Laparoscopic Abdominoperineal Resection With Sacrectomy: Technical Details and Pitfalls

Igreja-Junior, Haroldo Jose Siqueira; Batista, Vilson Leite; Carvalho, Bruno dos Santos Viana; Tavares, Lucas Simões; Coelho, Juliana Gonçalves

doi:10.1590/0102-6720201700040016

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Colorectal cancer has a higher incidence in the rectum and sigmoid 8 . However, nowadays, with the expansion of the diagnosis of non-polypoid lesions - which are superficial lesions of the colon and rectum - the interest for them in the diagnosis and the role they play in colorectal carcinogenesis has increased 2 .…”

Section: Introductionmentioning

confidence: 99%

Is Superficial Colorectal Lesions With Low and High Grades Intraepithelial Neoplasms More Prevalent in Older Above 65 Years?

diger¹,

Kubrusly

Nassif

et al. 2019

ABCD, arq. bras. cir. dig.

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Background:Colorectal cancer has a higher incidence in the rectum and sigmoid. However, with the expansion of the diagnosis of superficial lesions interest in the diagnosis and in the role they play in colorectal carcinogenesis has increased. Aim:To verify the behavior of superficial lesions of the colon and rectum, comparing the pathological and endoscopic findings, below and above 65 years. Methods:Cross-sectional study with prospective evaluation of standard protocol, where 200 patients with colorectal superficial lesions were evaluated; they were submitted to colonoscopy and mucosectomy of these lesions. They were divided in two age groups, below and above 65 years. Results: One hundred-and-eight were women (54%) and 92 men (46%). Most colon lesions were localized in the right colon (95%) and the remaining (5%) in the rectum. In endoscopy, 77.20% were granular lesions in patients under 65 years and 77.90% above. Colon histology showed low grade intraepithelial neoplasia, being 69.79% in patients under and 73.70% in above 65 years. In rectum, above 65 years the incidence of high-grade intraepithelial neoplasia was higher (66.70%). Conclusion:The superficial colorectal lesions have been more endoscopically diagnosed today, and the highest incidence is the granular type, both in the colon and rectum, regardless of age. Regardless the age, histologically colon lesions were more as low grade intraepithelial neoplasia. In rectum, there was distinction for both age groups, being more frequent high grade intraepithelial neoplasia in patients over 65 years.

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Section: Introductionmentioning

confidence: 99%

Is Superficial Colorectal Lesions With Low and High Grades Intraepithelial Neoplasms More Prevalent in Older Above 65 Years?

diger¹,

Kubrusly

Nassif

et al. 2019

ABCD, arq. bras. cir. dig.

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Feasibility and safety of a 12-week INR follow-up protocol over 2 years in an anticoagulation clinic: a single-arm prospective cohort study

Porter

Margolis

Staresinic

et al. 2018

J Thromb Thrombolysis

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The 2012 American College of Chest Physicians' guidelines recommended a 12-week INR follow-up interval may be appropriate for patients on stable warfarin doses. Limited evidence supports this recommendation. A single-arm, prospective cohort study over 24 months was completed in a Veterans Affairs anticoagulation clinic to determine the long-term feasibility and safety of implementing an extended INR follow-up interval in Veterans on stable doses of warfarin. Participants were required to have a stable warfarin dose for 6 months prior to enrollment. A prespecified protocol was used to titrate, extend, and manage the INR interval up to 12 weeks. Scheduling of extended INR intervals was a primary outcome. Safety outcomes included major and serious bleeding and thromboembolic events. A post-hoc comparison of baseline characteristics between individuals who were scheduled for at least 4 consecutive 12week INR follow-up intervals and those who were not was completed. Of the 50 participants, 36 (72%) were scheduled for at least one 12-week interval and 15 (30%) were scheduled for 4 consecutive intervals. There were 2 thromboembolic events that occurred in 1 participant. There were 28 major and serious bleeding events in 19 participants; 8 occurred while on the extended

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Laparoscopic Abdominoperineal Resection With Sacrectomy: Technical Details and Pitfalls

Cited by 2 publications

References 6 publications

Is Superficial Colorectal Lesions With Low and High Grades Intraepithelial Neoplasms More Prevalent in Older Above 65 Years?

Is Superficial Colorectal Lesions With Low and High Grades Intraepithelial Neoplasms More Prevalent in Older Above 65 Years?

Feasibility and safety of a 12-week INR follow-up protocol over 2 years in an anticoagulation clinic: a single-arm prospective cohort study

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