The circumferential resection margin in rectal carcinoma surgery.


: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-positive (CRM directly involved by tumor or minimal distance between tumor and CRM 1 mm or less) and CRM-negative (distance between tumor and CRM more than 1 mm) situations. Optimized surgery (so-called TME surgery) and an experienced surgeon decrease the frequency of CRM-positive specimens. The CRM status is an important predictor of local and distant recurrence as well as survival. The CRM status can be reliably predicted by preoperative thin-slice high-resolution magnetic resonance imaging (MRI). In the event of predicted CRM-positivity, neoadjuvant radiochemotherapy is indicated.


Tech Coloproctol


Hermanek P,Junginger T




Has Abstract


2005-12-01 00:00:00


193-9; discussion 199-200










  • Currently available and experimental dyes for intraoperative near-infrared fluorescence imaging of the ureters: a systematic review.

    abstract:BACKGROUND:Iatrogenic ureteral injury (IUI) following abdominal surgery has a relatively low incidence, but is associated with high risks of morbidity and mortality. Conventional assessment of IUI includes visual inspection and palpation. This is especially challenging during laparoscopic procedures and has translated ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Slooter MD,Janssen A,Bemelman WA,Tanis PJ,Hompes R

    更新日期:2019-04-01 00:00:00

  • A simple and safe technique for performing single-port laparoscopic resection of appendiceal mucocele.

    abstract::We report a new method of performing single-port laparoscopic surgery for appendiceal mucocele. The key points of our technique are placing a 3/4 circumferential skin incision with multiple radial splits on the confine of the umbilicus, use of a "home-made" multichannel port system, and trimming the skin incision stra...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Ishibashi K,Okada N,Ohsawa T,Kumamoto K,Haga N,Ishida H

    更新日期:2011-09-01 00:00:00

  • A simple difficulty scoring system for laparoscopic total mesorectal excision.

    abstract:BACKGROUND:The proposed difficulty scoring system (DSS) may aid in preoperative planning for laparoscopic total mesorectal excision (L-TME) for rectal cancer. METHODS:Fifty-three patients [28 males; 59.0 (31.0-88.0) years of age] treated for rectal cancer at our institution from 2/2011-5/2018 were identified. "Difficu...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Krizzuk D,Yellinek S,Parlade A,Liang H,Dasilva G,Wexner SD

    更新日期:2020-11-01 00:00:00

  • Trends in hospital admission for acute diverticulitis in Italy from 2008 to 2015.

    abstract:BACKGROUND:Epidemiological studies in Western countries have documented an increase of hospitalizations for acute diverticulitis (AD) but Italian evidence is scarce. The aim of the present study was to analyse the trend in hospitalization for AD, including in-hospital mortality, in Italy from 2008 to 2015. METHODS:Thr...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Binda GA,Mataloni F,Bruzzone M,Carabotti M,Cirocchi R,Nascimbeni R,Gambassi G,Amato A,Vettoretto N,Pinnarelli L,Cuomo R,Annibale B

    更新日期:2018-08-01 00:00:00

  • Robotic-assisted laparoscopic segmental resection with rectoanal anastomosis: a new approach for the management of complicated rectourethral fistula.

    abstract::Various transanal and perineal surgical techniques have been described for the treatment of rectourethral fistula (RUF). However, these techniques are poorly suited for complicated fistulas. Here, we present a novel minimally invasive procedure: robotic-assisted laparoscopic segmental resection with rectoanal anastomo...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Lee KH,Lee MR,Pigazzi A

    更新日期:2013-10-01 00:00:00

  • Transanal resection of rectal neoplasms using the Harmonic Scalpel.

    abstract::The currently used technology for transanal excision of rectal neoplasms is diathermy. However, control of bleeding is sometimes difficult. The Harmonic Scalpel provides a "dry" surgical field which facilitates the procedure and allows complete resection of the neoplasm with greater accuracy. ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Rabau M

    更新日期:2008-09-01 00:00:00

  • Synchronous polyps in patients with colorectal cancer.

    abstract:BACKGROUND:The aim of this study is to underscore the incidence of synchronous polyps in patients with colorectal cancer and to emphasise the importance of their perioperative detection and management. PATIENTS AND METHODS:Three hundred and seven patients underwent a potentially curative resection for colorectal cance...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Demetriades H,Kanellos I,Blouhos K,Tsachalis T,Vasiliadis K,Pramateftakis MG,Betsis D

    更新日期:2004-11-01 00:00:00

  • Laparoscopic right colectomy: a systematic review and meta-analysis of observational studies comparing two types of anastomosis.

