Introduction: There is weak evidence that in patients with rectal cancer the distance from the anal verge of the lesion affects the postoperative and oncologic outcomes. Those with low rectal cancer would present higher rate of complications and worse oncologic prognosis. The aim of this study is to evaluate whether the distance from the anal verge of extraperitoneal rectal tumors affects the outcomes.
Methods and procedures: In this retrospective study, patients with extraperitoneal rectal t
Introduction: Osteopontin (OPN), also known as early T lymphocyte activation-1, is an integrin binding phosphorylated glycoprotein secreted by activated macrophages and leukocytes; it is found in extracellular fluids, sites of inflammation and in the bone marrow. Various forms of CD44 serve as receptors for OPN. OPN mediates cell-matrix and cell-cell communication to support adhesion and targeted migration. OPN, expressed by a number of cancers including colorectal cancer, enhances tumor progres
INTRODUCTION
The laparoscopic surgery for advanced transverse colon cancer is still controversial in terms of technical difficulty caused by anatomical complexity around duodenum and pancreas including vascular abnormalities of middle colic vessels.
We aim to describe in detail our ordered, sequential laparoscopic approach for advanced transverse colon cancer under total medial approach ensuring the theory of complete mesocolic excision and central vessels ligation.
PROCEDURES
We place five
INTRODUCTION
Patient portals have the potential to improve both quality and access to health care by enabling patients to communicate with their provider, access their medical records, schedule appointments, refill prescriptions, and pay bills. They can increase care efficiency by actively engaging patients and their families. Moreover, the adaption of patient portals fits a number of the meaningful use criteria for Stage 1 established by the Centers for Medicare and Medicaid Services. The goal
Objective: To report a personal case series of patients presenting with deep endometriosis of the rectum managed by combined laparoscopic-transanal/transvaginal full thickness disc excision of the rectum.
Methods: Patients managed using this procedure from June 2009 to September 2014 at Rouen University Hospital, France, were prospectively included in the series. The technique began by laparoscopic deep shaving of the rectum, followed by transanal full thickness disc excision of the shaved rect