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Clinical Advances in Colon and Rectal Surgery

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The Legacy Continues

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Abstract

The clinical care of colorectal disease has not stood still since 2000 when Dr. Byron Gathright published our first 100 years of history. It is an honor to gather reports of clinical advances from our specialty over the last 25 years. The editors have elected to present the particular advances in the areas of surgery for Anorectal Disease, Colon Cancer, Diverticular Disease, Inflammatory Bowel Disease, Pelvic Floor, Ostomy Construction and Rectal Cancer and Surgical Guidelines for Rectal Cancer Surgery, the development of Minimally Invasive Colorectal Surgery and Perioperative Management of Colorectal Surgical Patients. We have asked the experts in these areas to give us insights into the history and latest state-of-the-art update. It will be important to look back at our next update to see the continued progress in each of these areas and to discuss any unexpected new areas of progress.

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References

  1. Sneider EB, Maykel JA. Anal abscess and fistula. Gastroenterol Clin N Am. 2013;42(4):773–84.

    Article  Google Scholar 

  2. Barker PG, Lunniss PJ, Armstrong P, Reznek RH, Cottam K, Phillips RK. Magnetic resonance imaging of fistula-in-ano: technique, interpretation and accuracy. Clin Radiol. 1994;49(1):7–13.

    Article  CAS  PubMed  Google Scholar 

  3. Spencer JA, Ward J, Ambrose NS. Dynamic contrast-enhanced MR imaging of perianal fistulae. Clin Radiol. 1998;53(2):96–104.

    Article  CAS  PubMed  Google Scholar 

  4. Hjortrup A, Moesgaard F, Kjaergård J. Fibrin adhesive in the treatment of perineal fistulas. Dis Colon Rectum. 1991;34(9):752–4.

    Article  CAS  PubMed  Google Scholar 

  5. de la Portilla F, Muñoz-Cruzado MVD, Maestre MV, García-Cabrera AM, Reyes ML, Vázquez-Monchul JM, et al. Platelet-rich plasma (PRP) versus fibrin glue in cryptogenic fistula-in-ano: a phase III single-center, randomized, double-blind trial. Int J Color Dis. 2019;34(6):1113–9.

    Article  Google Scholar 

  6. Swinscoe MT, Ventakasubramaniam AK, Jayne DG. Fibrin glue for fistula-in-ano: the evidence reviewed. Tech Coloproctology. 2005;9(2):89–94.

    Article  CAS  Google Scholar 

  7. Garcia-Olmo D, Herreros D, Pascual I, Pascual JA, Del-Valle E, Zorrilla J, et al. Expanded adipose-derived stem cells for the treatment of complex perianal fistula: a phase II clinical trial. Dis Colon Rectum. 2009;52(1):79–86.

    Article  PubMed  Google Scholar 

  8. Köckerling F, Alam NN, Narang SK, Daniels IR, Smart NJ. Treatment of fistula-in-ano with fistula plug—a review under special consideration of the technique. Front Surg. 2015;2:55.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Vergara-Fernandez O, Espino-Urbina LA. Ligation of intersphincteric fistula tract: what is the evidence in a review? World J Gastroenterol. 2013;19(40):6805–13.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Paquette IM, Varma MG, Kaiser AM, Steele SR, Rafferty JF. The American Society of Colon and Rectal Surgeons’ clinical practice guideline for the treatment of fecal incontinence. Dis Colon Rectum. 2015;58(7):623–36.

    Article  PubMed  Google Scholar 

  11. Brouwer R, Duthie G. Sacral nerve neuromodulation is effective treatment for fecal incontinence in the presence of a sphincter defect, pudendal neuropathy, or previous sphincter repair. Dis Colon Rectum. 2010;53(3):273–8.

    Article  PubMed  Google Scholar 

  12. Parker SC, Spencer MP, Madoff RD, Jensen LL, Wong WD, Rothenberger DA. Artificial bowel sphincter: long-term experience at a single institution. Dis Colon Rectum. 2003;46(6):722–9.

    Article  PubMed  Google Scholar 

  13. O’Brien PE, Dixon JB, Skinner S, Laurie C, Khera A, Fonda D. A prospective, randomized, controlled clinical trial of placement of the artificial bowel sphincter (Acticon Neosphincter) for the control of fecal incontinence. Dis Colon Rectum. 2004;47(11):1852–60.

    Article  PubMed  Google Scholar 

  14. Wexner SD, Jin HY, Weiss EG, Nogueras JJ, Li VKM. Factors associated with failure of the artificial bowel sphincter: a study of over 50 cases from Cleveland Clinic Florida. Dis Colon Rectum. 2009;52(9):1550–7.

    Article  PubMed  Google Scholar 

  15. Williams AE, Croft J, Napp V, Corrigan N, Brown JM, Hulme C, et al. SaFaRI: sacral nerve stimulation versus the FENIX magnetic sphincter augmentation for adult faecal incontinence: a randomised investigation. Int J Color Dis. 2016;31(2):465–72.

