Colorectal malignant growth is a disease that begins in the colon
or the rectum. These malignant growths can likewise be named
colon disease or rectal malignant growth, contingent upon where
they begin. Colon malignant growth and rectal disease are regularly gathered together collectively as they share same features.
CRC is the third most generally analysed malignant growth in
men and the second in women, with 1.8 million new cases and
very nearly 861,000 deaths in 2018 as indicated by the World
Health Organization [1-15]. Throughout the decade, open medical procedure was considered the far reaching and Objective standard for treatment and medical procedure of colorectal malignant
growth. The point of careful treatment is tumour size, lymphatic
waste, lymph node resection alongside clear careful edges [
Colorectal cancer is a major health problem worldwide. Screening is crucial for early detection and improved outcomes, with various tests available like fecal occult blood tests. Treatment involves surgery, with laparoscopic techniques now standard and robotic surgery showing promise. For rectal cancer, total mesorectal excision or organ preservation approaches are used depending on stage, along with potential neoadjuvant chemoradiation. Ongoing research continues to refine screening strategies and surgical techniques to further enhance colorectal cancer management.
This study aimed to compare the overall and disease specific survivals of patients who underwent laparoscopic and open resection of colorectal cancer in a high volume tertiary center.
Robot-assisted versus open radical hysterectomy: A multi-institutional experi...flasco_org
This study compared outcomes of 491 early-stage cervical cancer patients who underwent either robot-assisted radical hysterectomy (RRH, n=259) or open radical hysterectomy (ORH, n=232) across three institutions. The study found that patients who received RRH had significantly less estimated blood loss, shorter hospital stays, and fewer intra-operative complications compared to ORH patients. Disease recurrence and survival rates were similar between the two groups. Overall, RRH resulted in improved clinical outcomes for early-stage cervical cancer patients compared to ORH.
This survey of Ontario general surgeons found that while most rated breast cosmesis as important, only around half reported using oncoplastic techniques for breast-conserving surgery. Surgeons who performed over 50% breast surgery were more likely to use oncoplastic techniques and involve plastic surgeons. For surgeons not using oncoplastic techniques, lack of training and access to plastic surgeons were significant barriers. For those using techniques, lack of appropriate billing codes was a limiting factor. Adopting oncoplastic techniques may improve cosmetic outcomes for breast cancer patients undergoing conservation surgery.
Upper Rectal Cancer: Benefit After Preoperative Chemoradiation Versus Upfront...daranisaha
Upper rectal cancer management is controversial. The present series reports the outcomes of treatment comparing neoadjuvant chemoradiation (NCRT) versus upfront surgery.
Upper Rectal Cancer: Benefit After Preoperative Chemoradiation Versus Upfront...JohnJulie1
Upper rectal cancer management is controversial. The present series reports the outcomes of treatment comparing neoadjuvant chemoradiation (NCRT) versus upfront surgery.
Upper Rectal Cancer: Benefit After Preoperative Chemoradiation Versus Upfront...eshaasini
Upper rectal cancer management is controversial. The present series reports the outcomes of treatment comparing neoadjuvant chemoradiation (NCRT) versus upfront surgery.
Upper Rectal Cancer: Benefit After Preoperative Chemoradiation Versus Upfront...semualkaira
Upper rectal cancer management is controversial. The present series reports the outcomes of treatment comparing neoadjuvant chemoradiation (NCRT) versus upfront surgery.
Colorectal cancer is a major health problem worldwide. Screening is crucial for early detection and improved outcomes, with various tests available like fecal occult blood tests. Treatment involves surgery, with laparoscopic techniques now standard and robotic surgery showing promise. For rectal cancer, total mesorectal excision or organ preservation approaches are used depending on stage, along with potential neoadjuvant chemoradiation. Ongoing research continues to refine screening strategies and surgical techniques to further enhance colorectal cancer management.
This study aimed to compare the overall and disease specific survivals of patients who underwent laparoscopic and open resection of colorectal cancer in a high volume tertiary center.
Robot-assisted versus open radical hysterectomy: A multi-institutional experi...flasco_org
This study compared outcomes of 491 early-stage cervical cancer patients who underwent either robot-assisted radical hysterectomy (RRH, n=259) or open radical hysterectomy (ORH, n=232) across three institutions. The study found that patients who received RRH had significantly less estimated blood loss, shorter hospital stays, and fewer intra-operative complications compared to ORH patients. Disease recurrence and survival rates were similar between the two groups. Overall, RRH resulted in improved clinical outcomes for early-stage cervical cancer patients compared to ORH.
This survey of Ontario general surgeons found that while most rated breast cosmesis as important, only around half reported using oncoplastic techniques for breast-conserving surgery. Surgeons who performed over 50% breast surgery were more likely to use oncoplastic techniques and involve plastic surgeons. For surgeons not using oncoplastic techniques, lack of training and access to plastic surgeons were significant barriers. For those using techniques, lack of appropriate billing codes was a limiting factor. Adopting oncoplastic techniques may improve cosmetic outcomes for breast cancer patients undergoing conservation surgery.
Upper Rectal Cancer: Benefit After Preoperative Chemoradiation Versus Upfront...daranisaha
Upper rectal cancer management is controversial. The present series reports the outcomes of treatment comparing neoadjuvant chemoradiation (NCRT) versus upfront surgery.
Upper Rectal Cancer: Benefit After Preoperative Chemoradiation Versus Upfront...JohnJulie1
Upper rectal cancer management is controversial. The present series reports the outcomes of treatment comparing neoadjuvant chemoradiation (NCRT) versus upfront surgery.
Upper Rectal Cancer: Benefit After Preoperative Chemoradiation Versus Upfront...eshaasini
Upper rectal cancer management is controversial. The present series reports the outcomes of treatment comparing neoadjuvant chemoradiation (NCRT) versus upfront surgery.
Upper Rectal Cancer: Benefit After Preoperative Chemoradiation Versus Upfront...semualkaira
Upper rectal cancer management is controversial. The present series reports the outcomes of treatment comparing neoadjuvant chemoradiation (NCRT) versus upfront surgery.
Upper Rectal Cancer: Benefit After Preoperative Chemoradiation Versus Upfront...NainaAnon
Upper rectal cancer management is controversial. The present series reports the outcomes of treatment comparing neoadjuvant chemoradiation (NCRT) versus upfront surgery.
Clinics of Oncology | Oncology Journals | Open Access JournalEditorSara
Clinics of OncologyTM (ISSN 2640-1037) - Impact Factor 1.920* is a medical specialty that focuses on the use of operative techniques to investigate and resolve certain medical conditions caused by disease or traumatic injury.