    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


    authors: Carnuccio P,Jimeno J,Parés D

    更新日期:2014-01-01 00:00:00

  • Colorectal resection via natural orifice specimen extraction versus conventional laparoscopic extraction: a meta-analysis with meta-regression.

    abstract:BACKGROUND:Studies have shown differences in postoperative outcomes between two minimally invasive extraction methods for colorectal lesions-natural orifice specimen extraction surgery (NOSES) and conventional laparoscopic surgery (CLS). The aim of this study was to discover the major differences in NOSES and CLS to re...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审


    authors: Chin YH,Decruz GM,Ng CH,Tan HQM,Lim F,Foo FJ,Tai CH,Chong CS

    更新日期:2020-08-26 00:00:00

  • Hereditary internal anal sphincter myopathy: the first Caribbean family.

    abstract::Hereditary proctalgia is an extremely rare condition characterized by endosonographic evidence of internal anal sphincter (IAS) thickening and specific ultrastructural changes seen at light and electron microscopy (EM). We report the case of a 54-year-old Caribbean woman with severe proctalgia and IAS thickening, trea...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Zbar AP,de la Portilla F,Borrero JJ,Garriques S

    更新日期:2007-03-01 00:00:00

  • Bowel cleansing for diagnostic colonoscopy: which method is preferable? Istanbul experience.

    abstract:BACKGROUND:A prospective randomized trial to assess the cleansing ability and tolerance of bowel preparations for colonoscopy was conducted in a group of 953 patients. METHODS:The bowel cleansing methods were: sennoside calcium, polyethylene glycol (PEG) lavage, oral sodium phosphate (NaP) in one 90-ml dose, oral NaP ...

    journal_title:Techniques in coloproctology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Tasci I,Altinli E,Sirin F

    更新日期:2003-04-01 00:00:00

  • Agraffectomy after low rectal stapling procedures for hemorrhoids and rectocele.

    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


    authors: Petersen S,Jongen J,Schwenk W

    更新日期:2011-09-01 00:00:00

  • Early and late complications of stapled haemorrhoidopexy: a 6-year experience from a single surgical clinic.

    abstract:PURPOSE:Introduction of stapled hemorrhoidopexy (SH) brought a radical change in the treatment of haemorrhoidal disease. The aim of this study is to evaluate the results and the complications (early and late) from the use of this technique. METHODS:During the last 6 years (2005-2011), 123 patients underwent a SH in ou...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Grigoropoulos P,Kalles V,Papapanagiotou I,Mekras A,Argyrou A,Papageorgiou K,Derian A

    更新日期:2011-10-01 00:00:00

  • How I do it: the stapled ileal J pouch at restorative proctocolectomy.

    abstract:BACKGROUND:Ileal pouch-anal anastomosis (IPAA) following proctocolectomy is the preferred option for patients with medically refractory ulcerative colitis, indeterminate colitis, and familial adenomatous polyposis. However, it remains a procedure associated with morbidity and mortality. Pelvic sepsis, pouch fistulae, a...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Martin ST,Tevlin R,Heeney A,Peirce C,Hyland JM,Winter DC

    更新日期:2011-12-01 00:00:00

  • The utilization of intraluminal formalin for intractable rectal haemorrhage in advanced rectal cancer: a case report.

    abstract::A patient with a metastatic fixed low rectal carcinoma presented severe rectal bleeding requiring massive transfusion over with a 36-hour period. Bleeding was controlled with the instillation of a 4% intrarectal formalin solution permitting the completion of a course of neoadjuvant chemoradiotherapy. This technique ha...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Zbar AP,Bernstein S,Greaves N,Iniss M,Shenoy RK

    更新日期:2005-04-01 00:00:00

  • Is the outpatient management of acute diverticulitis safe and effective? A systematic review and meta-analysis.

    abstract:BACKGROUND:In Western countries, the incidence of acute diverticulitis (AD) is increasing. Patients with uncomplicated diverticulitis can undergo a standard antibiotic treatment in an outpatient setting. The aim of this systematic review was to assess the safety and efficacy of the management of acute diverticulitis in...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,meta分析


    authors: Cirocchi R,Randolph JJ,Binda GA,Gioia S,Henry BM,Tomaszewski KA,Allegritti M,Arezzo A,Marzaioli R,Ruscelli P

    更新日期:2019-02-01 00:00:00

  • Robotic transanal total mesorectal excision: a pilot study.

    abstract:BACKGROUND:The introduction of transanal minimally invasive surgery (TAMIS) in 2009 allowed colorectal surgeons to approach transanal access with a different perspective. This has lead to the development of TAMIS for total mesorectal excision (TME). We have previously described robotic transanal TME and here report our...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Atallah S,Martin-Perez B,Pinan J,Quinteros F,Schoonyoung H,Albert M,Larach S

    更新日期:2014-11-01 00:00:00

  • Effectiveness of endosponge therapy for the management of presacral abscesses following rectal surgery.

    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


    authors: Huisman JF,van Westreenen HL,van der Wouden EJ,Vasen HFA,de Graaf EJR,Doornebosch PG,Tang TJ,Schot I,Brohet RM,de Vos Tot Nederveen Cappel WH,Vermaas M

    更新日期:2019-06-01 00:00:00

  • Emergency and elective surgery for small bowel Crohn's disease.

    abstract::Advancements in the medical treatment of Crohn's disease have reduced the need for surgery. The indications for surgery include the failure of medical management, especially the persistence or worsening of symptoms in spite of proper treatment and complications of the disease process. These complications include intes...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Kosmidis C,Anthimidis G

    更新日期:2011-10-01 00:00:00

  • Malone appendicostomy: an unexpected complication.