    Article  Google Scholar 

  16. Frascio M, Mandolfino F, Imperatore M, Stabilini C, Fornaro R, Gianetta E, et al. The SECCA procedure for faecal incontinence: a review. Colorectal Dis. 2014;16(3):167–72.

    Article  CAS  PubMed  Google Scholar 

  17. Vergara-Fernandez O, Arciniega-Hernández JA, Trejo-Avila M. Long-term outcomes of radiofrequency treatment for fecal incontinence: are the results maintainable? Int J Color Dis. 2020;35(1):173–6.

    Article  Google Scholar 

  18. Graf W, Mellgren A, Matzel KE, Hull T, Johansson C, Bernstein M, et al. Efficacy of dextranomer in stabilised hyaluronic acid for treatment of faecal incontinence: a randomised, sham-controlled trial. Lancet Lond Engl. 2011;377(9770):997–1003.

    Article  CAS  Google Scholar 

  19. Maslekar S, Smith K, Harji D, Griffiths B, Sagar PM. Injectable collagen for the treatment of fecal incontinence: long-term results. Dis Colon Rectum. 2013;56(3):354–9.

    Article  CAS  PubMed  Google Scholar 

  20. Gosens KCM, van der Zee RP, van Heukelom MLS, Jongen VW, Cairo I, van Eeden A, et al. HPV vaccination to prevent recurrence of anal intraepithelial neoplasia in HIV+ MSM. AIDS Lond Engl. 2021;35(11):1753–64.

    Article  CAS  Google Scholar 

  21. Stewart DB, Gaertner WB, Glasgow SC, Herzig DO, Feingold D, Steele SR. The American Society of Colon and Rectal Surgeons clinical practice guidelines for anal squamous cell cancers (revised 2018). Dis Colon Rectum. 2018;61(7):755–74.

    Article  PubMed  Google Scholar 

  22. Gudur A, Shanmuganandamurthy D, Szep Z, Poggio JL. An update on the current role of high resolution anoscopy in patients with anal dysplasia. Anticancer Res. 2019;39(1):17–23.

    Article  CAS  PubMed  Google Scholar 

  23. Palefsky JM, Lee JY, Jay N, Goldstone SE, Darragh TM, Dunlevy HA, et al. Treatment of anal high-grade squamous intraepithelial lesions to prevent anal cancer. N Engl J Med. 2022;386(24):2273–82.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Northover J, Glynne-Jones R, Sebag-Montefiore D, James R, Meadows H, Wan S, et al. Chemoradiation for the treatment of epidermoid anal cancer: 13-year follow-up of the first randomised UKCCCR Anal Cancer Trial (ACT I). Br J Cancer. 2010;102(7):1123–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. James RD, Glynne-Jones R, Meadows HM, Cunningham D, Myint AS, Saunders MP, et al. Mitomycin or cisplatin chemoradiation with or without maintenance chemotherapy for treatment of squamous-cell carcinoma of the anus (ACT II): a randomised, phase 3, open-label, 2 × 2 factorial trial. Lancet Oncol. 2013;14(6):516–24.

    Article  CAS  PubMed  Google Scholar 

  26. Lasa JS, Olivera PA, Danese S, Peyrin-Biroulet L. Efficacy and safety of biologics and small molecule drugs for patients with moderate-to-severe ulcerative colitis: a systematic review and network meta-analysis. Lancet Gastroenterol Hepatol. 2022;7(2):161–70.

    Article  PubMed  Google Scholar 

  27. Qvist N, Vadstrup K, Alulisc S, Borsid A, Munkholme P, Olsen J. Increased use of biologics in the era of TNF-a inhibitors did not reduce surgical rate but prolonged the time from diagnosis to first time intestinal resection among patients with Crohn’s disease and ulcerative colitis—a Danish register based study from 2003–2016. Scand J Gastroenterol. 2021;56(5):537–44.

    Article  CAS  PubMed  Google Scholar 

  28. Hatch QM, Ratnaparkhi R, Althans A, Keating M, Neupane R, Nishtala M, Johnson EK, Steele SR. Is modern medical management changing ultimate patient outcomes in inflammatory bowel disease? J Gastrointest Surg. 2016;20:1867–73.

    Article  PubMed  Google Scholar 

  29. Lowe SC, Sauk JS, Limketkai BN, Kwaan MR. Declining rates of surgery for inflammatory bowel disease in the era of biologic therapy. J Gastrointest Surg. 2021;25:211–9.

    Article  PubMed  Google Scholar 

  30. Geltzeiler CB, Lu KC, Diggs BS, Deveney KE, Keyashian K, Herzig DO, Tsikitis VL. Initial surgical management of ulcerative colitis in the biologic era. Dis Colon Rectum. 2014;57:1358–63.