Upper Rectal Cancer: Benefit After Preoperative Chemoradiation Versus Upfront...semualkaira
In this retrospective study we enrolled patients with upper rectal or sigmoid junction locally advanced tumors (stages II-III). At the first Institution patients received NCRT followed by surgery (study group); at the second Institution patients were referred to upfront surgery (control group). Overall survival was the main endpoint of the analysis. Local relapse and other clinical variables were also analyzed.
Treatment options for HCC a combined hospital experiencewael mansy
This document summarizes treatment options for hepatocellular carcinoma (HCC) based on a study of 50 patients in Egypt. It describes the following treatment modalities: liver resection, living donor liver transplantation, radiofrequency ablation, and transarterial chemoembolization. For each treatment, it provides details on patient selection criteria, procedures, short and long-term follow-up protocols, complications, and treatment outcomes including mortality rates. The overall findings were that radiofrequency ablation and liver resection had comparable results for small HCC lesions, while transarterial chemoembolization was useful for unfit patients. Liver transplantation provided the best outcome for patients meeting criteria.
This document summarizes imaging techniques for colorectal cancer, including double-contrast barium enema, colonoscopy, and CT colonography (virtual colonoscopy). It discusses the benefits and limitations of each technique. For CT colonography, it reviews literature on its accuracy in detecting polyps and cancers in screening populations. Key factors that influence CT colonography results like bowel preparation, insufflation method, and image viewing technique are also summarized. The document concludes that further standardization of the CT colonography technique and additional large clinical trials are needed to establish it as a screening tool.
Nowadays the problem of surgical treatment of Colorectal
Cancer (CRC) is becoming very important due to the high speed of increasing morbidity and mortality, which is registered almost in all economically developed countries in the world [1,2]. In 2012, more than one million new cases of CRC were detected on our planet and about half a million people died from this disease [1]. On the territory of Russia, a primary diagnosis of colorectal cancer is annually established in 6000 people, with the highest incidence rates in the North-West region (St. Petersburg and Leningrad region), where in the general structure of oncopathology, colorectal cancer is in the second
Current evidence for laparoscopic surgery in colorectal cancersApollo Hospitals
This article reviews the current evidence for laparoscopic surgery in treating colorectal cancers. It discusses several large randomized controlled trials that compared short-term and long-term outcomes of laparoscopic versus open surgery. The trials found no significant differences in cancer recurrence rates, survival rates, or number of lymph nodes retrieved between the two surgical methods. Meta-analyses of the trials validated that laparoscopic surgery is as safe and effective as open surgery for treating colorectal cancer. While the laparoscopic approach has benefits like less blood loss and shorter hospital stays, long-term oncologic outcomes are comparable to open surgery.
Living Donor Liver Transplantation in Hepatocellular Carcinoma: How Far Can W...semualkaira
The expansion in Liver Transplantation (LT) selection criteria for
Hepatocellular Carcinoma (HCC) has shown acceptable results in
survival rate and tumor recurrence. Historical analysis of the results shows that the path taken so far is correct; however, there
are still doubts about the limit of this expansion. The acquisition
of new selection tools that measure the biological behavior of the
tumor, instead of the historic and simple preoperative morphological analysis, has been gaining strength in this expansion. In this
context, analyzing the ethical perspective in the use of grafts from
living donors is essential in order to seek a risk vs. benefit balance
for both donor and recipient.
Establishment of a Rehabilitation Clinic for Colorectal Cancer. Will it End P...daranisaha
Colorectal cancer (CRC) is the third most common diagnosis and the second most lethal malignancy in both men and women.
To establish a rehabilitation clinic in the oncology department in hospitals and address its positive effect on colorectal cancer patients’ need.
Managment Of Long Term Care In Era Covid-19komalicarol
COVID-19 gives the chance to address long-term care categories
that are sometimes disregarded and undervalued, such as nursing
and residential homes, as well as homecare. Each method of delivering long-term care must meet the highest possible standards
of ongoing care and quality of life. More study and evaluation are
needed to aid decision-making and policy-making, particularly on
the cost-effectiveness and cost-quality elements for each country,
region, or system.
Renal failure and Quality ofLlife Indicators in Kidney Transplantationkomalicarol
This article discusses quality of life indicators for patients undergoing kidney transplantation. It reviews several tools used to measure quality of life, including the SF-36, EQ-5D, and KDQOL questionnaires. Overall quality of life is generally improved after a successful kidney transplant compared to dialysis. However, factors like side effects of immunosuppressive drugs and the risk of rejection can still impact quality of life. The article concludes that while transplantation is associated with lower mortality and better quality of life than long-term dialysis, certain patient and treatment factors must be considered when evaluating individual quality of life outcomes.
A case of childhood Burkitt's lymphoma with gingival swelling as the first sy...komalicarol
This case report describes a 4-year-old child who presented with gingival swelling as the initial symptom of Burkitt's lymphoma. The child was eventually diagnosed with stage IV Burkitt's lymphoma/leukemia based on bone marrow and genetic testing. After initial chemotherapy, the gingival swelling and right cheek swelling recurred, indicating disease recurrence. The child received further chemotherapy but ultimately passed away half a year later. This case highlights that gingival swelling can be an early oral symptom of systemic disease like Burkitt's lymphoma. Dentists and oral physicians play an important role in identifying signs of systemic conditions through oral examinations.
Neuropsychiatric Profiles of Brivaracetam: A Literature Reviewkomalicarol
Anti-seizure medications (ASMs) can cause cognitive or behavioral adverse drug reactions, which is a significant consideration
when selecting an appropriate ASM. Brivaracetam (BRV) is a
newer synaptic vesicle protein 2A ligand, which is expected to
have less neuropsychiatric adverse effects due to its mechanism of
action. To understand the impact of BRV on cognition and behavior compared with other ASMs, we conducted literatures searching
from PubMed and MEDLINE databases. After the screening process, a total of two animal studies, one randomized controlled trial, one pooled-analysis of clinical trials, one controlled study and
nine observational studies were included. Animal studies showed
that BRV did not worsen cognition or behavior performance in rodents. Human studies showed that BRV had less cognitive adverse
events compared with other second or third generation ASMs. In
addition, currently available evidence suggests that behavioral disturbance is less common with BRV compared with levetiracetam.
This review revealed that BRV has a limited impact on cognition
and behavior. For patients who are intolerant to levetiracetam
and have levetiracetam-related behavioral side effects, switching
to BRV could be beneficial. However, the heterogeneity between
studies makes the quality of the evidence weak and further trials
are needed to confirm the findings.
