Editor-in-Chief's top reasons to read the April 2021 issue.


As told by the authors themselves in less than 5 minutes, listen to their video abstracts as they point out their discoveries!


Transanal Total Mesorectal Excision in Mid-Low Rectal Cancer: Evaluation of the Learning Curve and Comparison of Short-term Results With Standard Laparoscopic Total Mesorectal Excision
Carefully performed study evaluating the taTME learning curve and comparison with lap TME - read it today in #DCRJournal!


Persistent High Rate of Positive Margins and Postoperative Complications After Surgery for cT4 Rectal Cancer at a National Level

Large population-based study of pts undergoing surgery for cT4 rectal cancer.


Size Criteria Is Not Sufficient in Selecting Patients for Local Excision Versus Radical Excision for Rectal Neuroendocrine Tumors >2 cm: A National Cancer Database Analysis

NCDB study evaluating local excision vs radical surgery for > 2 cm rectal NET.


Adverse Oncologic Outcomes of Adenocarcinoma of the Anal Canal in Patients With Crohn’s Disease
Significantly poorer oncologic outcomes were confirmed in Crohn’s disease–associated patients with large tumors. Thus, it is important to perform careful surveillance of anal lesions in patients with Crohn’s disease while taking these facts into consideration.


Long-term Follow-up, Patient Satisfaction, and Quality of Life for Patients With Kock’s Continent Ileostomy

Despite large numbers of complications, patients are generally satisfied with their continent ileostomies, and their quality of life is comparable to the general population. 


The Role of Autologous Flap Reconstruction in Patients with Crohn’s Disease Undergoing Abdominoperineal Resection 

In select patients who have severe perianal fistulizing Crohn’s disease, there may be a benefit to immediate flap reconstruction after abdominoperineal resection to lower postoperative wound care burden without significant intraoperative or postoperative risk. In addition, flap reconstruction may lead to lower postoperative pain.


Intersphincteric Exploration With Ligation of Intersphincteric Fistula Tract or Attempted Closure of Internal Opening for Acute Anorectal Abscesses

Fistula tract formation was found in most cases of acute anorectal abscesses. Definitive surgery using this strategy provides promising results. 


Modification of Parks Classification of Cryptoglandular Anal Fistula
Inclusion of predictors of poor outcome into the modified classification helped differentiate simple and complex fistulas within each stage and between the different stages, which can help in assessment and decision making for anal fistula. 


Assessing the Reliability and Positive Predictive Value of p16 as a Surrogate for Human Papillomavirus-Mediated E6/7 mRNA Expression in Squamous Cell Carcinoma of the Anal Canal

In this study, the clinically prevalent method of p16 immunohistochemistry showed excellent concordance with the standard of E6/7 mRNA expression and demonstrated its potential to serve as a surrogate for identifying human papillomavirus-induced squamous cell carcinoma of the anal canal. 


Randomized Pilot Study: Anal Inserts Versus Percutaneous Tibial Nerve Stimulation in Patients With Fecal Incontinence
Both anal insert and percutaneous tibial nerve stimulation improved the symptoms of fecal incontinence after 3 months of treatment. The insert device appeared to be more effective than percutaneous tibial nerve stimulation. Larger studies are needed to investigate this further. 


Effect of Deep Versus Moderate Neuromuscular Block on Pain After Laparoscopic Colorectal Surgery: A Randomized Clinical Trial
Deep neuromuscular block resulted in better pain relief and lower opioid consumption and use of rescue analgesics after laparoscopic colorectal surgery. Deep neuromuscular block was associated with less postoperative nausea and vomiting and facilitated the use of lower intra-abdominal pressure in laparoscopic surgery.  


Risk of Postoperative Venous Thromboembolism After Surgery for Colorectal Malignancy: A Systematic Review and Meta-analysis

The incidence of venous thromboembolism following colorectal cancer resection is high and remains so more than 1 month after surgery. There is clear disparity between the incidence of venous thromboembolism after colorectal cancer surgery by global region. More robust population studies are required to further investigate these geographical differences to determine valid regional incidence rates of venous thromboembolism following colorectal cancer resection.

Register for reporter access to contact details