    Article  PubMed  Google Scholar 

  31. Hoang CM. National trends in elective ileal pouch-anal anastomosis for ulcerative colitis. Morningside Graduate School of Biomedical Sciences Dissertations and Theses. 2018. https://doi.org/10.13028/M27H74. https://escholarship.umassmed.edu/gsbs_diss/976.

  32. Risto A, Hallböök O, Andersson P, Sjödahl R, Myrelid P. Long-term follow-up, patient satisfaction, and quality of life for patients with Kock’s continent ileostomy. Dis Colon Rectum. 2021;64:420–8.

    Article  PubMed  Google Scholar 

  33. Kiesslich R, Goetz M, Lammersdorf K, Schneider C, Burg J, Stolte M, Vieth M, Nafe B, Galle PR, Neurath MF. Chromoscopy-guided endomicroscopy increases the diagnostic yield of intraepithelial neoplasia in ulcerative colitis. Gastroenterology. 2007;132(3):874–82.

    Article  PubMed  Google Scholar 

  34. Laine L, Kaltenbach T, Barkun A, et al. SCENIC Guideline Development Panel. SCENIC international consensus statement on surveillance and management of dysplasia in inflammatory bowel disease. Gastroenterology. 2015;148:639–651.e28.

    Article  PubMed  Google Scholar 

  35. Kiesslich R. Colour me blue: chromoendoscopy and advanced detection methods in ulcerative colitis. Curr Opin Gastroenterol. 2022;38:67–71.

    Article  PubMed  Google Scholar 

  36. Schmidt CM, Talamini MA, Kaufman HS, Lilliemoe KD, Learn P, Bayless T. Laparoscopic surgery for Crohn’s disease: reasons for conversion. Ann Surg. 2001;233:733–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Kotze PG, Holubar SD, Lipman JM, Spinelli A. Training for minimally invasive surgery for inflammatory bowel disease: a current need. Clin Colon Rectal Surg. 2021;34(3):172–80.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Shrestha B. Minimally invasive surgery for inflammatory bowel disease: current perspectives. World J Gastrointest Pharmacol Ther. 2016;7(2):214–6.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Li Y, Zhu W, Zuo L, Shen B. The role of the mesentery in Crohn’s disease: the contributions of nerves, vessels, lymphatics, and fat to the pathogenesis and disease course. Inflamm Bowel Dis. 2016;22(6):1483–95.

    Article  PubMed  Google Scholar 

  40. Buskens CJ, de Groof EJ, Bemelman WA, Wildenberg ME. The role of the mesentery in Crohn’s disease. Lancet Gastroenterol Hepatol. 2017;2(4):245–6.

    Article  PubMed  Google Scholar 

  41. Coffey CJ, Kiernan MG, Sahebally SM, Jarrar A, Burke JP, Kiely PA, Shen B, Waldron D, Peirce C, Moloney M, Skelly M, Tibbitts P, Hidayat H, Faul PN, Healy V, O’Leary PD, Walsh LG, Dockery P, O’Connell RP, Martin ST, Shanahan F, Fiocchi C, Dunne CP. Inclusion of the mesentery in ileocolic resection for Crohn’s disease is associated with reduced surgical recurrence. J Crohns Colitis. 2018;12(10):1139–50.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Kono T, Ashida T, Ebisawa Y, Chisato N, Okamoto K, Katsuno H, Maeda K, Fujiya M, Kohgo Y, Furukawa H. A new antimesenteric functional end-to-end handsewn anastomosis: surgical prevention of anastomotic recurrence in Crohn’s disease. Dis Colon Rectum. 2011;54(5):586–92.

    Article  PubMed  Google Scholar 

  43. Luglio G, Rispo A, Imperatore N, Giglio MC, Amendola A, Tropeano FP, Peltrini R, Castiglione F, De Palma GD, Bucci L. Surgical prevention of anastomotic recurrence by excluding mesentery in Crohn’s disease: the SuPREMe-CD Study—a randomized clinical trial. Ann Surg. 2020;272(2):210–7.

    Article  PubMed  Google Scholar 

  44. Michelassi F. Side-to-side isoperistaltic strictureplasty for multiple Crohn’s strictures. Dis Colon Rectum. 1996;39(3):345–9.

    Article  CAS  PubMed  Google Scholar 

  45. Michelassi F, Mege D, Rubin M, Hurst RD. Long-term results of the side-to-side isoperistaltic strictureplasty in Crohn disease: 25-year follow-up and outcomes. Ann Surg. 2020;272(1):130–7.

