Abstract：
BACKGROUND:Liver metastases from colorectal cancer are treatable and potentially curable when hepatic resection is applied. This paper is to illustrate surgical treatment of metastatic colorectal cancer in China. PATIENTS AND METHODS:Between January 1993 and December 2002, 485 patients with colorectal liver metastases from 6 institutes in China were reviewed. Among them were 340 males and 145 females with average ages of 55.6 years (23-81). Surgical intervention includes primary colorectal cancer resection, hepatic resection, hepatic arterial chemoembolisation and portal vein catheterisation, and systemic chemotherapy. RESULTS:Among 485 cases, data were not complete in 76, and their 3-year survival rate was 35.7%, while from 409 patients who underwent surgical intervention, 11 cases only underwent colorectal cancer resection (group A); 89 with hepatic resection (group B); 204 with hepatic arterial intervention or portal vein catheterisation chemotherapy (group C); 21 with regional ablation by radiofrequency or microwave thermal coagulation (group D); and 84 with systemic chemotherapy (group E). The cumulative 3- and 5-year survival rates were 0% in groups A and E, 43.5% and 32.1% in group B, 27.1% and 0% in group C, and 42.9% and 19.2% in group D. CONCLUSIONS:Surgery can offer long-term survival and resection should be considered when liver metastases can be totally resected with clear margins and when there is no nonresectable extrahepatic disease. The choice between anatomical or wedge resection depends on the number and the location of the metastases. Special multifunctional operative device limit blood loss and increase resectability.
journal_name
Tech Coloproctoljournal_title
Techniques in coloproctologyauthors
Ji ZL,Peng SY,Yuan AJ,Li PJ,Zhang W,Yu Ydoi
10.1007/s10151-004-0109-xsubject
Has Abstractpub_date
2004-11-01 00:00:00pages
s47-9eissn
1123-6337issn
1128-045Xjournal_volume
8 Suppl 1pub_type
杂志文章,多中心研究abstract：:The treatment techniques for pilonidal disease are either associated with high recurrence rates or complex procedures. This prospective randomized study compared the outcome of excision and marsupialization technique with sinus excision technique. A total of 40 consecutive patients with limited, chronic pilonidal sinu...
journal_title：Techniques in coloproctology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/s101510200037
更新日期：2002-12-01 00:00:00
abstract：BACKGROUND:Anastomotic leak after rectal surgery is reported in 9% (range 3-28%) of patients. The aim of our study was to evaluate the effectiveness of endosponge therapy for anastomotic. Endpoints were the rate of restored continuity and the functional bowel outcome after anastomotic leakage. METHODS:This was a multi...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,多中心研究
doi：10.1007/s10151-019-02007-9
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:Patient self-report is important in the assessment of the impact of anal incontinence (AI) on quality of life. This study aimed to (1) determine the correlation between total St. Mark's Incontinence Score (SMIS) and a single-item visual analogue scale (VAS) for bother from AI, and (2) determine the correlati...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-015-1397-z
更新日期：2016-02-01 00:00:00
abstract：:Ligation under vision (LUV) is a simple method for the surgical treatment of haemorrhoids. In this study, we evaluated the results of our initial experience with the procedure in terms of postoperative pain, patients' final satisfaction and complications. We reviewed a group of patients who had undergone suture ligati...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-008-0409-7
更新日期：2008-06-01 00:00:00
abstract：:Colorectal cancer remains a leading cause of cancer death in the UK. With the advent of screening programmes and developing techniques designed to treat and stage colorectal neoplasia, there is increasing pressure on the colonoscopist to keep up to date with the latest practices in this area. This review looks at the ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-007-0319-0
更新日期：2007-03-01 00:00:00
abstract：BACKGROUND:Previous studies of the outcome after perineal stapled prolapse resection (PSPR) have included a limited number of patients with a short follow-up and high recurrence rates. The present study was designed to assess the initial results, complications, recurrence rate, and outcomes up to 4 years after PSPR, as...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-016-1557-9
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:Representatives from the Italian centers experienced in sacral neuromodulation (SNM) for the treatment of bowel dysfunction met in order to define the current clinical practice in Italy and to produce a consensus statement regarding indications for this therapy and patient management. METHODS:Fifty Italian ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-013-1002-2