Clinical and evolutionary features of SARS CoV-2 infection (COVID-19) in chil...komalicarol
Starting with December 2019 the medical world has faced a
new challenge as a consequence of a new type of coronavirus-2019-nCoV, similar to several familiar strains that determine
a comparable symptomatology (SARS- severe acute respiratory syndrome, MERS- Middle East severe acute respiratory syndrome), subsequently named SARS CoV-2, while the disease it
causes- COVID-19. The virus is of animal origin and through an
intermediate host (probably also a mammal) it suffered genetic
changes thus acquiring human cells receptors. In consequence,
SARS CoV-2 virus affects both children and even more frequently where it determines more severe clinical forms of disease. In
children, COVID-19 has various clinical forms, from asymptomatic ones to severe ones, complicated by multisystem inflammatory
syndrome (MIS-C Multisystem Inflammatory Syndrome – Child
or PIMS - TS (Paediatric Multisystem Inflammatory Syndrome
temporally associated with COVID-19) that sometimes can lead
to death
Viral load and antibody responses in an asymptomatic/minimally symptomatic SA...komalicarol
Asymptomatic patients with severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2), are silent carriers of the disease. We
aimed to characterize their dynamics of disease occurrence, viral
shedding and antibody responses using a cohort of asymptomatic/
minimally symptomatic patients from Sri Lanka during the first
wave of COVID-19.
Vonlay; A paradigm shift in post endodontic restoration: A case report.komalicarol
Porcelain veneers have long been a popular restorative option that
have evolved into a well- accepted treatment that can be fabricated
in various ways. Onlays are another common treatment modality
used in contemporary dentistry to restore large areas of decay and
to replace old restorations. With the availability of newer highstrength materials such as lithium disilicate and processing technologies like CAD/CAM and heat pressing, dental professionals
are now able to produce highly esthetic, high-strength restorations
that blend seamlessly with the natural dentition while also withstanding posterior occlusal forces. A tooth more complex restoration is required after endodontic treatment when compared to normal tooth restoration, because of factors such as extensive caries,
post-treatment root canal dentin and even the economics condition
of the patient.One such design proposed by Dr.Ronald E Goldstein
is “Veenerlay”or “Vonlay”. Vonlay is a blend of an onlay with an
extended buccal veneer surface for use in premolar region, where
there is sufficient enamel present to bond. This restorative option
requires a much less invasive preparation than a full coverage
crown but provides the same structural benefits. Thus, the aim of
this case report is to present a case of Vonlay following endodontic
treatement of lower mandibular premol
A COVID Journey in Diabetes: T1D Diabetes Patient 44 years - Winning in Insul...komalicarol
Complications of Hypoglycaemia, Hypoglycaemia
and Neuroglycopenia are often encountered by patients treated
with insulin. It is feared by patients and families often leading to
emotional and mental scars and can affect lifestyle and confidence.
Hypoglycaemia can occur in premature babies, persons with hypopituitarism and Addison’s Disease. Low blood glucose can affect
athletes and the elderly leading to falls. Cases are individual and
often difficult for families, clinicians, lawyers and courts to understand.
Loops Around the Heart – A Giant Snakelike Right Coronary Artery Ectasia with...komalicarol
Coronary artery dilatation is an uncommon finding and is incidentally found during diagnostic coronary angiography or at necropsy.
The pathogenesis of dilatation of coronary arteries is still not very
well understood and therapeutic strategies are not clear. It is useful to know the difference between aneurysm and ectasia. In this
report we demonstrate the diagnostic workup of an asymptomatic
patient with a remarkable snakelike dilatation of the right coronary
artery with unique convolute. For the first time we used intracoronary injection and simultaneous echocardiographic visualization
of contrast agent (Sonovue) to proof a fistula to the coronary sinus.
Like our patient, most of the patients are asymptomatic in absence
of coronary artery disease and we decided on a conservative approach because of his very complex anatomy
Skull Metastasis From Papillary Thyroid Carcinoma : Case Report and Literatur...komalicarol
Although papillary thyroid carcinoma is a relatively common form of malignancy, metastatic spread to the skull
is exceptional. Here, we report a case of papillary thyroid carcinoma revealed by frontal skull metastasis.
Diabetes and Covid-19 Pandemic - A T1 Patient Perspective - Derek C Beattykomalicarol
A patient treated and cared for by NHS Scotland and NHS England
the author has in his 44 years T1D Diabetes journey experienced
surgery provided by the NHS by way of Vitrectomy, Ophthalmic
laser and correction, and Orthopedic knee correction following
a balance issue associated with IV antibiotic treatment for Otitis
Externa and Osteomyelitis associated with long term T1 Diabetes
with neuropathy. Interestingly IV antibiotic treatment led to glycemic issues offering explanation as to why on occasion glycaemia
abnormalities can occur with antibiotic treatment for infection.
Growth Charts-Curves of Children's Height - How to Construct Themkomalicarol
A person born in 1990, for example, grew to one year old on his/
her birth day in 1991 and 17 years old in 2007. No one grows
to their 17 or 20 years old instantaneously. It takes a long-capricious time of mental and physical activities to grow. As regards
children’s milk consumption, for example, school lunch programs
were put into in practice on national scale only in the late 1990s.
Those in their late adolescence in 2007 were not the beneficiaries
of free milk, when they were in primary school.
Upper Rectal Cancer: Benefit After Preoperative Chemoradiation Versus Upfront...NainaAnon
Upper rectal cancer management is controversial. The present series reports the outcomes of treatment comparing neoadjuvant chemoradiation (NCRT) versus upfront surgery.
Clinics of Oncology | Oncology Journals | Open Access JournalEditorSara
Clinics of OncologyTM (ISSN 2640-1037) - Impact Factor 1.920* is a medical specialty that focuses on the use of operative techniques to investigate and resolve certain medical conditions caused by disease or traumatic injury.
Upper Rectal Cancer: Benefit After Preoperative Chemoradiation Versus Upfront...semualkaira
In this retrospective study we enrolled patients with upper rectal or sigmoid junction locally advanced tumors (stages II-III). At the first Institution patients received NCRT followed by surgery (study group); at the second Institution patients were referred to upfront surgery (control group). Overall survival was the main endpoint of the analysis. Local relapse and other clinical variables were also analyzed.
Treatment options for HCC a combined hospital experiencewael mansy
This document summarizes treatment options for hepatocellular carcinoma (HCC) based on a study of 50 patients in Egypt. It describes the following treatment modalities: liver resection, living donor liver transplantation, radiofrequency ablation, and transarterial chemoembolization. For each treatment, it provides details on patient selection criteria, procedures, short and long-term follow-up protocols, complications, and treatment outcomes including mortality rates. The overall findings were that radiofrequency ablation and liver resection had comparable results for small HCC lesions, while transarterial chemoembolization was useful for unfit patients. Liver transplantation provided the best outcome for patients meeting criteria.
