for infiltrating endometriosis of the rectum.
The effect of BMI on outcomes in proctectomy
. Dis Colon Rectum 2014; 57: 608-15.
Prostate Cancer Screening Harms Versus Benefits Harms Benefits * Overdiagnosis * Early detection and ** Unnecessary biopsy treatment of prostate --Side effects: pain, cancer (especially in high- hematospermia, infection risk individuals) ** Leads to over-treatment: * Prevention: --Radiation therapy ** Death by prostate --Radical proctectomy
cancer * Over-treatment: ** Metastatic cancer ** Side effects: Erectile dysfunction, urinary incontinence, abnormal bowel symptoms (bowel urgency & fecal incontinence) * Psychological stress and anxiety * The increased amount of false-positives for PSA testing levels Sources: American Urological Association, 2019; Carter et al., 2013; U.S.
Robotic versus Laparoscopic Proctectomy
for Rectal Cancer: A Meta-analysis.
surgery may be required when rectal involvement is apparent and when refractory remains despite the medical therapy and the application of limited surgical interventions.
Case-matched comparison of robotic versus laparoscopic proctectomy
for inflammatory bowel disease.
After a mean follow-up of 9.4 years, 51% of the patients were healed, 9% had an open fistula, and 40% underwent proctectomy
. These results could also reflect the natural history of perianal Crohn's disease before the wide spread of new treatments (e.g., immunomodulators and anti-TNF), which are likely to change the natural course of the disease.
Not surprisingly, we admitted that laparoscopic proctectomy
is a challenging particularly with bulky tumors in males with narrow pelvis and required complicated maneuvers to reach the extremes of the pelvis.
Araujo et al., "Incidence and management of perineal hernia after laparoscopic proctectomy
," Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, vol.
Treatment patterns included type of surgery (partial, subtotal, or total colectomy or proctectomy
), number of lymph nodes examined (0,1-11, or [greater than or equal to]12), receipt of chemotherapy, and receipt of radiation therapy (among rectal cancer patients only).
Randomized clinical trial of early versus delayed temporary stoma closure after proctectomy
. Br J Surg 2008; 95: 693-8.
Most people man laparoscopic colectomy and then open proctectomy
and pouch formation via a pfannensteil.