E

更新日期：2008-08-01 00:00:00

abstract：:Abdominal wall reconstruction in the digestive tract fistula patient is a complex issue. The authors review the available data and present information regarding the timing of surgery, techniques of abdominal wall reconstruction, hernia repair, and discuss pitfalls associated with the various options. A simple and basi...

journal_title：Clinics in colon and rectal surgery

authors： Johnson EK,Tushoski PL

更新日期：2010-09-01 00:00:00

abstract：:The proximity of the colon and rectum to the organs of the urologic system virtually ensures that iatrogenic urologic injuries become a distinct possibility during complex colorectal surgical procedures. An intimate knowledge of urogenital anatomy as well as strategies for identification and repair of potential injuri...

journal_title：Clinics in colon and rectal surgery

authors： Ferrara M,Kann BR

更新日期：2019-05-01 00:00:00

abstract：:The use of laparoscopy has become widespread across many surgical specialties. Its utility as treatment for colon cancer was initially met with hesitancy due to concern for port site and wound recurrences; however, this was later disproven by large retrospective series. Subsequently, there have been multiple, large, p...

journal_title：Clinics in colon and rectal surgery

authors： Franklin BR,McNally MP

更新日期：2017-04-01 00:00:00

abstract：:This article provides an overview of the pathophysiology, causes, investigations, and management of high-output enterostomy and enterocutaneous fistula. High-output stoma and enterocutaneous fistula can result in intestinal failure and this is often fatal if not managed properly. The management involves reducing fluid...

journal_title：Clinics in colon and rectal surgery

authors： Adaba F,Vaizey CJ,Warusavitarne J

更新日期：2017-07-01 00:00:00

abstract：:Transanal minimally invasive surgery (TAMIS) was first described in 2010 as a crossover between single-incision laparoscopic surgery and transanal endoscopic microsurgery (TEM) to allow access to the proximal and mid-rectum for resection of benign and early-stage malignant rectal lesions. The TAMIS technique can also ...

journal_title：Clinics in colon and rectal surgery

authors： deBeche-Adams T,Nassif G

更新日期：2015-09-01 00:00:00

abstract：:A range of topics are covered in this issue dedicated to complex and reoperative colorectal surgery, from radiation-induced surgical problems, to enterocutaneous fistulas and locally advanced or recurrent rectal cancer. Common themes include the importance of operative planning and patient counseling on the expected f...

journal_title：Clinics in colon and rectal surgery

authors： Kin C

更新日期：2016-06-01 00:00:00

abstract：:Surgery is a very complex, changing, and, sometimes, threatening environment. Emotional intelligence is a key skill for surgical leaders. Authoritarian, hierarchical, transactional, transformational, adaptive, situational, and servant-shepherd leadership can all be used in surgical leadership. Patient care must be the...

journal_title：Clinics in colon and rectal surgery

authors： Onaca N,Fleshman JW

更新日期：2020-07-01 00:00:00

abstract：:Diverticular disease is common in the Western world and is a considerable source of morbidity. Many have proposed an association between diverticular disease, its complications, and obesity. We examine this question through a review of the available literature. While it is likely that an association between diverticul...

journal_title：Clinics in colon and rectal surgery

authors： Johnson EK,Champagne BJ

更新日期：2011-12-01 00:00:00

abstract：:Genitourinary structures are at risk of injury during colorectal surgery. The incidence of injury is low; however, the risk is higher in cases involving severe inflammatory or infectious processes, locally advanced or recurrent cancer, previous radiation, and reoperation. Consideration of the anatomical relationship b...

journal_title：Clinics in colon and rectal surgery

authors： Althumairi AA,Efron JE

更新日期：2016-06-01 00:00:00

abstract：:The applicability of laparoscopy to many complex intraabdominal colorectal procedures continues to expand, and has been shown to be feasible and safe in experienced hands. Data are available on the elderly, rectal prolapse, diverticulitis, Hartman's takedown, small bowel obstruction, Crohn's disease, and ulcerative co...

journal_title：Clinics in colon and rectal surgery

authors： Shin T,Rafferty JF

更新日期：2010-02-01 00:00:00

abstract：:Squamous cell carcinoma of the anus (SCCA) is a rare tumor. However, its incidence has been increasing in men and women over the past 25 years worldwide. Risk factors associated with this cancer are those behaviors that predispose individuals to human papillomavirus (HPV) infection and immunosuppression. Anal cancer i...

journal_title：Clinics in colon and rectal surgery

authors： Poggio JL

更新日期：2011-09-01 00:00:00

abstract：:Transanal total mesorectal excision (taTME) is a novel technique that has evolved over the years to address the challenges of low rectal cancer surgery by applying the principles and benefits of laparoscopic surgery to more historic transanal techniques. It has been popularized through its use in rectal cancer, but th...

journal_title：Clinics in colon and rectal surgery

authors： Soares AS,Chand M

更新日期：2020-05-01 00:00:00

abstract：:Locally advanced colorectal cancer is a challenge for surgeons and medical oncologist; 10 to 20% colorectal cancer debut as locally advanced disease, with tumors extending through the colon wall with perforation and/or invasion of adjacent organs or structures. Those locally advanced tumors have a worse prognostic at ...

journal_title：Clinics in colon and rectal surgery

authors： Cortes-Guiral D,Glehen O

更新日期：2020-09-01 00:00:00

abstract：:Parasitic infections are a major worldwide health problem, and they account for millions of infections and deaths each year. Most of the infections as well as the morbidity and mortality from these diseases occur in the developing world in rural regions. However, these diseases have become more common in Western count...

