Ricerc@Sapienza

No abstract available

Background: Minimally invasive surgery in elderly patients with colorectal cancer remains controversial. The study aimed to compare the operative, postoperative, and oncologic outcomes of robotic (robotic colorectal resection surgery [RCRS]) versus laparoscopic colorectal resection surgery (LCRS) in elderly patients with colorectal cancer. Methods: Propensity score matching (PSM) was used to compare patients aged 70 years and more undergoing elective RCRS or LCRS for colorectal cancer between 2010 and 2017.

PURPOSE:
About 30% of colorectal cancers (CRCs) present with acute symptoms. The adequacy of oncologic resections is a matter of concern since few authors reported that emergency surgery in these patients results in a lower lymph node harvest (LNH). In addition, emergency resections have been reported with a longer hospital stay and higher morbidity rate. We thus conducted a propensity score-matched analysis with the aim of investigating LNH in emergency specimens comparing with elective ones. Secondary aim was the comparison of morbidity and hospital stay.
METHODS:

Obiettivi: La Endoluminal Loco-Regional Resection tramite Microchirurgia Endoscopica Transanale (ELRR by TEM) può
rappresentare in pazienti selezionati con tumore del retto un opzione alternativa alla Total Mesorectal Excision Laparoscopica
(LTME). La valutazione della Qualità di Vita (QoL) è un importante parametro delle sequelae funzionali. In un precedente lavoro,
gli Autori hanno riportato i risultati a breve e medio termine della QoL in pazienti sottoposti a ELRR by TEM vs LTME. L’obiettivo

Background: The sentinel lymph node (SLN) mapping is widely used, during oncological surgery, for several type of tumors (Head
and Neck, Breast and Melanoma). This procedure can be performed by using both blue dyes and gamma ray-emitting radiotracers. However, both have disadvantages like the involvement of a nuclear medicine physician, or difficulty to identify nodes through fatty tissue.

Background: Anastomotic leakage still remains the most important surgical complication after colorectal surgery. The reported rate of anastomotic leak ranges from 3 to 20% and morbidity can be substantial, with an increased associated mortality of 6–22%.
Nowadays no intraoperative tests (as the hydropneumatic assessment) predictive of anastomotic continence are validated. Some factors influencing anastomotic leakage are reported in literature like colonic tension, vascularization and the execution of the proper anastomotic technique.

La mappatura del linfonodo sentinella (SLN) è largamente usata, in chirurgia oncologica, per numerosi tipi di tumori (TESTA E COLLO, MAMMELLA, MELANOMA).
Questa procedura può essere svolta con sostanze come il blu di metilene e radiotraccianti (Tecnezio99). Entrambi presentano svantaggi, legati alla difficoltà nell’identificazione dei linfonodi nel tessuto adiposo l’uno e nel coinvolgimento di un medico nucleare l’altro.
La ricerca del SLN è stata proposta per migliorare la stadiazione nei pazienti affetti da tumori del colon-retto.

Introduction: The optimal bowel preparation strategy to minimise the risk of anastomotic leak is yet to be determined. This study aimed to determine whether oral antibiotics combined with mechanical bowel preparation (MBP+Abx) was associated with a reduced risk of anastomotic leak when compared to mechanical bowel preparation alone (MBP) or no bowel preparation (NBP). Methods: A pre-planned analysis of the European Society of Coloproctology (ESCP) 2017 Left Sided Colorectal Resection audit was performed.