    Article  PubMed  Google Scholar 

  46. Joyce MR, Fazio VW. Can ileal pouch anal anastomosis be used in Crohn’s disease? Adv Surg. 2009;43:111–37.

    Article  PubMed  Google Scholar 

  47. Lopez NE, Zaghyian K, Fleshner P. Is there a role for ileal pouch anal anastomosis in Crohn’s disease? Clin Colon Rectal Surg. 2019;32:280–90.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Rockwood TH, Church JM, Fleshman JW, Kane RL, Mavrantonis C, Thorson AG, Wexner SD, Bliss D, Lowry AC. Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence: the fecal incontinence severity index. Dis Colon Rectum. 1999;42(12):1525–32. https://doi.org/10.1007/BF02236199. PMID: 10613469.

    Article  CAS  PubMed  Google Scholar 

  49. Rockwood TH, Church JM, Fleshman JW, Kane RL, Mavrantonis C, Thorson AG, Wexner SD, Bliss D, Lowry AC. Fecal Incontinence Quality of Life Scale: quality of life instrument for patients with fecal incontinence. Dis Colon Rectum. 2000;43(1):9–16; discussion 16–7. PMID: 10813117. https://doi.org/10.1007/BF02237236.

    Article  CAS  PubMed  Google Scholar 

  50. Bordeianou LG, Anger JT, Boutros M, Birnbaum E, Carmichael JC, Connell KA, De EJB, Mellgren A, Staller K, Vogler SA, Weinstein MM, Yafi FA, Hull TL, Members of the Pelvic Floor Disorders Consortium Working Groups on Patient-Reported Outcomes. Measuring pelvic floor disorder symptoms using patient-reported instruments: proceedings of the consensus meeting of the Pelvic Floor Consortium of the American Society of Colon and Rectal Surgeons, the International Continence Society, the American Urogynecologic Society, and the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction. Dis Colon Rectum. 2020;63(1):6–23. https://doi.org/10.1097/DCR.0000000000001529. PMID: 31804265.

    Article  PubMed  Google Scholar 

  51. Paquette I, Rosman D, El Sayed R, Hull T, Kocjancic E, Quiroz L, Palmer SL, Shobeiri A, Weinstein M, Khatri G, Bordeianou L, Members of the Expert Workgroup on Fluoroscopic Imaging of Pelvic Floor Disorders. Consensus definitions and interpretation templates for fluoroscopic imaging of defecatory pelvic floor disorders: proceedings of the consensus meeting of the Pelvic Floor Consortium of the American Society of Colon and Rectal Surgeons, the Society of Abdominal Radiology, the International Continence Society, the American Urogynecologic Society, the International Urogynecological Association, and the Society of Gynecologic Surgeons. Dis Colon Rectum. 2021;64(1):31–44. https://doi.org/10.1097/DCR.0000000000001829. Erratum in: Dis Colon Rectum. 2021 Apr 1;64(4):e83. PMID: 33306530.

    Article  PubMed  Google Scholar 

  52. Gurland BH, Khatri G, Ram R, Hull TL, Kocjancic E, Quiroz LH, El Sayed RF, Jambhekar KR, Chernyak V, Mohan Paspulati R, Sheth VR, Steiner AM, Kamath A, Shobeiri SA, Weinstein MM, Bordeianou L, Members of the Expert Workgroup on Magnetic Resonance Imaging of Pelvic Floor Disorders. Consensus definitions and interpretation templates for magnetic resonance imaging of defecatory pelvic floor disorders: proceedings of the consensus meeting of the Pelvic Floor Disorders Consortium of the American Society of Colon and Rectal Surgeons, the Society of Abdominal Radiology, the International Continence Society, the American Urogynecologic Society, the International Urogynecological Association, and the Society of Gynecologic Surgeons. Dis Colon Rectum. 2021;64(10):1184–97. https://doi.org/10.1097/DCR.0000000000002155. PMID: 34516442.

    Article  PubMed  Google Scholar 

  53. Alshiek J, Murad-Regadas SM, Mellgren A, Glanc P, Khatri G, Quiroz LH, Weinstein MM, Rostaminia G, Oliveira L, Arif-Tiwari H, Ferrari L, Bordeianou LG, Shobeiri SA, Members of the Expert Panel on Dynamic Ultrasound Imaging of Defecatory Disorders of the Pelvic Floor. Consensus definitions and interpretation templates for dynamic ultrasound imaging of defecatory pelvic floor disorders: proceedings of the consensus meeting of the Pelvic Floor Disorders Consortium of the American Society of Colon and Rectal Surgeons, the Society of Abdominal Radiology, the International Continence Society, the American Urogynecologic Society, the International Urogynecological Association, and the Society of Gynecologic Surgeons. Dis Colon Rectum. 2023;66(2):200–16. https://doi.org/10.1097/DCR.0000000000002651. Epub 2023 Jan 6. PMID: 36627252.

