American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

V41N5: Colon, Rectum & Anus, Part II

Recommended Reading

Chow W, Ko, CY, Rosenthal, RA, Esnaola, NF. ACS NSQIP/AGS Best practice guidelines: Optimal preoperative assessment of the geriatric patient. American College of Surgeons. Chicago, IL: American College of Surgeons; 2015. Free full text

This best practices document, which has been promulgated jointly by NSQIP, ACS, and AGS, provides guidelines for the assessment and reduction of risk in geriatric patients.

Guillem JG, Lee-Kong SA. Autonomic nerve preservation during rectal cancer resection. J Gastrointest Surg. 2010;14(2):416-422.

This article provides a clear description, with illustrations, of the technique of total mesorectal excision with automatic nerve preservation.

Keller DS, Ermlich BO, Delaney CP. Demonstrating the benefits of transversus abdominis plane blocks on patient outcomes in laparoscopic colorectal surgery: review of 200 consecutive cases. J Am Coll Surg. 2014;219(6):1143-1148. Free full text

Keller and coauthors provide data supporting the use of TAP blocks, as well as a clear description of their technique.

Koh PK, Seow-Choen F, Kwek BH. Total mesorectal excision: the unrecognized pelvic plane. Diseases of the colon and rectum. 2006;49(2):280-283; discussion 283-284.

Koh and colleagues provide valuable information on techniques for avoiding "coning" during the most distal components of total mesorectal excision. They emphasize that avoidance of "coning" is important for ensuring that distal tumor deposits have been removed.

Merkow RP, Bentrem DJ, Mulcahy MF, et al. Effect of postoperative complications on adjuvant chemotherapy use for stage III colon cancer. Ann Surg. 2013;258(6):847-853.

The authors present data documenting the negative effect of postoperative complications on the timely use of adjuvant chemotherapy.

Vedovati MC, Becattini C, Rondelli F, et al. A randomized study on 1-week versus 4-week prophylaxis for venous thromboembolism after laparoscopic surgery for colorectal cancer. Ann Surg. 2014;259(4):665-669.

The data presented support the use of a 4-week interval of LMWH for VTE prophylaxis in patients undergoing colon resection for cancer.

Wick E, Galante, DJ, Hudson, DD, et al. Organizational culture changes result in improvement in patient-centered outcomes: implementation of an integrated recovery pathway for surgical patients. J Am Coll Surg. 2015. (in press)

The authors describe an effective method for improving outcomes of colon cancer surgery.