This document summarizes imaging techniques for colorectal cancer, including double-contrast barium enema, colonoscopy, and CT colonography (virtual colonoscopy). It discusses the benefits and limitations of each technique. For CT colonography, it reviews literature on its accuracy in detecting polyps and cancers in screening populations. Key factors that influence CT colonography results like bowel preparation, insufflation method, and image viewing technique are also summarized. The document concludes that further standardization of the CT colonography technique and additional large clinical trials are needed to establish it as a screening tool.
Nowadays the problem of surgical treatment of Colorectal
Cancer (CRC) is becoming very important due to the high speed of increasing morbidity and mortality, which is registered almost in all economically developed countries in the world [1,2]. In 2012, more than one million new cases of CRC were detected on our planet and about half a million people died from this disease [1]. On the territory of Russia, a primary diagnosis of colorectal cancer is annually established in 6000 people, with the highest incidence rates in the North-West region (St. Petersburg and Leningrad region), where in the general structure of oncopathology, colorectal cancer is in the second
Current evidence for laparoscopic surgery in colorectal cancersApollo Hospitals
This article reviews the current evidence for laparoscopic surgery in treating colorectal cancers. It discusses several large randomized controlled trials that compared short-term and long-term outcomes of laparoscopic versus open surgery. The trials found no significant differences in cancer recurrence rates, survival rates, or number of lymph nodes retrieved between the two surgical methods. Meta-analyses of the trials validated that laparoscopic surgery is as safe and effective as open surgery for treating colorectal cancer. While the laparoscopic approach has benefits like less blood loss and shorter hospital stays, long-term oncologic outcomes are comparable to open surgery.
Living Donor Liver Transplantation in Hepatocellular Carcinoma: How Far Can W...semualkaira
The expansion in Liver Transplantation (LT) selection criteria for
Hepatocellular Carcinoma (HCC) has shown acceptable results in
survival rate and tumor recurrence. Historical analysis of the results shows that the path taken so far is correct; however, there
are still doubts about the limit of this expansion. The acquisition
of new selection tools that measure the biological behavior of the
tumor, instead of the historic and simple preoperative morphological analysis, has been gaining strength in this expansion. In this
context, analyzing the ethical perspective in the use of grafts from
living donors is essential in order to seek a risk vs. benefit balance
for both donor and recipient.
Establishment of a Rehabilitation Clinic for Colorectal Cancer. Will it End P...daranisaha
Colorectal cancer (CRC) is the third most common diagnosis and the second most lethal malignancy in both men and women.
To establish a rehabilitation clinic in the oncology department in hospitals and address its positive effect on colorectal cancer patients’ need.
Managment Of Long Term Care In Era Covid-19komalicarol
COVID-19 gives the chance to address long-term care categories
that are sometimes disregarded and undervalued, such as nursing
and residential homes, as well as homecare. Each method of delivering long-term care must meet the highest possible standards
of ongoing care and quality of life. More study and evaluation are
needed to aid decision-making and policy-making, particularly on
the cost-effectiveness and cost-quality elements for each country,
region, or system.
Renal failure and Quality ofLlife Indicators in Kidney Transplantationkomalicarol
This article discusses quality of life indicators for patients undergoing kidney transplantation. It reviews several tools used to measure quality of life, including the SF-36, EQ-5D, and KDQOL questionnaires. Overall quality of life is generally improved after a successful kidney transplant compared to dialysis. However, factors like side effects of immunosuppressive drugs and the risk of rejection can still impact quality of life. The article concludes that while transplantation is associated with lower mortality and better quality of life than long-term dialysis, certain patient and treatment factors must be considered when evaluating individual quality of life outcomes.
A case of childhood Burkitt's lymphoma with gingival swelling as the first sy...komalicarol
This case report describes a 4-year-old child who presented with gingival swelling as the initial symptom of Burkitt's lymphoma. The child was eventually diagnosed with stage IV Burkitt's lymphoma/leukemia based on bone marrow and genetic testing. After initial chemotherapy, the gingival swelling and right cheek swelling recurred, indicating disease recurrence. The child received further chemotherapy but ultimately passed away half a year later. This case highlights that gingival swelling can be an early oral symptom of systemic disease like Burkitt's lymphoma. Dentists and oral physicians play an important role in identifying signs of systemic conditions through oral examinations.
Neuropsychiatric Profiles of Brivaracetam: A Literature Reviewkomalicarol
Anti-seizure medications (ASMs) can cause cognitive or behavioral adverse drug reactions, which is a significant consideration
when selecting an appropriate ASM. Brivaracetam (BRV) is a
newer synaptic vesicle protein 2A ligand, which is expected to
have less neuropsychiatric adverse effects due to its mechanism of
action. To understand the impact of BRV on cognition and behavior compared with other ASMs, we conducted literatures searching
from PubMed and MEDLINE databases. After the screening process, a total of two animal studies, one randomized controlled trial, one pooled-analysis of clinical trials, one controlled study and
nine observational studies were included. Animal studies showed
that BRV did not worsen cognition or behavior performance in rodents. Human studies showed that BRV had less cognitive adverse
events compared with other second or third generation ASMs. In
addition, currently available evidence suggests that behavioral disturbance is less common with BRV compared with levetiracetam.
This review revealed that BRV has a limited impact on cognition
and behavior. For patients who are intolerant to levetiracetam
and have levetiracetam-related behavioral side effects, switching
to BRV could be beneficial. However, the heterogeneity between
studies makes the quality of the evidence weak and further trials
are needed to confirm the findings.
Clinical and evolutionary features of SARS CoV-2 infection (COVID-19) in chil...komalicarol
Starting with December 2019 the medical world has faced a
new challenge as a consequence of a new type of coronavirus-2019-nCoV, similar to several familiar strains that determine
a comparable symptomatology (SARS- severe acute respiratory syndrome, MERS- Middle East severe acute respiratory syndrome), subsequently named SARS CoV-2, while the disease it
causes- COVID-19. The virus is of animal origin and through an
intermediate host (probably also a mammal) it suffered genetic
changes thus acquiring human cells receptors. In consequence,
SARS CoV-2 virus affects both children and even more frequently where it determines more severe clinical forms of disease. In
children, COVID-19 has various clinical forms, from asymptomatic ones to severe ones, complicated by multisystem inflammatory
syndrome (MIS-C Multisystem Inflammatory Syndrome – Child
or PIMS - TS (Paediatric Multisystem Inflammatory Syndrome
temporally associated with COVID-19) that sometimes can lead
to death
Viral load and antibody responses in an asymptomatic/minimally symptomatic SA...komalicarol
Asymptomatic patients with severe acute respiratory syndrome
coronavirus 2 (SARS-CoV-2), are silent carriers of the disease. We
aimed to characterize their dynamics of disease occurrence, viral
shedding and antibody responses using a cohort of asymptomatic/
minimally symptomatic patients from Sri Lanka during the first
wave of COVID-19.