    Article  PubMed  Google Scholar 

  54. Cavallaro PM, Vogler SA, Hyman NH, Ky AJ, Savitt LR, Tyler KM, Gurland BH, Bordeianou L, New England Society of Colorectal Surgery and the Pelvic Floor Disorders Consortium Rectal Prolapse Quality Incentive Workgroup Participants. Preliminary report from the Pelvic Floor Disorders Consortium: large-scale data collection through quality improvement initiatives to provide data on functional outcomes after rectal prolapse repair. Dis Colon Rectum. 2021;64(8):986–94. https://doi.org/10.1097/DCR.0000000000001962. PMID: 3395169.

    Article  PubMed  Google Scholar 

  55. Kaiser AM, Corman ML. History of laparoscopy. In: Surgical oncology clinics of North America. Amsterdam: Elsevier; 2001. p. 483–92.

    Google Scholar 

  56. Litynski GS. Erich Mühe and the rejection of laparoscopic cholecystectomy (1985): a surgeon ahead of his time. JSLS. 1998;2:341–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  57. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc. 1991;1(3):144–50.

    CAS  PubMed  Google Scholar 

  58. Berends FJ, Kazemier G, Bonjer HJ, Lange JF. Subcutaneous metastases after laparoscopic colectomy. Lancet. 1994;2:344–58.

    Google Scholar 

  59. Wexner SD, Cohen SM. Port site metastases after laparoscopic colorectal surgery for cure of malignancy. Br J Surg. 1995;82:295–8.

    Article  CAS  PubMed  Google Scholar 

  60. Vukasin P, Ortega AE, Greene FL, et al. Wound recurrence following laparoscopic colon cancer resection. Results of the American Society of Colon and Rectal Surgeons Laparoscopic Registry. Dis Colon Rectum. 1996;39(10 Suppl):S20–3.

    Article  CAS  PubMed  Google Scholar 

  61. Milsom JW, Hammerhofer KA, Bohm B, Marcello PW, Fazio VW, Elson P. A prospective, randomized trial comparing laparoscopic versus conventional surgery for refractory ileocolic Crohn’s disease. Dis Colon Rectum. 2001;44:1–9.

    Article  CAS  PubMed  Google Scholar 

  62. Marcello PW, Milsom JW, Fleshman J, et al. Hand assisted vs. laparoscopic colorectal surgery. A multicenter randomized trial. Dis Colon Rectum. 2008;51:818–28.

    Article  PubMed  Google Scholar 

  63. Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350:2050–9.

    Article  Google Scholar 

  64. Green BL, Marshall HC, Collinson F, et al. Long-term follow-up of the Medical Research Council CLASICC trial of conventional versus laparoscopically assisted resection in colorectal cancer. Br J Surg. 2013;100:75–82.

    Article  CAS  PubMed  Google Scholar 

  65. Fleshman J, Branda M, Sargent D, et al. Effect of laparoscopic-assisted resection vs open resection of stage II or III rectal cancer on pathologic outcomes: the ACOSOG Z6051 randomized clinical trial. JAMA. 2015;314(13):1346–55.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Fleshman J, Branda ME, Sargent DJ, et al. Disease-free survival and local recurrence for laparoscopic resection compared with open resection of stage II to III rectal cancer: follow-up results of the ACOSOG Z6051 randomized controlled trial. Ann Surg. 2019;269:589–95.

    Article  PubMed  Google Scholar 

  67. Arezzo A, Passera R, Salvai A, Arolfo S, Allaix ME, Schwarzer G, Morino M. Laparoscopy for rectal cancer is oncologically adequate: a systematic review and meta-analysis of the literature. Surg Endosc. 2015;29:334–48.

    Article  PubMed  Google Scholar 

  68. Weber PA, Merola S, Wasielewski A, Ballantyne GH. Telerobotic-assisted laparoscopic right and sigmoid colectomies for benign disease. Dis Colon Rectum. 2002;45:1689–94; discussion 1695–1696.

    Article  PubMed  Google Scholar 

  69. Sheetz KH, Norton EC, Dimick JB, Regenbogen SE. Perioperative outcomes and trends in the use of robotic colectomy for Medicare beneficiaries from 2010 through 2016. JAMA Surg. 2020;155:41–9.

    Article  PubMed  Google Scholar 

  70. Ross H, Steele S, Whiteford M, Lee S, Albert M, Mutch M, Rivadeneira D, Marcello P. Early multi-institution experience with single-incision laparoscopic colectomy. Dis Colon Rectum. 2011;54:187–92.

    Article  CAS  PubMed  Google Scholar 

  71. Sylla P, Rattner DW, Delgado S, Lacy AM. NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc. 2010;24:1205–10.

    Article  PubMed  Google Scholar 

  72. Buess G, Theiss R, Hutterer F, et al. Transanal endoscopic surgery of the rectum—testing a new method in animal experiments [in German]. Leber Magen Darm. 1983;13:73–7.

    CAS  PubMed  Google Scholar 

  73. Atallah S, Albert M, Larach S. Transanal minimally invasive surgery: a giant leap forward. Surg Endosc. 2010;24:2200–5.