    abstract::The Malone appendicostomy is a novel option for surgical management of faecal incontinence and chronic constipation, by permitting the administration of antegrade colonic enemas for colonic evacuation. We report the case of a 54-year-old female who had undergone abdomino perineal resection for low rectal cancer follow...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Abbes Orabi N,Paterson HM,Goncette L,Danse E,Saey JP,Kartheuser A

    更新日期:2011-03-01 00:00:00

  • Robotic versus laparoscopic surgery for rectal cancer: a comparative cost-effectiveness study.

    abstract:BACKGROUND:The differences between the costs of robotic rectal resection and of the laparoscopic approach are still not well known. The aim of this study was to evaluate the cost-effectiveness of robotic versus laparoscopic surgery. METHODS:We conducted an observational, comparative, prospective, non-randomized study ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Quijano Y,Nuñez-Alfonsel J,Ielpo B,Ferri V,Caruso R,Durán H,Díaz E,Malavé L,Fabra I,Pinna E,Isernia R,Hidalgo Á,Vicente E

    更新日期:2020-03-01 00:00:00

  • Perioperative blood transfusion in cancer patients undergoing laparoscopic colorectal resection: risk factors and impact on survival.

    abstract:BACKGROUND:Perioperative blood transfusion has been associated with a poor prognosis in patients undergoing surgery for colorectal cancer. The aim of this study was to evaluate risk factors for blood transfusion and its impact on long-term outcome exclusively in patients undergoing laparoscopic surgery for curable colo...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Ghinea R,Greenberg R,White I,Sacham-Shmueli E,Mahagna H,Avital S

    更新日期:2013-10-01 00:00:00

  • Preoperative staging of perforated diverticulitis by computed tomography scanning.

    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


    authors: Gielens MP,Mulder IM,van der Harst E,Gosselink MP,Kraal KJ,Teng HT,Lange JF,Vermeulen J

    更新日期:2012-10-01 00:00:00

  • Ischemic colitis due to a dissecting aneurysm of the superior rectal artery.

    abstract::Ischemic injury to the bowel is a disease entity that has a wide spectrum of pathological and clinical findings. Patients with chronic ischemia present with colicky abdominal pain, obstructive symptoms and signs of ischemic colonic stricture. We reported the first case of ischemic colitis arising from a superior recta...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Liu HP,Chew MH,Ho KS,Tang CL

    更新日期:2013-06-01 00:00:00

  • Percutaneous nerve evaluation based on electrode placement under control of autonomic innervation.

    abstract:BACKGROUND:Foramen needle electrode placement for percutaneous nerve evaluation (PNE) is currently carried out while observing the somatic motor response. This study investigated electrode placement while observing the autonomic as well as the somatic response. METHODS:A consecutive series of ten patients (seven women...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Kneist W,Kauff DW,Schröder M,Koch KP,Lang H

    更新日期:2014-08-01 00:00:00

  • A systematic review comparing transanal haemorrhoidal de-arterialisation to stapled haemorrhoidopexy in the management of haemorrhoidal disease.

    abstract:BACKGROUND:The aim of this study was to systematically analyse the clinical trials on the effectiveness of transanal haemorrhoidal de-arterialisation (THD) and stapled haemorrhoidopexy (SH) in the management of haemorrhoidal disease (HD). METHODS:Clinical trials on the effectiveness of THD and SH in the management of ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,meta分析,评审


    authors: Sajid MS,Parampalli U,Whitehouse P,Sains P,McFall MR,Baig MK

    更新日期:2012-02-01 00:00:00

  • Screening for colorectal cancer using a quantitative immunochemical faecal occult blood test: a feasibility study in an Asian population.

    abstract:BACKGROUND:The quantitative immunochemical faecal occult blood test (qFOBT) has been shown to be an accurate method of identifying significant colorectal neoplasia including cancer and advanced adenomas. This study reports the results of a Singapore population-based colorectal cancer screening event using the qFOBT. M...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章


    authors: Fu WP,Kam MH,Ling WM,Ong SF,Suzannah N,Eu KW

    更新日期:2009-09-01 00:00:00

  • Mass screening for colorectal cancer: compliance in Almopea Region.

    abstract::Colorectal cancer (CRC) is the second leading cause of cancer-related morbidity and mortality in Europe and the United States. Planning for a CRC screening began in co-operation with local authorities (Pella Prefecture sponsored test kits). Our aims were to develop a screening programme for colorectal cancer using the...

    journal_title:Techniques in coloproctology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Chrissidis T,Saliangas K,Economou A,Nikoloudis N,Andreadis E,Prodromou K,Georgakis K

    更新日期:2004-11-01 00:00:00

  • Stapled versus handsewn methods for ileocolic anastomoses.

    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


    authors: Luglio G,Corcione F

    更新日期:2019-11-01 00:00:00

  • Correction to: Biological mesh extrusion months after laparoscopic ventral rectopexy.

    abstract::Unfortunately, the 2nd affiliation of Dr. M. Shalaby has been missed out in the original publication. The complete 2nd affiliation of the same is given below. ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,已发布勘误


    authors: Sileri P,Shalaby M

    更新日期:2018-10-01 00:00:00