- Colorectal Cancer Surgical Treatments
- Colorectal Cancer Screening and Detection
- Colorectal and Anal Carcinomas
- Gastric Cancer Management and Outcomes
- Diverticular Disease and Complications
- COVID-19 Clinical Research Studies
- Intensive Care Unit Cognitive Disorders
- Intestinal Malrotation and Obstruction Disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Long-Term Effects of COVID-19
- Respiratory Support and Mechanisms
- Surgical Simulation and Training
- Radiomics and Machine Learning in Medical Imaging
- Colorectal Cancer Treatments and Studies
- Stoma care and complications
- Coronary Artery Anomalies
- Esophageal and GI Pathology
- Appendicitis Diagnosis and Management
- Artificial Intelligence in Healthcare and Education
- Neuroendocrine Tumor Research Advances
- Cardiac Arrest and Resuscitation
- Mechanical Circulatory Support Devices
- Pelvic and Acetabular Injuries
- Bladder and Urothelial Cancer Treatments
- Trauma and Emergency Care Studies
Portsmouth Hospitals NHS Trust
2023-2025
University of Portsmouth
2024-2025
Queen Alexandra Hospital
2024
University Hospital Southampton NHS Foundation Trust
2024
University Medical Center Utrecht
2022-2023
Wilhelmina Children's Hospital
2023
Heidelberg University
2022
University Hospital Heidelberg
2022
Abstract Aim Complete mesocolic excision (CME) is an oncologically driven technique for treating right colon cancer. While laparoscopic CME technically demanding and has been associated with more complications, the robotic approach might reduce morbidity. The aim of this study was to assess safety stepwise implementation CME. Method A multicentre retrospective analysis prospectively collected data on colectomy performed at five European tertiary centres. Patients were classified type...
Background/Objectives: Rectal cancer is a major global health issue with high morbidity and mortality rates. Local recurrence (LR) significantly impacts patient outcomes, decreasing survival rates often necessitating extensive secondary treatments. While robot-assisted total mesorectal excision (R-TME) becoming preferred method for rectal surgery due to its improved precision visualisation, long-term data on LR predictors of remain limited. This study aims determine the 3-year rate following...
Background: Robot-assisted total mesorectal excision has been proposed as an alternative to laparoscopic TME for rectal cancer. However, its short-term outcomes and long-term oncological efficacy remain debated, especially in Western populations. This study evaluates the clinical of robot-assisted performed by experienced surgeons high-volume European centres. Methods: multicentre, international, retrospective cohort included 1390 patients from EUREKA collaborative dataset who underwent...
Total mesorectal excision is the gold standard for rectal cancer surgery, with laparoscopic and robot-assisted approaches commonly employed. While surgery may offer technical advantages, there limited evidence comparing short-term outcomes of techniques, particularly in Western European populations. This study aimed to assess vs total cancer. multicentre, international, retrospective cohort included 1749 patients who underwent or from January 2014 2024. Inverse probability treatment...
Abstract Background Positive circumferential resection margin (CRM) after total mesorectal excision (TME) is associated with higher local and systemic recurrence rates, affecting overall survival in patients rectal cancer. Although risk factors for positive CRM have been identified open, laparoscopic, transanal TME, these may differ robot-assisted (R-TME). This study aimed to assess the incidence of following R-TME identify preoperative factors. Method An international multicentre...
Objective: To compare long-term outcomes between laparoscopic and robotic total mesorectal excisions (TMEs) for rectal cancer in a tertiary center. Background: Laparoscopic surgery has comparable to the open approach, with several advantages short-term outcomes. However, it significant technical limitations, which approach aims overcome. Methods: We included patients undergoing TME 2013 2021. The groups were compared after propensity-score matching. primary outcome was 5-year overall...
Abstract Background Transanal minimally invasive surgery (TAMIS) is an advanced technique for excision of early rectal cancers. Robotic TAMIS (r-TAMIS) has been introduced as technical improvement and potential alternative to total mesorectal (TME) in cancers frail patients. This study reports the perioperative short-term oncological outcomes r-TAMIS local early-stage Methods Retrospective analysis a prospectively collected database (July 2021–July 2023). Demographics, clinicopathological...
Abstract Introduction A trauma resuscitation is dynamic and complex process in which failures could lead to serious adverse events. In several centers, evaluation of part a hospital’s quality assessment program. While video analysis commonly used, some hospitals use live observations, mainly due ethical medicolegal concerns. The aim this study was compare the validity reliability observations evaluate resuscitations. Methods prospective observational study, assessed by comparing observed...
Colon cancer has the fifth highest incidence worldwide and sixth mortality. Compared with rectal cancer, colon currently worst 5-year overall survival for patients stage II III disease. Complete mesocolic excision been developed as a standardized optimized surgical technique of cancers. This traditionally performed through an open approach since laparoscopy is generally considered technically challenging. The robotic slowly implemented but newest platforms allow safer right cancer. Several...
Abstract Background Bowel endometriosis impacts quality of life. Treatment requires complex surgical procedures with associated morbidity. Precision approach robotic surgery leads to organ preservation. a multidisciplinary management improve patient outcomes. This study evaluates perioperative outcomes bowel undergoing planning and surgery. Methods Consecutive cases (January 2021–December 2022) were evaluated from prospectively maintained database in national accredited centre. Patients...
A laparoscopic approach to right colectomies for emergency colon cancers is under investigation. This study compares perioperative and oncological long-term outcomes of undergoing or open resections identifies risk factors survival.
Abstract Aim To investigate the barriers to and rate of ultrasonography use facilitate diagnosis suspected appendicitis assess its effect on negative appendicectomy rates in concordance with GIRFT guidelines for children abdominal pain. Method Retrospective single-site data paediatric patients presenting was collected over 6 months, using operative admission records, imaging requests histology results. An anonymous survey distributed amongst Surgical clinicians determine perceived impact...
(1) Background: In recent years, there has been a change in practice for diverting stomas rectal cancer surgery, shifting from routine to more selective approach. Studies suggest that the benefits of temporary ileostomies do not live up their risks, such as high-output stomas, stoma dysfunction, and reoperation. (2) Methods: All patients treated with robotic resection single tertiary colorectal centre UK 2013 2021 were analysed. 2015, our unit made shift approach ileostomies. The cohort was...