The British journal of surgery
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The aim was to evaluate the applicability of laparoscopic surgery in the treatment of primary rectal cancer in a training unit. ⋯ Supervised trainees can perform routine laparoscopic rectal cancer resection.
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Randomized Controlled Trial Multicenter Study
Randomized clinical trial of postoperative chewing gum versus standard care after colorectal resection.
Chewing gum may stimulate gastrointestinal motility, with beneficial effects on postoperative ileus suggested in small studies. The primary aim of this trial was to determine whether chewing gum reduces length of hospital stay (LOS) after colorectal resection. Secondary aims included examining bowel habit symptoms, complications and healthcare costs. ⋯ ISRCTN55784442 (http://www.controlled-trials.com).
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Leaks following oesophagectomy include true anastomotic leaks, leaks from the gastrotomy and gastric conduit necrosis. Historically, these complications were associated with high mortality rates. Recent improvements in outcome have been attributed to the wider use of oesophageal stents in patient management. This study examined outcomes of patients who developed a leak in a single high-volume institution that did not use stenting as a primary treatment modality. ⋯ Leaks can be managed with excellent outcomes without using oesophageal stents. The results do not support the widespread adoption of endoscopic stenting.