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2. Surgical stabilization of rib fractures (SSRF): the WSES and CWIS position paper

Author

Sermonesi, Giacomo, Bertelli, Riccardo, Pieracci, Fredric M., Balogh, Zsolt J., Coimbra, Raul, Galante, Joseph M., Hecker, Andreas, Weber, Dieter, Bauman, Zachary M., Kartiko, Susan, Patel, Bhavik, Whitbeck, SarahAnn S., White, Thomas W., Harrell, Kevin N., Perrina, Daniele, Rampini, Alessia, Tian, Brian, Amico, Francesco, Beka, Solomon G., Bonavina, Luigi, Ceresoli, Marco, Cobianchi, Lorenzo, Coccolini, Federico, Cui, Yunfeng, Dal Mas, Francesca, De Simone, Belinda, Di Carlo, Isidoro, Di Saverio, Salomone, Dogjani, Agron, Fette, Andreas, Fraga, Gustavo P., Gomes, Carlos Augusto, Khan, Jim S., Kirkpatrick, Andrew W., Kruger, Vitor F., Leppäniemi, Ari, Litvin, Andrey, Mingoli, Andrea, Navarro, David Costa, Passera, Eliseo, Pisano, Michele, Podda, Mauro, Russo, Emanuele, Sakakushev, Boris, Santonastaso, Domenico, Sartelli, Massimo, Shelat, Vishal G., Tan, Edward, Wani, Imtiaz, Abu-Zidan, Fikri M., Biffl, Walter L., Civil, Ian, Latifi, Rifat, Marzi, Ingo, Picetti, Edoardo, Pikoulis, Manos, Agnoletti, Vanni, Bravi, Francesca, Vallicelli, Carlo, Ansaloni, Luca, Moore, Ernest E., and Catena, Fausto

Published
2024
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5. WSES consensus guidelines on sigmoid volvulus management.

Author

Tian, Brian, Vigutto, Gabriele, Tan, Edward, van Goor, Harry, Bendinelli, Cino, Abu-Zidan, Fikri, Ivatury, Rao, Sakakushev, Boris, Di Carlo, Isidoro, Sganga, Gabriele, Maier, Ronald, Coimbra, Raul, Leppäniemi, Ari, Litvin, Andrey, Damaskos, Dimitrios, Broek, Richard, Biffl, Walter, Di Saverio, Salomone, De Simone, Belinda, Ceresoli, Marco, Picetti, Edoardo, Tebala, Giovanni, Beka, Solomon, Bonavina, Luigi, Cui, Yunfeng, Khan, Jim, Cicuttin, Enrico, Amico, Francesco, Kenji, Inaba, Hecker, Andreas, Ansaloni, Luca, Sartelli, Massimo, Moore, Ernest, Kluger, Yoram, Testini, Mario, Weber, Dieter, Agnoletti, Vanni, Angelis, Nicola, Coccolini, Federico, Sall, Ibrahima, Catena, Fausto, and Galante, Joseph

Subjects
Humans, Aged, Intestinal Volvulus, Decompression, Surgical, Lumbar Vertebrae, Colonic Diseases
Abstract

Sigmoid volvulus is a common surgical emergency, especially in elderly patients. Patients can present with a wide range of clinical states: from asymptomatic, to frank peritonitis secondary to colonic perforation. These patients generally need urgent treatment, be it endoscopic decompression of the colon or an upfront colectomy. The World Society of Emergency Surgery united a worldwide group of international experts to review the current evidence and propose a consensus guidelines on the management of sigmoid volvulus.

Published
2023

6. Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery.