Vonlay; A paradigm shift in post endodontic restoration: A case report.komalicarol
Porcelain veneers have long been a popular restorative option that
have evolved into a well- accepted treatment that can be fabricated
in various ways. Onlays are another common treatment modality
used in contemporary dentistry to restore large areas of decay and
to replace old restorations. With the availability of newer highstrength materials such as lithium disilicate and processing technologies like CAD/CAM and heat pressing, dental professionals
are now able to produce highly esthetic, high-strength restorations
that blend seamlessly with the natural dentition while also withstanding posterior occlusal forces. A tooth more complex restoration is required after endodontic treatment when compared to normal tooth restoration, because of factors such as extensive caries,
post-treatment root canal dentin and even the economics condition
of the patient.One such design proposed by Dr.Ronald E Goldstein
is “Veenerlay”or “Vonlay”. Vonlay is a blend of an onlay with an
extended buccal veneer surface for use in premolar region, where
there is sufficient enamel present to bond. This restorative option
requires a much less invasive preparation than a full coverage
crown but provides the same structural benefits. Thus, the aim of
this case report is to present a case of Vonlay following endodontic
treatement of lower mandibular premol
A COVID Journey in Diabetes: T1D Diabetes Patient 44 years - Winning in Insul...komalicarol
Complications of Hypoglycaemia, Hypoglycaemia
and Neuroglycopenia are often encountered by patients treated
with insulin. It is feared by patients and families often leading to
emotional and mental scars and can affect lifestyle and confidence.
Hypoglycaemia can occur in premature babies, persons with hypopituitarism and Addison’s Disease. Low blood glucose can affect
athletes and the elderly leading to falls. Cases are individual and
often difficult for families, clinicians, lawyers and courts to understand.
Loops Around the Heart – A Giant Snakelike Right Coronary Artery Ectasia with...komalicarol
Coronary artery dilatation is an uncommon finding and is incidentally found during diagnostic coronary angiography or at necropsy.
The pathogenesis of dilatation of coronary arteries is still not very
well understood and therapeutic strategies are not clear. It is useful to know the difference between aneurysm and ectasia. In this
report we demonstrate the diagnostic workup of an asymptomatic
patient with a remarkable snakelike dilatation of the right coronary
artery with unique convolute. For the first time we used intracoronary injection and simultaneous echocardiographic visualization
of contrast agent (Sonovue) to proof a fistula to the coronary sinus.
Like our patient, most of the patients are asymptomatic in absence
of coronary artery disease and we decided on a conservative approach because of his very complex anatomy
Skull Metastasis From Papillary Thyroid Carcinoma : Case Report and Literatur...komalicarol
Although papillary thyroid carcinoma is a relatively common form of malignancy, metastatic spread to the skull
is exceptional. Here, we report a case of papillary thyroid carcinoma revealed by frontal skull metastasis.
Diabetes and Covid-19 Pandemic - A T1 Patient Perspective - Derek C Beattykomalicarol
A patient treated and cared for by NHS Scotland and NHS England
the author has in his 44 years T1D Diabetes journey experienced
surgery provided by the NHS by way of Vitrectomy, Ophthalmic
laser and correction, and Orthopedic knee correction following
a balance issue associated with IV antibiotic treatment for Otitis
Externa and Osteomyelitis associated with long term T1 Diabetes
with neuropathy. Interestingly IV antibiotic treatment led to glycemic issues offering explanation as to why on occasion glycaemia
abnormalities can occur with antibiotic treatment for infection.
Growth Charts-Curves of Children's Height - How to Construct Themkomalicarol
A person born in 1990, for example, grew to one year old on his/
her birth day in 1991 and 17 years old in 2007. No one grows
to their 17 or 20 years old instantaneously. It takes a long-capricious time of mental and physical activities to grow. As regards
children’s milk consumption, for example, school lunch programs
were put into in practice on national scale only in the late 1990s.
Those in their late adolescence in 2007 were not the beneficiaries
of free milk, when they were in primary school.
Dermatological health in the COVID-19 erakomalicarol
COVID-19 and its impact on dermatological health was reviewed
from theoretical and statistical frameworks in the present study. A
cross-sectional and retrospective work was documented with a selection of sources indexed to Scopus, considering the period from
2019 to 2022, as well as the search by keywords. Approaches were
discussed in order to outline a comprehensive model that considered the differences between the parties involved, as well as their
relationships in a risk context. The proposal contributes to the state
of the question in terms of the prediction of contingencies derived
from the probability and affectation of dermatological health
The Importance of Framing at the Beginning of an Review Dialoguekomalicarol
Long-term care of patients with chronic conditions in general practice rarely focuses on the treatment process. A specific interaction
tool, the Review Dialogue (RD), has been developed to integrate
patients’ health-related problems/risks as well as coping strategies
and to agree upon shared treatment objectives assuming that periodical RDs will help to achieve them. Initiated by the GP, the RD
changes the role expectations of the patient and doctor. Therefore,
the framing of the encounters is of particular importance.
Early detection of interstitial lung disease in asymptomatic patients with 2-...komalicarol
Pulmonary involvement is a common manifestation of Dermatomyositis (DM), the most frequent histologic pattern being Interstitial Lung Disease (ILD) which is a major contributor to
morbidity and mortality in these patients. Therefore, this disease
should be investigated and it is essential to perform pulmonary
function tests (PFTs) and High-Resolution Computed Tomography
(HRCT) early in the course of the disease to make a definitive
diagnosis. Nowadays, 2-deoxy-2-[18F] fluoro-D-glucose positron
emission tomography/computed tomography
Association between Galectin-3 and oxidative stress parameters with coronary ...komalicarol
Galectin-3 (Gal-3), as a mediator of inflammation and fibrosis, has been reported to be a biomarker of severity in
coronary artery disease (CAD). The study aimed to assess the relationships between coronary artery disease (CAD) and risk factors,
including parameters of oxidative stress in Tunisian patients CAD.