    Article  PubMed  Google Scholar 

  74. Jakobsen PCH, Krarup PM, Jensen KK, Nordholm-Carstensen A. Robot-assisted TAMIS: a systematic review of feasibility and outcomes. Surg Endosc. 2023;27:1–12.

    Google Scholar 

  75. Kehlet H, Mogensen T. Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme. Br J Surg. 1999;86:227–30.

    Article  CAS  PubMed  Google Scholar 

  76. Fearon K, Ljungqvist O, Von Meyenfeldt M, Revhaug A, Dejong C, Lassen K, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr. 2005;24(3):466–77.

    Article  CAS  PubMed  Google Scholar 

  77. Berian J, Ban K, Liu J, Ko C, Feldman L, Thacker J. Adherence to enhanced recovery protocols in NSQIP and association with colectomy outcomes. Ann Surg. 2019;269(3):486–93.

    Article  PubMed  Google Scholar 

  78. Currie A, Burch J, Jenkins J, Faiz O, Kennedy R, Ljungqvist O, et al. The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an international registry. Ann Surg. 2015;261(6):1153–9.

    Article  Google Scholar 

  79. Gustafsson U, Hausel J, Thorell A, Ljungqvist O, Soop M, Nygren J. Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery. Arch Surg. 2011;146(5):571–7.

    Article  PubMed  Google Scholar 

  80. Owadunni O, Hampton J, Bettick D, Sateri S, Magnuson T, Wick E, et al. High compliance to an enhanced recovery pathway for patients ≥65 years undergoing major small and large intestinal surgery is associated with improved postoperative outcomes. Ann Surg. 2019;270(6):1117–23.

    Article  Google Scholar 

  81. Greco M, Capretti G, Beretta L, Gemma M, Pecorelli N, Braga M. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials. World J Surg. 2014;38(6):1531–41.

    Article  PubMed  Google Scholar 

  82. Stone A, Grant M, Pio Roda C, Hobson D, Pawlik T, Wu C, Wick E. Implementation costs of an enhanced recovery after surgery program in the United States: a financial model and sensitivity analysis based on experiences at a quaternary academic medical center. J Am Coll Surg. 2016;222(3):219–25.

    Article  PubMed  Google Scholar 

  83. Clarke J, Condon R, Barlett J, Gorbach S, Nichols R, Ochi S. Preoperative oral antibiotics reduce septic complications of colon operations. Ann Surg. 1977;186(3):251–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  84. Rollins K, Javanmard-Emamghissi H, Lobo D. Impact of mechanical bowel preparation in elective colorectal surgery: a meta-analysis. World J Gastroenterol. 2018;24(4):519–36.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Kiran R, Murray A, Chiuzan C, Estrada D, Forde K. Combined preoperative mechanical bowel preparation with oral antibiotics significantly reduces surgical site infection, anastomotic leak, and ileus after colorectal surgery. Ann Surg. 2015;262(3):416–23.

    Article  PubMed  Google Scholar 

  86. Morris M, Graham L, Chu D, Cannon J, Hawn M. Oral antibiotic bowel preparation significantly reduces surgical site infection rates and readmission rates in elective colorectal surgery. Ann Surg. 2015;261(6):1034–40.

    Article  PubMed  Google Scholar 

  87. Scarborough J, Mantyh C, Sun Z, Migaly J. Combined mechanical and oral antibiotic bowel preparation reduces incisional surgical site infection and anastomotic leak rates after elective colorectal resection: an analysis of colectomy-targeted ACS NSQIP. Ann Surg. 2015;262(2):331–7.

    Article  PubMed  Google Scholar 

  88. Migaly J, Bafford A, Francone T, Gaertner W, Eskicioglu C, Bordeianou L, et al. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the use of bowel preparation in elective colon and rectal surgery. Dis Colon Rectum. 2019;62(1):3–8.

    Article  PubMed  Google Scholar 

  89. Gustafsson U, Scott M, Hubner M, Nygren J, Demartines N, Francis M, et al. Guidelines for perioperative care in elective colorectal surgery: enhanced recovery after surgery (ERAS®) society recommendations: 2018. World J Surg. 2019;43(3):659–95.

    Article  CAS  PubMed  Google Scholar 

Suggested Reading

  1. Bolkenstein HE, Consten ECJ, van der Palen J, van de Wall BJM, et al. Dutch Diverticular Disease (3D) Collaborative Study Group. Long-term outcome of surgery versus conservative management for recurrent and ongoing complaints after an episode of diverticulitis: 5-year follow-up results of a multicenter randomized controlled trial (DIRECT-Trial). Ann Surg. 2019;269(4):612–20.

    Article  PubMed  Google Scholar 

  2. Bridoux V, Regimbeau JM, Ouaissi M, et al. Hartmann’s procedure or primary anastomosis for generalized peritonitis due to perforated diverticulitis: a prospective multicenter randomized trial (DIVERTI). J Am Coll Surg. 2017;225(6):798–805.