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:Treatment of perforated diverticulitis depends on disease severity classified according to Hinchey's preoperative classification. This study assessed the accuracy of preoperative staging of perforated diverticulitis by computerized tomography (CT) scanning. METHODS:All patients who presented with perforated...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-012-0853-2
更新日期：2012-10-01 00:00:00
abstract：:Stapled hemorrhoidopexy is a widely used surgical technique for treating hemorrhoids, although severe complications have been reported. The authors report a rare case of extensive ascending intramural hematoma of the sigmoid colon complicating stapled hemorrhoidopexy, with perforation and hemoperitoneum. Diagnosis was...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-011-0696-2
更新日期：2012-08-01 00:00:00
abstract：:Transanal advancement flap repair (TAFR) has been advocated as the treatment of choice for patients with low rectovaginal fistulas. Recently, several studies have reported a significantly lower healing rate. We also encountered low healing rates after TAFR. In an attempt to improve our results, we added labial fat fla...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s101510200007
更新日期：2002-04-01 00:00:00
abstract：BACKGROUND:Doppler-guided hemorrhoidal artery ligation (DGHAL) was described as lower risk and a less painful alternative to hemorrhoidectomy. We report our experience and 5-year follow-up with this procedure. METHODS:Between May 2003 and December 2004, 100 patients with symptomatic Grade II or III hemorrhoids underwe...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-011-0801-6
更新日期：2012-02-01 00:00:00
abstract：BACKGROUND:Irritable bowel syndrome (IBS) is a functional disorder of the gastrointestinal tract characterized by abdominal discomfort, pain and changes in bowel habits, often associated with psychological/psychiatric disorders. It has been suggested that the development of IBS may be related to the body's response to ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-013-1106-8
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:Oncologic outcomes after complete mesocolic excision (CME) in colon cancer are under investigation. The aim of our study was to compare CME and conventional colectomy (CC) in terms of pathological and oncological outcomes for right colon cancer and to evaluate the impact of lymph node metastasis around the v...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-020-02378-4
更新日期：2021-01-05 00:00:00
abstract：BACKGROUND:This is the first systematic review specifically investigating ileocolic anastomosis. OBJECTIVES:To compare outcomes of ileocolic anastomoses performed using stapling and handsewn techniques. The hypothesis tested was that the stapling technique is associated with fewer complications. SEARCH STRATEGY:MEDLI...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-019-02105-8
更新日期：2019-11-01 00:00:00
abstract：:Peripheral neuropathy associated with anesthesia is a significant source of morbidity and the second most frequent cause of professional liability in anesthetic practice. Nerve injuries are a well-recognised complication of anesthesia. Brachial plexus neuropathy is a rare syndrome with an incidence of 1.6 cases per 10...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-005-0212-7
更新日期：2005-07-01 00:00:00
abstract：BACKGROUND:Ileal pouch-anal anastomosis (IPAA) for ulcerative colitis(UC) can be performed as either 2- or 3-stage procedure. IPAA in the elderly has been reported as safe and feasible, but little work to date has assessed outcomes by procedure. The aim of our study was to assess use and short-term outcomes of 2- and 3...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-020-02327-1
更新日期：2020-08-16 00:00:00
abstract：BACKGROUND:Various sequelae which might lead to reintervention have been described after stapled rectal mucosectomy for hemorrhoids. One potential treatment modality for persistent complaints after stapled hemorrhoidopexy (SHP) or stapling for rectocele is the so-called agraffectomy (removal of the retained staples). T...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-011-0704-6
更新日期：2011-09-01 00:00:00
abstract：:BACKGROUND: Several surgical methods are accepted for the treatment of chronic anal fissure. The most popular are anal dilatation (AD) and left lateral sphincterotomy (LLS). The objective of the current study was to prospectively evaluate the results of these two procedures in terms of recurrence rate, complications a...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-007-0373-7
更新日期：2007-12-03 00:00:00