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1. Analysis on the Treatment of Colorectal Cancer
Bin Zhao1*
, Xia Jiang2
, Jinming Cao3
and Kuiyun Huang1
1
School of Science, Hubei University of Technology, Wuhan, Hubei, China
2
Hospital, Hubei University of Technology, Wuhan, Hubei, China
3
School of Information and Mathematics, Yangtze University, Jingzhou, Hubei, China
Volume 2 Issue 3- 2019
Received Date: 25 July 2019
Accepted Date: 22 Aug 2019
Published Date: 29 Aug 2019
Annals of
Clinical and Medical Case Reports
Citation: Bin Zhao, Analysis on the Treatment of Colorectal Cancer. Annals of Clinical and Medical Case
Reports. 2019; 2(3): 1-7.
acmacasereport.com
*Corresponding Author (s): Bin Zhao, School of Science, Hubei University of Technol-
ogy, Wuhan, Hubei, China Tel: +86 130 2851 7572. E-mail: zhaobin835@nwsuaf.edu.cn
ISSN: 2639-8109
2. Keywords
Colorectal cancer; Compli-
cation; Estimated blood loss;
Length of hospital stay; Net-
work meta-analysis; Opera-
tion time
Research Article
1. Abstract
Over the past few years, Robotic surgery has been an emerging field in colorectal surgery.
Over years there has been continuous shift towards minimally invasive procedures with
enormous potential advantages but progress is impeded because of limited evidence,lack of
technology and cost of expenditure. However, recent advances and feedback in robotic sur-
gery and single-port incision in laparoscopic surgery are likely to improve surgical outcomes
for treatment of colorectal cancer. Currently, laparoscopic surgery is preferred for colorectal
cancer over open surgery and its usefulness is unquestionable. Laparoscopic surgery has be-
come the standard of practice for various digestive tract surgeries. Although, robot-assisted
is gold standard for various other procedures, more research is needed to prove its safety and
efficacy in the treatment of colorectal cancer. Robotic surgery may overcome limitations of
laparoscopic surgery such as assistant dependent camera movements, retraction issues, lack
of user-friendly environment and rigid instrumentation. Prolonged operative time, learning
time, increased expenses and more trauma to the patient and family are major drawbacks
of robotic surgery. In recent years robot-assisted laparoscopic surgery has been increasingly
applied, again with lack of comparison and evidence over conventional laparoscopic surgery.
The aim of this study is to compare robotic-assisted surgery and laparoscopic-assisted sur-
gery for the treatment of colorectal cancer(CRC).
adoption of laparoscopy techniques as an alternative to treat
colorectal cancer instead of open surgery. Kitano showed that
contrasted and open medical procedure, laparoscopic medi-
cal procedure was a standard treatment for colon disease with
shorter emergency clinic remains, quicker recuperation, im-
proved rate of wound contamination, and diminished agony [1,
3, 5, 7-10]. Alongside advantages comes the downsides which in-
corporates inflexible instrumentation, absence of representation,
poor withdrawal abilities alongside camera help and absence of
innovation[2].
Robotic surgery was developed to overcome the technical dif-
ficulties of conventional laparoscopy. Robotic surgery has been
advantageous because of its 3-dimensional operating field, sur-
geon operated camera field for better visualization. In addition
to that there are studies about robotic systems especially the da
Vinci Xi – a robot performing colorectal surgery has been found
3. Introduction
Colorectal malignant growth is a disease that begins in the colon
or the rectum. These malignant growths can likewise be named
colon disease or rectal malignant growth, contingent upon where
they begin. Colon malignant growth and rectal disease are regu-
larly gathered together collectively as they share same features.
CRC is the third most generally analysed malignant growth in
men and the second in women, with 1.8 million new cases and
very nearly 861,000 deaths in 2018 as indicated by the World
Health Organization [1-15]. Throughout the decade, open medi-
cal procedure was considered the far reaching and Objective stan-
dard for treatment and medical procedure of colorectal malignant
growth. The point of careful treatment is tumour size, lymphatic
waste, lymph node resection alongside clear careful edges [1-6].
In recent years there have been changes towards minimally in-
vasive procedures and techniques, including the widespread
3. acmacasereport.com 3
Volume 2 Issue 3 -2019 Research Article
the specialist to see 3D pictures, acquire better points with the
expanded degrees of opportunity given by the EndoWrist, and
control three distinct instruments at the same time [10, 21,22].
Laparoscopic surgery is attainable and totally tantamount to
open medical procedure, with points of interest in postoperative
entanglements and emergency clinic remain. Rectal laparoscopic
resection is additionally plausible and the investigations per-
formed to date recommend that short and long-haul results are
practically identical to open medical procedure. Regardless of the
upsides of the laparoscopic approach for colorectal restorative
system, this procedure has a couple of limitations, for instance,
loss of the 3D vision, obstacles in the open-door degrees of the
cautious instruments, the escalation of the physiological tremor
and the “support” sway [3, 7, 8, 20, 22]. Although robotic surgery
provides surgeons with various advantages which make complex
laparoscopic procedures like identifying important neurovascu-
lar structures and intra-corporeal suturing in a deep and narrow
pelvis easier. The absence of near investigations among robotic
and laparoscopic approaches in regards to explicit results, joined
with the expense of new innovation like the da Vinci robot (Intu-
itive Surgical), is a restrictive factor for across the board selection
of the robot in numerous medical clinic focuses [3, 7, 8].
7. Statistical Analysis
The meta-analysis of activity time, assessed blood misfortune,
length of clinic remains and complexity, mortality, anastomotic
spillage, wound contamination, dying, and ileus. Socioeconomics
and other applicable information were gathered, including study
configuration, number of patients who experienced mechani-
cal systems, number of patients who experienced laparoscopic
methods, tolerant age, weight file, quantities of people, history
of stomach medical procedure, and sign for medical procedure.
All information were removed from the articles’ content, tables,
and considers and entered along with an electronic spreadsheet
for examination. For constant results, mean net contrasts (bench-
mark to- treatment change in treatment bunch mirrors change in
charge gathering) were utilized as essential results. For clear cut
results, chances proportions were utilized to analyse the treat-
ment impact. To evaluate distribution inclination, channel plots
were built for every result. No noteworthy distribution predispo-
sition was identified for any investigation result utilizing either
measurable strategy. Furthermore, affectability examinations
were directed by barring each investigation thusly, to assess its
relative impact on the pooled evaluation [3, 6-8, 11, 15].
8. Results
A total of 51 studies were identified and inclusion criteria was ap-
plied as illustrated in (Figure 1). After careful evaluation of titles,
abstract, full text analysis and screening 5 studies were found to
meet the inclusion criteria and were included for meta-analysis.