Author

Bala, Miklosh, Catena, Fausto, Kashuk, Jeffry, De Simone, Belinda, Gomes, Carlos, Weber, Dieter, Sartelli, Massimo, Coccolini, Federico, Kluger, Yoram, Abu-Zidan, Fikri, Picetti, Edoardo, Ansaloni, Luca, Augustin, Goran, Biffl, Walter, Ceresoli, Marco, Chiara, Osvaldo, Chiarugi, Massimo, Coimbra, Raul, Cui, Yunfeng, Damaskos, Dimitris, Di Saverio, Salomone, Khokha, Vladimir, Kirkpatrick, Andrew, Inaba, Kenji, Leppäniemi, Ari, Litvin, Andrey, Peitzman, Andrew, Shelat, Vishal, Sugrue, Michael, Tolonen, Matti, Rizoli, Sandro, Sall, Ibrahima, Beka, Solomon, Di Carlo, Isidoro, Ten Broek, Richard, Mircea, Chirika, Tebala, Giovanni, Pisano, Michele, van Goor, Harry, Maier, Ronald, Jeekel, Hans, Civil, Ian, Hecker, Andreas, Tan, Edward, Soreide, Kjetil, Lee, Matthew, Wani, Imtiaz, Bonavina, Luigi, Malangoni, Mark, Koike, Kaoru, Velmahos, George, Fraga, Gustavo, Fette, Andreas, deAngelis, Nicola, Balogh, Zsolt, Scalea, Thomas, Sganga, Gabriele, Kelly, Michael, Khan, Jim, Stahel, Philip, Moore, Ernest, and Galante, Joseph

Subjects
Bowel ischemia, Guidelines, Mesenteric arterial occlusion, Mesenteric artery stenting, Mesenteric ischemia, Recommendations, World Society of Emergency Surgery, Humans, Mesenteric Ischemia, Mesenteric Vascular Occlusion, Endovascular Procedures, Ischemia, Intestines
Abstract

Acute mesenteric ischemia (AMI) is a group of diseases characterized by an interruption of the blood supply to varying portions of the intestine, leading to ischemia and secondary inflammatory changes. If untreated, this process may progress to life-threatening intestinal necrosis. The incidence is low, estimated at 0.09-0.2% of all acute surgical admissions, but increases with age. Although the entity is an uncommon cause of abdominal pain, diligence is required because if untreated, mortality remains in the range of 50%. Early diagnosis and timely surgical intervention are the cornerstones of modern treatment to reduce the high mortality associated with this entity. The advent of endovascular approaches in parallel with modern imaging techniques is evolving and provides new treatment options. Lastly, a focused multidisciplinary approach based on early diagnosis and individualized treatment is essential. Thus, we believe that updated guidelines from World Society of Emergency Surgery are warranted, in order to provide the most recent and practical recommendations for diagnosis and treatment of AMI.

Published
2022

7. Postoperative pain management in non-traumatic emergency general surgery: WSES-GAIS-SIAARTI-AAST guidelines.

Author

Coccolini, Federico, Corradi, Francesco, Sartelli, Massimo, Coimbra, Raul, Kryvoruchko, Igor, Leppaniemi, Ari, Doklestic, Krstina, Bignami, Elena, Biancofiore, Giandomenico, Bala, Miklosh, Marco, Ceresoli, Damaskos, Dimitris, Biffl, Walt, Fugazzola, Paola, Santonastaso, Domenico, Agnoletti, Vanni, Sbarbaro, Catia, Nacoti, Mirco, Hardcastle, Timothy, Mariani, Diego, De Simone, Belinda, Tolonen, Matti, Ball, Chad, Podda, Mauro, Di Carlo, Isidoro, Di Saverio, Salomone, Navsaria, Pradeep, Bonavina, Luigi, Abu-Zidan, Fikri, Soreide, Kjetil, Fraga, Gustavo, Carvalho, Vanessa, Batista, Sergio, Hecker, Andreas, Cucchetti, Alessandro, Ercolani, Giorgio, Tartaglia, Dario, Wani, Imtiaz, Kurihara, Hayato, Tan, Edward, Litvin, Andrey, Melotti, Rita, Sganga, Gabriele, Zoro, Tamara, Isirdi, Alessandro, DeAngelis, Nicola, Weber, Dieter, Hodonou, Adrien, tenBroek, Richard, Parini, Dario, Khan, Jim, Sbrana, Giovanni, Coniglio, Carlo, Giarratano, Antonino, Gratarola, Angelo, Zaghi, Claudia, Romeo, Oreste, Kelly, Michael, Forfori, Francesco, Chiarugi, Massimo, Moore, Ernest, Catena, Fausto, Malbrain, Manu, and Galante, Joseph