    Article  PubMed  Google Scholar 

  3. Chabok A, Påhlman L, Hjern F, Haapaniemi S, Smedh K, AVOD Study Group. Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br J Surg. 2012;99(4):532–9.

    Article  CAS  PubMed  Google Scholar 

  4. Connelly TM, Berg AS, Hegarty JP, et al. The TNFSF15 gene single nucleotide polymorphism rs7848647 is associated with surgical diverticulitis. Ann Surg. 2014;259(6):1132–7.

    Article  PubMed  Google Scholar 

  5. Daniels L, Ünlü Ç, de Korte N, et al. Dutch Diverticular Disease (3D) Collaborative Study Group. Randomized clinical trial of observational versus antibiotic treatment for a first episode of CT-proven uncomplicated acute diverticulitis. Br J Surg. 2017;104(1):52–61.

    Article  CAS  PubMed  Google Scholar 

  6. Gallo G, Ortenzi M, Grossi U. What paradigm shifts occurred in the management of acute diverticulitis during the COVID-19 pandemic? A scoping review. World J Clin Cases. 2021;9(23):6759–67.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Granlund J, Svensson T, Olen O, et al. The genetic influence on diverticular disease—a twin study. Aliment Pharmacol Ther. 2012;35(9):1103–7.

    Article  CAS  PubMed  Google Scholar 

  8. Hall J, Hardiman K, Lee S, Lightner A, Stocchi L, Paquette IM, Steele SR, Feingold DL, Prepared on behalf of the Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons. The American Society of Colon and Rectal Surgeons clinical practice guidelines for the treatment of left-sided colonic diverticulitis. Dis Colon Rectum. 2020;63(6):728–47.

    Article  PubMed  Google Scholar 

  9. Hanna M, Kaiser A. Update on the management of sigmoid diverticulitis. World J Gastroenterol. 2021;27(9):760–81.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Isacson D, Smedh K, Nikberg M, Chabok A. Long-term follow-up of the AVOD randomized trial of antibiotic avoidance in uncomplicated diverticulitis. Br J Surg. 2019;106(11):1542–8.

    Article  CAS  PubMed  Google Scholar 

  11. Kohl A, Rosenberg J, Bock D, et al. Two-year results of the randomized clinical trial DILALA comparing laparoscopic lavage with resection as treatment for perforated diverticulitis. Br J Surg. 2018;105(9):1128–34.

    Article  CAS  PubMed  Google Scholar 

  12. Liu PH, Cao Y, Keeley BR, et al. Adherence to a healthy lifestyle is associated with a lower risk of diverticulitis among men. Am J Gastroenterol. 2017;112(12):1868–76.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Oberkofler CE, Rickenbacher A, Raptis DA, et al. A multicenter randomized clinical trial of primary anastomosis or Hartmann’s procedure for left colonic diverticulitis with purulent or fecal peritonitis. Ann Surg. 2012;256(5):819–27.

    Article  PubMed  Google Scholar 

  14. Penna M, Markar SR, Mackenzie H, et al. Laparoscopic lavage versus primary resection for acute perforated diverticulitis: review and meta-analysis. Ann Surg. 2018;267(2):252–8.

    Article  PubMed  Google Scholar 

  15. Schafmayer C, Harrison JW, Buch S, et al. Genome-wide association analysis of diverticular disease points towards neuromuscular, connective tissue and epithelial pathomechanisms. Gut. 2019;68(5):854–65.

    Article  CAS  PubMed  Google Scholar 

  16. Strate LL, Erichsen R, Baron JA, et al. Heritability and familial aggregation of diverticular disease: a population-based study of twins and siblings. Gastroenterology. 2013;144(4):736–42.

    Article  PubMed  Google Scholar 

  17. Strate LL, Morris AM. Epidemiology, pathophysiology, and treatment of diverticulitis. Gastroenterology. 2019;156(5):1282–98.

    Article  PubMed  Google Scholar 

  18. Strate L, Keeley B, Cao Y, et al. Western dietary pattern increases, whereas prudent dietary pattern decreases, risk of incident diverticulitis in a prospective cohort study. Gastroenterology. 2017;152(5):1023–30.

    Article  PubMed  Google Scholar 

  19. Strate L, Liu Y, Syngal S, et al. Nut, corn and popcorn consumption and the incidence of diverticular disease. JAMA. 2008;300(8):907–14.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Thornblade LW, Simianu VV, Davidson GH, Flum DR. Elective surgery for diverticulitis and the risk of recurrence and ostomy. Ann Surg. 2021;273(6):1157–64.

    Article  PubMed  Google Scholar 

  21. van Dijk ST, Abdulrahman N, Draaisma WA, et al. A systematic review and meta-analysis of disease severity and risk of recurrence in young versus elderly patients with left-sided acute diverticulitis. Eur J Gastroenterol Hepatol. 2020;32(5):547–54.