abstract：:Transanal endoscopic microsurgery (TEM) was introduced in 1983 as a minimally invasive technique allowing the resection of adenomas and early rectal carcinomas unsuitable for local or colonoscopic excision which would otherwise require major surgery. After 25 years, there is still much debate about the procedure. This...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-009-0466-6
更新日期：2009-06-01 00:00:00
abstract：:Advancements in minimally invasive surgery have both revolutionized laparoscopy and set the stage for the advancement of endoscopic surgery to the forefront of modern medicine. Natural orifice transluminal endoscopic surgery (NOTES) has now become a subject of great interest to surgeons worldwide who wish to reduce th...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-012-0934-2
更新日期：2013-02-01 00:00:00
abstract：BACKGROUND:Anal fissures can cause morbidity in an otherwise healthy young patient. The process of evacuation results in stretching and descent of the anoderm and perineum especially posteriorly. Posterior perineal support may provide counter pressure at the posterior aspect of the pelvic floor, balancing the pressure ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-009-0453-y
更新日期：2009-03-01 00:00:00
abstract：:We present a new video-assisted minimally invasive technique for the treatment of pilonidal disease (E.P.Si.T: endoscopic pilonidal sinus treatment). Between March and November 2012, we operated on 11 patients suffering from pilonidal disease. Surgery is performed under local or spinal anesthesia using the Meinero fis...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-013-1016-9
更新日期：2014-04-01 00:00:00
abstract：:Because of its technical difficulty, totally laparoscopic right colectomy with intracorporeal anastomosis is performed only by a small number of surgeons and most of them use a laparoscopic-assisted technique with extracorporeal anastomosis. This systematic review aims to evaluate differences in outcomes of patients u...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s10151-013-1029-4
更新日期：2014-01-01 00:00:00
abstract：BACKGROUND:The aim of our study was to assess perineal wound healing in patients with Crohn's disease (CD) who undergo proctectomy or proctocolectomy with end ileostomy and to evaluate the influence of various factors including types of perineal dissection on eventual wound healing. METHODS:Data for patients with CD w...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-017-1695-8
更新日期：2017-09-01 00:00:00
abstract：BACKGROUND:Pelvic exenteration remains a viable and effective treatment option for the management of locally advanced or recurrent pelvic malignancy. The aim of this study was to present an early experience of robotic multivisceral resection of pelvic malignancy, and to compare this experience with similar series throu...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-020-02290-x
更新日期：2020-11-01 00:00:00
abstract：BACKGROUND:In theory, perioperative detection of lymph nodes with the injection of isosulfan blue dye should provide lymph road mapping (LRM) able to direct the resection. However, there is no supporting evidence for this theory in cases of colon cancer. We reanalysed all operative reports using the sentinel lymph node...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-010-0603-2
更新日期：2010-09-01 00:00:00
abstract：AIM:The aim of this study is to review the time between formation and closure of loop ileostomies following total mesorectal excision in patients with rectal cancer. PATIENTS AND METHODS:A retrospective study of 170 patients who underwent low anterior resection for rectal cancer, between 1990 and 2009. Loop ileostomie...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-010-0628-6
更新日期：2010-11-01 00:00:00
abstract：BACKGROUND:The aim of this report is to describe our experience with stapled haemorrhoidopexy as a day surgery procedure. METHODS:From January 2000 to January 2003, a total of 214 patients with third- and fourth-degree haemorrhoids underwent stapled haemorrhoidopexy under spinal anaesthesia. We analysed early postoper...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-003-0029-1
更新日期：2003-10-01 00:00:00
abstract：:This technical note presents a variation of the stapled mucosal prolapsectomy for haemorrhoidal prolapse using the Lone Star Retractor. Our experience highlights the simplicity and usefulness of the technique which is based on the complete eversion of the prolapse carried out by the Lone Star Retractor, without using ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/pl00012123
更新日期：2001-04-01 00:00:00
abstract：:After radical resection of rectal carcinoma, the circumferential resection margin (CRM) on the non-peritonealized surface of the resected specimen is of critical importance. Histopathological examination of resected specimens must include careful assessment of the CRM. There is a need to distinguish between CRM-positi...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-005-0226-1
更新日期：2005-12-01 00:00:00
