OBJECTIVE Serrated (hyperplastic) polyposis (SP) is a rare disorder with multiple colorectal hyperplastic polyps and often sessile serrated adenomas/polyps (SSA/P) or adenomas. Although associated with colorectal cancer, the course of SP is not well described. DESIGN 44 patients with SP were studied. The results of 146 colonoscopies with median follow-up of 2.0 years (range 0-30) and a median...

BACKGROUND To achieve an adequate visual working field during laparoscopic colorectal surgery without disturbance of the small intestine, patients are positioned in the Trendelenburg position. This position results in hemodynamic changes that may increase the risk of cardiopulmonary complications and prolonged hospital stay. Recently, an intraoperative retractor sponge was introduced as an alte...

The majority of patients with colorectal cancer present at a stage when the primary cancer can be resected with curative intent. However, despite the high resectability rate, about 30-50% of these patients subsequently develop metastatic disease. In these patients, neoplastic cells were disseminated either before or during surgery of the primary cancer. Due to the lack of appropriate detection ...

Morbidity after colorectal surgery can be reduced with intraoperative oesophageal Doppler monitor (ODM) guided fluid therapy. We audited the effect of introducing ODM-guided fluid therapy in enhanced recovery laparoscopic colorectal surgery. ODM group (n = 40) outcomes (toleration of diet, Post Operative Morbidity Survery (POMS) score, complications) were compared to matched patients (n = 40) w...

Colorectal cancer is one of the most common malignant diseases [1]. Fifteen to twenty-five percent of patients with colon carcinoma show liver metastases at the time of diagnosis [2]. Furthermore, the same number of patients develops metachronous liver metastases. Development of multimodal strategies combining chemotherapy, targeted therapies (e.g. AB, SMI) and surgery lead to wider curative th...

Department of General and Vascular Surgery, Hospital in Wejherowo1 Department of Cardiac and Vascular Surgery, Medical University in Gdańsk2 Department of General, Oncological and Gastroenterological Surgery, Jagiellonian University in Cracow3 Department of General and Colorectal Surgery, Medical University in Łódź4 Department of General, Gastrointestinal and Oncological Surgery of the Alimenta...

background: clinical and epidemiological variation was seen between the colon cancer (cc) and rectum cancer (rc). so, there is not so much data available about the epidemiological and clinicopathological differences and prognostic factors regarding to cc and cr in iran, we aimed to perform this study. methods: all cases of cc and rc referred to oncology and gastroenterology wards of taleghani g...

Objective: From the viewpoint of surgery, this study examined the effects of colorectal endoscopic submucosal dissection (ESD) on treatment for Tis carcinoma over the past 10 years since the technique was adopted. Materials and methods: Among the 3,826 colorectal cancer patients treated at Juntendo University within the 20-year period between 1996 and 2015. The total number of colorectal ESD pe...

Objective: The aim of this study is to identify the association between early postoperative troponin elevations and outcomes after major colorectal surgery. Background: Myocardial infarction is the leading cause of death after noncardiac surgery. Most postoperative myocardial infarctions are clinically silent, and asymptomatic troponin elevations have the same early mortality as symptomatic inf...

Aim. Robotic colorectal surgery may be a way to overcome the limitations of laparoscopic surgery. It is an emerging field; so, we aim in this paper to provide a comprehensive and data analysis of the available literature on the use of robotic technology in colorectal surgery. Method. A comprehensive systematic search of electronic databases was completed for the period from 2000 to 2011. Studie...