Subjects
Acute, Emergency, Morbidity, Pain, Surgery, Treatment, Abdomen, Analgesics, Anesthesia, Humans, Pain, Postoperative, Perioperative Care, United States
Abstract

BACKGROUND: Non-traumatic emergency general surgery involves a heterogeneous population that may present with several underlying diseases. Timeous emergency surgical treatment should be supplemented with high-quality perioperative care, ideally performed by multidisciplinary teams trained to identify and handle complex postoperative courses. Uncontrolled or poorly controlled acute postoperative pain may result in significant complications. While pain management after elective surgery has been standardized in perioperative pathways, the traditional perioperative treatment of patients undergoing emergency surgery is often a haphazard practice. The present recommended pain management guidelines are for pain management after non-traumatic emergency surgical intervention. It is meant to provide clinicians a list of indications to prescribe the optimal analgesics even in the absence of a multidisciplinary pain team. MATERIAL AND METHODS: An international expert panel discussed the different issues in subsequent rounds. Four international recognized scientific societies: World Society of Emergency Surgery (WSES), Global Alliance for Infection in Surgery (GAIS), Italian Society of Anesthesia, Analgesia Intensive Care (SIAARTI), and American Association for the Surgery of Trauma (AAST), endorsed the project and approved the final manuscript. CONCLUSION: Dealing with acute postoperative pain in the emergency abdominal surgery setting is complex, requires special attention, and should be multidisciplinary. Several tools are available, and their combination is mandatory whenever is possible. Analgesic approach to the various situations and conditions should be patient based and tailored according to procedure, pathology, age, response, and available expertise. A better understanding of the patho-mechanisms of postoperative pain for short- and long-term outcomes is necessary to improve prophylactic and treatment strategies.

Published
2022

9. The LIFE TRIAD of emergency general surgery.

Author

Coccolini, Federico, Sartelli, Massimo, Kluger, Yoram, Osipov, Aleksei, Cui, Yunfeng, Beka, Solomon, Kirkpatrick, Andrew, Sall, Ibrahima, Moore, Ernest, Biffl, Walter, Litvin, Andrey, Pisano, Michele, Magnone, Stefano, Picetti, Edoardo, de Angelis, Nicola, Stahel, Philip, Ansaloni, Luca, Tan, Edward, Abu-Zidan, Fikri, Ceresoli, Marco, Hecker, Andreas, Chiara, Osvaldo, Sganga, Gabriele, Khokha, Vladimir, di Saverio, Salomone, Sakakushev, Boris, Campanelli, Giampiero, Fraga, Gustavo, Wani, Imtiaz, Broek, Richard, Cicuttin, Enrico, Cremonini, Camilla, Tartaglia, Dario, Soreide, Kjetil, de Moya, Marc, Koike, Kaoru, De Simone, Belinda, Balogh, Zsolt, Amico, Francesco, Shelat, Vishal, Pikoulis, Emmanouil, Di Carlo, Isidoro, Bonavina, Luigi, Leppaniemi, Ari, Marzi, Ingo, Ivatury, Rao, Khan, Jim, Maier, Ronald, Hardcastle, Timothy, Isik, Arda, Podda, Mauro, Tolonen, Matti, Rasa, Kemal, Navsaria, Pradeep, Demetrashvili, Zaza, Tarasconi, Antonio, Carcoforo, Paolo, Sibilla, Maria, Baiocchi, Gian, Pararas, Nikolaos, Weber, Dieter, Chiarugi, Massimo, Catena, Fausto, and Galante, Joseph

Subjects
Data, Effectiveness, Emergency General Surgery, Formation, Learning, Outcomes, Planning, Hospitals, Humans, Registries, Surgeons
Abstract

Emergency General Surgery (EGS) was identified as multidisciplinary surgery performed for traumatic and non-traumatic acute conditions during the same admission in the hospital by general emergency surgeons and other specialists. It is the most diffused surgical discipline in the world. To live and grow strong EGS necessitates three fundamental parts: emergency and elective continuous surgical practice, evidence generation through clinical registries and data accrual, and indications and guidelines production: the LIFE TRIAD.

