A5057620023- Gallbladder and Bile Duct Disorders
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Pancreatic and Hepatic Oncology Research
- Pediatric Hepatobiliary Diseases and Treatments
- Colorectal Cancer Screening and Detection
- Colorectal Cancer Surgical Treatments
- Genetic and Kidney Cyst Diseases
- Biliary and Gastrointestinal Fistulas
- Cardiac, Anesthesia and Surgical Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Hernia repair and management
- Congenital gastrointestinal and neural anomalies
- Enhanced Recovery After Surgery
- Delphi Technique in Research
- Health and Medical Research Impacts
- Global Cancer Incidence and Screening
- Diverticular Disease and Complications
- Genetic factors in colorectal cancer
- Intestinal and Peritoneal Adhesions
- Anorectal Disease Treatments and Outcomes
- Health Sciences Research and Education
- Intestinal Malrotation and Obstruction Disorders
- Gastric Cancer Management and Outcomes
- Frailty in Older Adults
- Appendicitis Diagnosis and Management
University Hospitals Plymouth NHS Trust
2020-2024
Derriford Hospital
2021-2022
Bristol Royal Infirmary
2022
Royal Cornwall Hospital
2022
Dorset County Hospital NHS Foundation Trust
2018
Royal Devon & Exeter NHS Foundation Trust
2018
Basingstoke and North Hampshire Hospital
2016
Introduction Subtotal cholecystectomy (STC) is an alternative to total (TC) in patients with severe inflammation/adhesions around the hepatocystic triangle. This study aimed evaluate safety profile of STC. Methods We retrospectively reviewed all who had STC at our unit between February 2009 and August 2019. was divided into two types, reconstituting (R-STC) fenestrating (F-STC), depending on whether gall bladder remnant closed or left open. Patients for malignancy as part another operation...
Abstract Aim Young colorectal cancer (CRC) patients are reported to have more aggressive disease, an advanced stage at diagnosis and conflicting survival outcomes. The aim of this study was analyse the demographics, clinicopathological features prognosis young CRC a population‐based level in England. Method This is retrospective review all using data from Public Health England collated regional registries between 2010 2014. Those aged 40 years below were classified as those over older....
Abstract Background Anastomotic leak rates after colorectal surgery remain high. In most left-sided colon and rectal resection surgeries, a circular stapler is utilized to create the primary bowel anastomosis. However, it remains unclear whether relationship between technology anastomotic in exists. Methods A post-hoc analysis was conducted using prospectively collected data set of patients from 2017 European Society Coloproctology snapshot audit who underwent elective (left hemicolectomy,...
The aim of the study was to establish natural history elderly patients with non-metastatic colorectal cancer who underwent non-operative management in comparison those operative management.A retrospective analysis aged 80 years and above diagnosed between 2007 2015 a tertiary care hospital Southwest England done. Patients were divided into non-operatively managed operatively groups. Clinical demographics, Charlson Comorbidity Index, location tumour overall survival two groups compared.A...
Introduction This study presents the authors’ experience over 14 years of performing restorative procto-colectomy with ileal pouch anal anastomosis (IPAA). The aim was to long-term quality life outcomes and analyse predictors function as well physical mental wellbeing. Methods is a single-centre retrospective conducted in specialised colorectal surgery unit UK. included patients who underwent two- or three-staged panproctocolectomy defunctioning ileostomy for ulcerative colitis (UC) familial...
Counselling patients and their relatives about non-curative management options in colorectal cancer is difficult because of a paucity published data. This study aims to determine outcomes unsuitable for curative surgery the rates subsequent surgical intervention.This was an analysis all cancers managed without district general hospital from prospectively maintained registry between 2009 2016, as decided by multidisciplinary team. Primary were overall survival secondary intervention impact...
Subtotal cholecystectomy (STC) is a safe approach in difficult cholecystectomies to prevent bile duct and vascular injury. However, the gallbladder remnant can become symptomatic, necessitating further surgical intervention. This study evaluates safety profile perioperative outcomes of (RC) performed under intraoperative ultrasound guidance.
A 27-year-old woman presented to the emergency department with a 24-hour history of severe left iliac fossa pain associated vomiting. She reported ovarian cysts and was provisionally diagnosed ruptured cyst admitted under obstetrics gynaecology team for further investigation. 24 hours later, she became haemodynamically unstable increasing abdominal distention developed metabolic acidosis. CT scan revealed large bowel obstruction (LBO) secondary faecal bolus in sigmoid colon appearances...
Simple biliary cysts of the liver are described to be lined by epithelium and may managed nonsurgically or deroofing only. By contrast, its important differential diagnosis-mucinous cystic neoplasm (MCN)-is at least focally mucinous epithelium, has malignant potential, therefore should resected. Following anecdotal observations in routine diagnostic practice, following case series was assembled confirm whether simple can epithelium. Detailed clinicoradiological review, including...
Abstract Background Subtotal cholecystectomy (STC) is perceived as a safe approach in difficult cholecystectomies to prevent bile duct and vascular injury. However, the gallbladder remnant can become symptomatic, necessitating further surgical intervention. This study aims evaluate safety profile peri-operative outcomes of (RC) Methods We retrospectively reviewed records all patients that underwent STC from 2009 2019. Patients RC were included study. Results identified 97 during period. Of...
Abstract Background Most cystic liver lesions are simple biliary cysts (SBC) and have no malignant potential. Surgical deroofing may be indicated if symptomatic. Mucinous neoplasms (MCN) represent less than 5% of but can progress to mucinous cystadenocarcinoma therefore require formal resection. While an MCN would demonstrate complex features on imaging, SBC similar appearances following episodes infection or bleeding. CT, MR US scans low positive predictive value for MCN, most SBC. As a...
Abstract Introduction Recent research on the management of cholecystolithiasis with co-existing choledocholithiasis suggests performing cholecystectomy within 24 hours after ERCP has favourable outcomes. However, this target can be difficult to achieve in NHS due limited resources. Method This retrospective study includes 444 patients who underwent successful before cholecystectomy. We examined impact duration and post complications operative difficulty patient also report gallstone related...