    Article  PubMed  Google Scholar 

  22. Lowry AC, Simmang CL, Boulos P, Farmer KC, Finan PJ, Hyman N, Killingback M, Lubowski DZ, Moore R, Penfold C, Savoca P, Stitz R, Tjandra JJ, American Society of Colon and Rectal Surgeons, Association of Coloproctology of Great Britain and Ireland, Coloproctology Surgical Society of Australia. Consensus statement of definitions for anorectal physiology and rectal cancer. Color Dis. 2001;3(4):272–5. https://doi.org/10.1046/j.1463-1318.2001.00269.x. PMID: 12790974.

    Article  CAS  Google Scholar 

  23. Bordeianou L, Ogilvie J, Murphy M, Hyman N, Vogler S, Ky A, Oliveira L, Gurland B, Members of the Pelvic Floor Disorders Consortium Quality Improvement in Rectal Prolapse Surgery Database Pilot. Does concomitant pelvic organ prolapse repair at the time of rectopexy impact rectal prolapse recurrence rates? A retrospective review of the prospectively collected pelvic floor disorders consortium quality improvement database pilot. Dis Colon Rectum. 2022;65(12):1522–30. https://doi.org/10.1097/DCR.0000000000002495. Epub 2022 Sep 8. PMID: 36102871.

    Article  PubMed  Google Scholar 

  24. Expert Advisory Group on Cancer. A policy framework for commissioning cancer services—the Calman–Hine Report. A report by the Expert Advisory Group on Cancer to the Chief Medical Officers of England and Wales. London: Department of Health; 1995.

    Google Scholar 

  25. Rickles AS, Dietz DW, Chang GJ, Wexner SD, Berho ME, Remzi FH, Greene FL, Fleshman JW, Abbas MA, Peters W, Noyes K, Monson JR, Fleming FJ, Consortium for Optimizing the Treatment of Rectal Cancer (OSTRiCh). High rate of positive circumferential resection margins following rectal cancer surgery: a call to action. Ann Surg. 2015;262(6):891–8.

    Article  PubMed  Google Scholar 

  26. Aquina CT, Probst CP, Becerra AZ, Iannuzzi JC, Kelly KN, Hensley BJ, Rickles AS, Noyes K, Fleming FJ, Monson JR. High volume improves outcomes: the argument for centralization of rectal cancer surgery. Surgery. 2016;159(3):736–48.

    Article  PubMed  Google Scholar 

  27. Monson JRT, Dietz DW, Boughey JC, You YN. Improving rectal cancer outcomes through advocacy, education, and research: The OSTRiCh Consortium and the new NAPRC. Bull Am Coll Surg. 2016;101(11):45–6.

    PubMed  Google Scholar 

  28. Brady JT, Xu Z, Scarberry KB, Saad A, Fleming FJ, Remzi FH, Wexner SD, Winchester DP, Monson JRT, Lee L, Dietz DW, Consortium for Optimizing the Treatment of Rectal Cancer (OSTRiCh). Evaluating the current status of rectal cancer care in the US: where we stand at the start of the Commission on Cancer’s National Accreditation Program for Rectal Cancer. J Am Coll Surg. 2018;226(5):881–90.

    Article  PubMed  Google Scholar 

  29. Arndt KR, Dombek GE, Allar BG, Storino A, Fleishman A, Quinn J, Fabrizio A, Cataldo TE, Messaris E. Impact of National Accreditation Program for Rectal Cancer guidelines on surgical margin status. Surg Oncol. 2023;2:101921.

    Article  Google Scholar 

  30. Vassantachart A, Marietta M, Mehta S, Lin E, Bian SX. Racial disparities and standard treatment in locally advanced rectal cancer: a National Cancer Database study. J Gastrointest Oncol. 2022;13(6):2922–37.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Siegel RL, Wagle NS, Cercek Z, Smith RA, Jemal A. Colorectal cancer statistics, 2023. CA Cancer J Clin. 2023;73(3):233–54. https://doi.org/10.3322/caac.21772.

    Article  PubMed  Google Scholar 

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  1. Department of Surgery, Baylor, Dallas, TX, USA

    James W. Fleshman

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  1. Surgery, Vanderbilt Health, Spring Hill, TN, USA

    David E. Beck

  2. Surgery, Stamford Hospital, Stamford, CT, USA

    Charles E. Littlejohn

  3. Surgery, Louisiana State University Health Science Center, New Orleans, LA, USA

    Guy R. Orangio

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Fleshman, J.W. (2024). Clinical Advances in Colon and Rectal Surgery. In: Beck, D.E., Littlejohn, C.E., Orangio, G.R. (eds) The Legacy Continues. Springer, Cham. https://doi.org/10.1007/978-3-031-52893-4_2

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