Published
2022

12. 2023 WSES guidelines for the prevention, detection, and management of iatrogenic urinary tract injuries (IUTIs) during emergency digestive surgery

Author

de’Angelis, Nicola, Schena, Carlo Alberto, Marchegiani, Francesco, Reitano, Elisa, De Simone, Belinda, Wong, Geoffrey Yuet Mun, Martínez-Pérez, Aleix, Abu-Zidan, Fikri M., Agnoletti, Vanni, Aisoni, Filippo, Ammendola, Michele, Ansaloni, Luca, Bala, Miklosh, Biffl, Walter, Ceccarelli, Graziano, Ceresoli, Marco, Chiara, Osvaldo, Chiarugi, Massimo, Cimbanassi, Stefania, Coccolini, Federico, Coimbra, Raul, Di Saverio, Salomone, Diana, Michele, Dioguardi Burgio, Marco, Fraga, Gustavo, Gavriilidis, Paschalis, Gurrado, Angela, Inchingolo, Riccardo, Ingels, Alexandre, Ivatury, Rao, Kashuk, Jeffry L., Khan, Jim, Kirkpatrick, Andrew W., Kim, Fernando J., Kluger, Yoram, Lakkis, Zaher, Leppäniemi, Ari, Maier, Ronald V., Memeo, Riccardo, Moore, Ernest E., Ordoñez, Carlos A., Peitzman, Andrew B., Pellino, Gianluca, Picetti, Edoardo, Pikoulis, Manos, Pisano, Michele, Podda, Mauro, Romeo, Oreste, Rosa, Fausto, Tan, Edward, Ten Broek, Richard P., Testini, Mario, Tian Wei Cheng, Brian Anthony, Weber, Dieter, Sacco, Emilio, Sartelli, Massimo, Tonsi, Alfredo, Dal Moro, Fabrizio, and Catena, Fausto

Published
2023
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13. Training curriculum in minimally invasive emergency digestive surgery: 2022 WSES position paper

Author

de’Angelis, Nicola, Marchegiani, Francesco, Schena, Carlo Alberto, Khan, Jim, Agnoletti, Vanni, Ansaloni, Luca, Barría Rodríguez, Ana Gabriela, Bianchi, Paolo Pietro, Biffl, Walter, Bravi, Francesca, Ceccarelli, Graziano, Ceresoli, Marco, Chiara, Osvaldo, Chirica, Mircea, Cobianchi, Lorenzo, Coccolini, Federico, Coimbra, Raul, Cotsoglou, Christian, D’Hondt, Mathieu, Damaskos, Dimitris, De Simone, Belinda, Di Saverio, Salomone, Diana, Michele, Espin‐Basany, Eloy, Fichtner‐Feigl, Stefan, Fugazzola, Paola, Gavriilidis, Paschalis, Gronnier, Caroline, Kashuk, Jeffry, Kirkpatrick, Andrew W., Ammendola, Michele, Kouwenhoven, Ewout A., Laurent, Alexis, Leppaniemi, Ari, Lesurtel, Mickaël, Memeo, Riccardo, Milone, Marco, Moore, Ernest, Pararas, Nikolaos, Peitzmann, Andrew, Pessaux, Patrick, Picetti, Edoardo, Pikoulis, Manos, Pisano, Michele, Ris, Frederic, Robison, Tyler, Sartelli, Massimo, Shelat, Vishal G., Spinoglio, Giuseppe, Sugrue, Michael, Tan, Edward, Van Eetvelde, Ellen, Kluger, Yoram, Weber, Dieter, and Catena, Fausto