journal_title：Clinics in colon and rectal surgery

authors： Goldberg JE

更新日期：2007-02-01 00:00:00

abstract：:Crohn disease remains a challenging clinical entity, both medically and surgically. It frequently presents in early adulthood and imposes a lifetime exposure to chronic inflammation that can affect the entire gastrointestinal tract. Although the mainstay of therapy is treatment with immunomodulating drugs, ∼70 to 90% ...

journal_title：Clinics in colon and rectal surgery

authors： Aarons CB

更新日期：2013-06-01 00:00:00

abstract：:Lynch syndrome is the familial clustering of colorectal and endometrial cancers. This syndrome is passed in an autosomal dominant fashion within families with defective mismatch repair as the genetic basis for cancer development in these patients. There remains a group of patients who fit clinical diagnostic criteria ...

journal_title：Clinics in colon and rectal surgery

authors： Bansidhar BJ,Silinsky J

更新日期：2012-06-01 00:00:00

abstract：:The world of medicine is in a state of flux with major and substantive changes in its educational model. Students, residents, and junior attendings can no longer rely entirely on experiential development through clinical immersion. Instead, to attain similar levels of knowledge, technique, and situational comfort, the...

journal_title：Clinics in colon and rectal surgery

authors： Platz J,Hyman N

更新日期：2013-12-01 00:00:00

abstract：:When utilized properly, social media offers several personal and professional benefits for the practicing surgeon, including peer networking, education, e-mentorship, marketing, recruitment, and patient outreach. However, unprofessional online behavior is common among surgeons, and this improper use of social media ca...

journal_title：Clinics in colon and rectal surgery

authors： Langenfeld SJ,Batra R

更新日期：2017-09-01 00:00:00

abstract：:Rectal bleeding is a common presentation to the colon and rectal surgeon's office. It is important to develop a systematic approach to its evaluation so as not to miss the presence of a malignancy. The possibility of more than one diagnosis contributing to the symptom should always be kept in mind. It may therefore be...

journal_title：Clinics in colon and rectal surgery

authors： Ferguson MA

更新日期：2005-11-01 00:00:00

abstract：:Bladder dysfunction following colorectal surgery may be related to extirpative procedures in the region of the pelvic autonomic plexus. The most common etiology is from autonomic disruption during abdominoperineal or low anterior resections. Contemporary technical modifications have allowed surgeons to achieve oncolog...

journal_title：Clinics in colon and rectal surgery

authors： Delacroix SE Jr,Winters JC

更新日期：2010-06-01 00:00:00

abstract：:Colorectal surgery patients frequently suffer from postoperative complications. Patients with complications have been shown to be at higher risk for mortality, poor oncologic outcomes, additional complications, and worse quality of life. Complications are increasingly recognized as markers of quality of care with more...

journal_title：Clinics in colon and rectal surgery

authors： Tevis SE,Kennedy GD

更新日期：2016-09-01 00:00:00

abstract：:As a result of the obvious benefits of laparoscopic cholecystectomy, minimally invasive techniques have been applied to more complex gastrointestinal procedures, including colorectal resections. The goal in adapting laparoscopic techniques for colorectal surgery is to offer an operation that results in less pain, shor...

journal_title：Clinics in colon and rectal surgery

authors： Bonnor RM,Ludwig KA

更新日期：2005-08-01 00:00:00

abstract：:Ulcerative colitis is a chronic inflammatory disease of the colon with an increasing incidence worldwide. The medical management of this disease continues to expand as drugs to induce and maintain remission are sought to avoid the need for colectomy. This article will review the standard of care for the treatment of m...

journal_title：Clinics in colon and rectal surgery

authors： Mahadevan U

更新日期：2004-02-01 00:00:00

abstract：:Crohn's disease is a complex disease with a varying clinical and anatomical spectrum. One-third of patients with Crohn's will have disease confined to the colon. In this article, the authors review the surgical treatment options for colonic Crohn's disease including the current status of performing segmental colectomy...

journal_title：Clinics in colon and rectal surgery

authors： Heriot A,Smart P

更新日期：2019-07-01 00:00:00

abstract：:Hemorrhoid disease is the most common reason patients seek evaluation by a colon and rectal surgeon. The majority of hemorrhoids can be managed nonoperatively with medical management or office-based procedures. The authors review the anatomy, pathophysiology, presentation, and management of hemorrhoids. ...

journal_title：Clinics in colon and rectal surgery

authors： Sanchez C,Chinn BT

更新日期：2011-03-01 00:00:00

abstract：:Functional anorectal disorders include solitary rectal ulcer syndrome, rectocele, nonrelaxing puborectalis syndrome, and descending perineal syndrome. Patients usually present with "constipation," but the clinical picture of these disorders includes rectal pain and bleeding, digitalization, incomplete evacuation, and ...

journal_title：Clinics in colon and rectal surgery

authors： Times ML,Reickert CA

更新日期：2005-05-01 00:00:00

abstract：:The evolution over the past 20 years of anal preservation in rectal cancer surgery has been truly remarkable. Intersphincteric resection (ISR) reported by Schiessel in 1994 in Australia has been shown to enable anal preservation even for cancers quite close to the anus. In Japan, ISR via the detachment of the anal can...

journal_title：Clinics in colon and rectal surgery

authors： Ito M

更新日期：2020-11-01 00:00:00