A study which has a total of 1481 patients, out of which 807
patients underwent LACS and 674 underwent RACS. Another
study was taken where 18 were right hemicolectomy, 1 sigmoid-
ectomy, 3 abdominoperitoneal resection, 3 low anterior resection
and 4 concomitant liver resections. Both the studies were used to
compare Robotic and Laparoscopic methods of 2 different set of
patients [7, 8, 23, 24]. Comparison of operating time, estimated
blood loss, hospital stay, probability of complication, probability
of anastomic leak and mortality for various patients is demon-
strated in (Figure 2)
Calm measurement data and traits of the 2 clusters are seemed
(Table 1). There were no tremendous differences between the
social events to the extent age, BMI, or history of stomach me-
dicinal methodology. The mean time of patients encountering
laparoscopic restorative system versus mechanical therapeutic
method was 61.1 ± 10.7 years versus 61.1 ± 8.5 years (P = .997),
the mean BMI was 28.9 ± 6.3 versus 26.2 ± 4.2 (P = .158), and the
rate with a past loaded up with stomach medicinal technique was
44.0% versus 26.7% (P = .273). There was a basic qualification to
the extent sex, with more patients being male and encountering
mechanized therapeutic method (86.7% versus 52.0%, P = .026).
There was no significant qualification in cautious sign between
the 2 social occasions (P = .303) [1, 7, 8, 25, 26]. Eighteen patients
experienced right hemicolectomy, 1 encountered a sigmoidecto-
my, 3 experienced abdominoperineal resection (APR), and 3 ex-
perienced low front resection (LAR) performed laparoscopically.
9. Meta Analysis
9.1. Estimated Operative Time
The value of operative time ranged between 1.00 to 1.01 good
iterative effect and completely stable results. The result of me-
ta-analysis presented in Figure 2 (A) revealed that almost both
laparoscopic and robotic surgery takes about the same amount of
operative time with robotic taking a little more amount of time
comparatively [3, 7, 8, 25, 27]. Although the relative difference
between both is almost negligible.
9.2. Estimated Blood Loss
The analysis blood loss ranged from 1.00 to 1.01, proving nearly
stable results as seen in Figure 2 (B). Result of meta-analysis re-
veals that comparative robotic surgery had more blood loss than
laparoscopic surgery [1, 7, 8, 27,28].
9.3. Estimated Meta-Analysis of Length of Hospital Stay
The model of length of clinic stay had total assembly, great itera-
tive impact, and stable outcomes. The consequences of the meta-
examination uncovered that patients who experienced RACS
had the briefest length of emergency clinic remain as illustrated
4. in Figure 2 (C) [2, 7, 13-15].
9.4. Estimated Rate of Complications
The Figure 2 (D) suggests that the consequences of the meta-in-
vestigation uncovered that the inconvenience rate in patients who
experienced RACS was the least, yet there was no huge contrast
[3, 6, 7,28].
9.5. Estimated Analysis of Mortality
The analysis of mortality went from 1.00 to 1.01, demonstrat-
ing total intermingling, great iterative impact, and stable conse-
quences of the model as seen in Figure 2 (E). The outcomes dem-
onstrated that the death rate in patients who experienced RACS
was the least, yet there was no noteworthy distinction contrasted
and those in patients who experienced LACS [1, 7, 8, 13,15].
9.6. Estimated Analysis of Anastomotic Leak
The analysis of anastomotic spillage went from 1.00 to 1.01, show-
ing total assembly, great iterative impact, and stable consequence
of the model. Table 1 (F) suggests these outcomes uncovered
that the rate of anastomotic spillage in patients who experienced
LACS was the least; however there was no huge contrast contrast-
ed and those in patients who experienced RACS [1, 3, 7, 8].
9.7. Estimated Analysis of Wound Infection and Bleeding
The results revealed that the rate of wound infection in patients
who underwent LACS was the least, but there was no significant
difference compared with that in patients who underwent RACS
[1, 7, 8, 10, 23].
The result demonstrates that the rate of seeping in patients who
experienced RACS was the least, yet there was no noteworthy
contrast contrasted and those in patients who experienced LACS.
The oncologic qualities of the colorectal undertakings performed
for tumour resection were moreover noted (Figure 3). There was
no tremendous difference in tumor sort out or histologic assess-
ment between the 2 social occasions [1, 7, 8, 22, 23, 26]. Further-
more, there were no basic differentiation in the amount of lymph
centre points harvested between the laparoscopic gathering and
the robotic surgery. No resections performed for damage yielded
positive edges in either assembling.
Objective standard for treatment and medical procedure of
colorectal malignant growth. The point of careful treatment is tu-
mour size, lymphatic waste, lymph node resection alongside clear
careful edges [1-6].
6. Acknowledgements
To the department of pathological anatomy of the Miguel Servet
University Hospital for collaborating with us.
Figure 1: Strategy to identify different research articles of the field and differentiation of
the necessary papers.
Figure 2:
(A) Results of rank probability for operation time
(B) Results of rank probability for estimated blood loss
(C) Results of rank probability for length of hospital stay
(D) Results of rank of probability for complication
(E) Results of probability of mortality
(F) Results of probability of anastomic leak LACS- Laparoscopic assisted colorectal sur-
gery RACS- Robotic assisted colorectal surgery.
Figure 3: Comparing laparoscopic and robotic surgery for different types and stages of
tumour.
acmacasereport.com 4
Volume 2 Issue 3 -2019 Research Article
5. 10. Discussions
A network meta-analysis is performed comparing the curative
effects of LACS and RACS in this study. Laparoscopic surgery
have been widely accepted over open surgery for colorectal can-
cer. LACS has shown benefits and is also safer comparatively. For
example, patients that have underwent laparoscopy surgery for
colorectal cancer have demonstrated that it can yield adimin-
ished length of hospital stay, oncologically sufficient resection,
and no distinctions in postoperative stay [1, 6, 7, 10, 24]. In view
of concentrates like these, laparoscopy is presently viewed as an
adequate option in contrast to an open surgery in colorectal re-
section. However, conversion to open surgery still stays as a big
pitfall for LACS. With the advent of new technology, RACS is now
the growing field in medicine and is widely accepted for surgery
in bariatric, urology, gynecology and various other fields [1, 8, 10,
11, 13, 17,26].