Published
2023
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14. International guideline on natural orifice specimen extraction surgery (NOSES) for colorectal cancer (2023 version)

Author

Liu, Zheng, Guan, Xu, Zhang, Mingguang, Hu, Xiyue, Yang, Ming, Bai, Junge, Li, Jun, Yu, Shaojun, Ding, Kefeng, He, Qingsi, Kang, Liang, Ma, Dan, Fu, Chuangang, Hu, Junhong, Wei, Ye, Sun, Donghui, Yu, Gang, He, Songbing, Wang, Changyou, Gao, Yanwei, Wang, Guiyu, Yao, Hongliang, Peng, Jian, Zheng, Yangchun, Jiang, Bo, Li, Taiyuan, Xiong, Zhiguo, Sun, Xuejun, Wang, Zhenning, Meng, William, Chen, William Tzu-Liang, Shen, Ming-Yin, Marks, John H., Ternent, Charles A., Shaw, Darcy D., Khan, Jim S., Tsarkov, Petr, Tulina, Inna, Efetov, Sergey, da Costa Pereira, Joaquim Manuel, Nogueira, Fernanda, Escalante, Ricardo, Leroy, Joel, Saklani, Avanish, Dulskas, Audrius, Kayaalp, Cuneyt, Nishimura, Atsushi, Uehara, Kay, Lee, Woo-Yong, Kim, Sang-Hoo, Lee, Suk-Hwan, and Wang, Xishan

Published
2023
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16. International Consensus on Natural Orifice Specimen Extraction Surgery (NOSES) for Gastric Cancer (2019)

Author

The International Alliance of NOSES, Guan, Xu, Liu, Zheng, Parvaiz, Amjad, Longo, Antonio, Saklani, Avanish, Shafik, Ali A., Cai, Jian-Chun, Ternent, Charles A., Chen, Lin, Kayaalp, Cuneyt, Sumer, Fatih, Nogueira, Fernanda, Gao, Feng, Han, Fang-Hai, He, Qing-Si, Chun, Ho-Kyung, Huang, Chang-Ming, Huang, Hai-Yang, Huang, Rui, Jiang, Zhi-Wei, Khan, Jim S., da Costa Pereira, Joaquim Manuel, Nunoo-Mensah, Joseph W., Son, Jung Tack, Kang, Liang, Uehara, Keisuke, Lan, Ping, Li, Le-Ping, Liang, Han, Liu, Bing-Rong, Liu, Juan, Ma, Dan, Shen, Ming-Yin, Islam, Mohammad Rashidul, Samalavicius, Narimantas Evaldas, Pan, Kai, Tsarkov, Petr V., Qin, Xin-Yu, Escalante, Ricardo, Efetov, Sergey, Jeong, Seung Kyu, Lee, Suk-Hwan, Sun, Dong-Hui, Sun, Li, Garmanova, Tatiana, Tian, Yan-Tao, Wang, Gui-Yu, Wang, Guo-Jun, Wang, Guo-Rong, Wang, Xiao-Qiang, Chen, William Tzu-Liang, Lee, Woo-Yong, Yan, Su, Yang, Zu-Li, Yu, Gang, Yu, Pei-Wu, Zhao, Dan, Zhong, Yun-Shi, Wang, Jian-Ping, Wang, Xishan, and Wang, Xishan, editor

Published
2023
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17. International Guideline on Natural Orifice Specimen Extraction Surgery (NOSES) for Colorectal Cancer (2023 Version)