The prevalence of RACS, one of the most recent advancements in
laparoscopic medical procedure, has been expanding since it was
first performed in cholecystectomy in 2001. The careful method is
improved by the properties of the robot framework, for example,
able to use both hands ability, 3-dimensional view, and tremor
elimination. Similar to our examination, past investigations an-
nounced that RACS had the longest activity time [1, 3, 9, 24, 26,
30]. However, it is important that the task time of RACS is neg-
ligible in progressively complex pelvic processes. However, the
self-sufficiency of RACS is superior to that of LACS. A past report
referenced that the expense of RACS was a lot higher than that of
LACS. Also it has been proposed that the length of medical pro-
cedure in the RACS was longer than that in the LACS gathering,
while the quantity of lymph nodes collected, resection edge free-
dom, postoperative agony score, careful difficulties, and clinic stay
were similar. The task times were accounted for to be altogether
longer in patients treated with robots than that treated with lapa-
roscopy, though there were no contrasts between the 2 bunches as
to entanglements and emergency clinic stay, which was like our
outcomes. Two arrangement looking at RACS and LACS in right
colectomy have shown that RACS has a more extended case time
and higher all out medical clinic cost than LACS however com-
parative evaluated blood loss and length of emergency clinic stay.
Laparoscopic (n=25) Robotic (n=15) P Value
Age (y) 61.1(10.7) 61.1 (8.5) 0.997
Male [n (%)] 13(52.0) 13(86.7)0.026
Body mass index 28.9 (6.3) 26.2 (4.2) 0.158
Previous abdominal surgery. [n(%)] 11 (44.0) 0.303 4 (26.7) 0.273
Diagnosis. [n(%)]
Malignant disease of colon 14(56.0) 4 (27.0)
Polyps 6(36.0) 7 (60.0)
Diverticular disease 2 (8.0) 2 (13.0)
Other 3 (12.0) 2 (13.0)
Types of operations (n)
Right hemicolectomy 18 7
Left hemicolectomy 0 2
Sigmoidectomy 1 0
Total colectomy 0 0
Abdominoperinel reaction 3 1
Low anterior resection 3 5
Concomitant liver resection 4 0
Table 1: Comparing robotic and laparoscopic surgeries with age, gender, BMI, Diagnosis,
Type of operation and Other medical diseases.
Reference
Sur-
gery
Number
of patients
Conversion
Rate
Positive
Circum-
ferential
resection
Margin
Operative
time, minutes
Complication
rate
Bianchi, et Robot 25 0% 0% 240 16%
al.58 (2011) Lap 25 4% 4% 237 24%
D’Annibale,
et
Robot 50 0% 0% 270 10%
al.59 (2013) Lap 50 12% 12% 280 22%
Ghezzi, et Robot 65 1.5% 0% 299 41.5%
al.60 (2014) Open 109 - 1.8% 207.5 41.3%
Yamaguchei-
fal.61 (2015)
Robot
Lap
203
239
0%
3.3%
0%
1%
232.0 +72
227.6+-
62.6
8.9%
34%
Kim, et al.62 Robot 33 6.1% 16.1% 441 45.6%
(2015) Lap 66 0% 6.7% 227 39.4%
361.6 +
Choetal.63
Robot
Lap
278
278
0.4%
0.7%
5%
4.7%
91.9
272.4. +
25.9%
23.7%
83.8
Allemann, et Robot 20 5% 10% 291 40%
al.64 (2015) Lap 40 20% 25% 313 35%
Table 2: Comparing data between different articles for type of surgery, number of patients,
conversion rate, positive circumferential resection margin, operative time and complica-
tion rate for both laparoscopic and robotic surgery.
acmacasereport.com 5
Volume 2 Issue 3 -2019 Research Article
6. It isn’t vital for RACS and LACS to change over to the open ap-
proach. Although there was no huge clinical preferred standpoint
for RACS in assessed blood loss, length of emergency clinic re-
main, and confusion rate contrasted and LACS, the lymph nodes
around primary veins could be cleaned effectively dependent on
the steady camera stage [3, 7-9, 16, 18, 22]. In addition, RACS
gave solace to the specialist by giving a superior usable act. Also
the conversion rate to open was very low in RCS compared to
LACS, which proves as an added benefit.
An exceptionally intriguing investigation from Kang et al, con-
trasted three gatherings of patients and mid and low rectal tu-
mours treated with either open, laparoscopic or robotic method-
ology [3, 14, 21, 22, 23, 27]. They saw that the robotic gathering
had a quicker postoperative recuperation with a lower emergency
clinic remain, less agony and better example quality. The sickness
free survival rate was comparative in all gatherings three years
after medical procedure [21, 27, 29].
A noteworthy debilitation for specialists keen on figuring out how
to utilize a careful robot is the loss of touch vibe that is of huge
significance in various methodology. The activity of a specialist
who can’t feel the distinctive tissues and strain turns out to be sig-
nificantly increasingly troublesome, and the dangers of aperture
and damage increment. Furthermore, while “hand-sewn” proce-
dures are all the more promptly performed with apply autonomy
over laparoscopy, the tissue pressure on the sutures should be ac-
cumulated from obvious signals [7, 8, 13, 28]. These hindrances
likewise exist in conventional laparoscopic methodologies and it
is conceivable that new robotic innovation might almost certainly
beat them.
Despite the fact that this meta-analysis is extensive and the most
present assessment of robotic and laparoscopic ways to deal with
colon and rectal medical procedure to date, it ought to be deci-
phered with regards to some limitations [2-4, 11]. This has vari-
ous ramifications on the information, including consequences
for the usable time and perioperative entanglements. Second, the
scarcity of current randomized controlled preliminaries further
constrains the consequences of meta-analysis [3, 7, 8, 13]. Be-
sides, not the majority of the investigations provided details re-
garding all results inspected inside this examination, prompting
varieties in the included example sizes and factual power between
results. Each investigation has its own inclinations and restric-
tions, with various incorporation and prohibition criteria, chang-
ing signs for medical procedure, and distinctive sorts of included
colorectal strategies [7, 12, 16, 17,21].
11. Conclusions
Taking everything into account, the present system meta-analysis
proposes that RACS may be a superior treatment for CRC. Ro-
botic surgery would in general have longer operative time, less
blood loss, and a lower rate of change to laparotomy compared
to laparoscopic surgery. However, future examinations including
forthcoming randomized controlled preliminaries and cost-ade-
quacy is needed to decide if robotic surgery will have its say in
colorectal techniques.
12. Acknowledgement
This work was supported by the Philosophical and Social Sciences
Research Project of Hubei Education Department (19Y049), and
the Staring Research Foundation for the Ph.D. of Hubei Univer-
sity of Technology (BSQD2019054), Hubei Province, China.
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Volume 2 Issue 3 -2019 Research Article