Author

Committee of Colorectal Cancer Society Chinese Anti-Cancer Association, International NOSES Alliance, Liu, Zheng, Guan, Xu, Zhang, Mingguang, Hu, Xiyue, Yang, Ming, Bai, Junge, Li, Jun, Yu, Shaojun, Ding, Kefeng, He, Qing-Si, Kang, Liang, Ma, Dan, Fu, Chuangang, Hu, Junhong, Wei, Ye, Sun, Dong-Hui, Yu, Gang, He, Songbing, Wang, Changyou, Gao, Yanwei, Wang, Gui-Yu, Yao, Hongliang, Peng, Jian, Zheng, Yangchun, Jiang, Bo, Li, Taiyuan, Xiong, Zhiguo, Sun, Xuejun, Wang, Zhenning, Meng, William, Chen, William Tzu-Liang, Shen, Ming-Yin, Marks, John H., Ternent, Charles A., Shaw, Darcy D., Khan, Jim S., Tsarkov, Petr V., Tulina, Inna, Efetov, Sergey, da Costa Pereira, Joaquim Manuel, Nogueira, Fernanda, Escalante, Ricardo, Leroy, Joel, Saklani, Avanish, Dulskas, Audrius, Kayaalp, Cuneyt, Nishimura, Atsushi, Uehara, Kay, Lee, Woo-Yong, Kim, Sang-Hoo, Lee, Suk-Hwan, Wang, Xishan, and Wang, Xishan, editor

Published
2023
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28. WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment

Author

Smyth, Luke, Bendinelli, Cino, Lee, Nicholas, Reeds, Matthew G., Loh, Eu Jhin, Amico, Francesco, Balogh, Zsolt J., Di Saverio, Salomone, Weber, Dieter, ten Broek, Richard Peter, Abu-Zidan, Fikri M., Campanelli, Giampiero, Beka, Solomon Gurmu, Chiarugi, Massimo, Shelat, Vishal G., Tan, Edward, Moore, Ernest, Bonavina, Luigi, Latifi, Rifat, Hecker, Andreas, Khan, Jim, Coimbra, Raul, Tebala, Giovanni D., Søreide, Kjetil, Wani, Imtiaz, Inaba, Kenji, Kirkpatrick, Andrew W., Koike, Kaoru, Sganga, Gabriele, Biffl, Walter L., Chiara, Osvaldo, Scalea, Thomas M., Fraga, Gustavo P., Peitzman, Andrew B., and Catena, Fausto

Published
2022
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30. Robotic surgery in emergency setting: 2021 WSES position paper

Author

de’Angelis, Nicola, Khan, Jim, Marchegiani, Francesco, Bianchi, Giorgio, Aisoni, Filippo, Alberti, Daniele, Ansaloni, Luca, Biffl, Walter, Chiara, Osvaldo, Ceccarelli, Graziano, Coccolini, Federico, Cicuttin, Enrico, D’Hondt, Mathieu, Di Saverio, Salomone, Diana, Michele, De Simone, Belinda, Espin-Basany, Eloy, Fichtner-Feigl, Stefan, Kashuk, Jeffry, Kouwenhoven, Ewout, Leppaniemi, Ari, Beghdadi, Nassiba, Memeo, Riccardo, Milone, Marco, Moore, Ernest, Peitzmann, Andrew, Pessaux, Patrick, Pikoulis, Manos, Pisano, Michele, Ris, Frederic, Sartelli, Massimo, Spinoglio, Giuseppe, Sugrue, Michael, Tan, Edward, Gavriilidis, Paschalis, Weber, Dieter, Kluger, Yoram, and Catena, Fausto

Published
2022
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31. Quadruple Assessment of Colorectal Anastomosis after Laparoscopic Rectal Resection: A Retrospective Analysis of a Propensity-Matched Cohort.

Author

Carannante, Filippo, Piozzi, Guglielmo Niccolò, Miacci, Valentina, Bianco, Gianfranco, Melone, Gennaro, Schiavone, Vincenzo, Costa, Gianluca, Caricato, Marco, Khan, Jim S., and Capolupo, Gabriella Teresa

Subjects
RECTAL surgery, RECTAL cancer, PROPENSITY score matching, LAPAROSCOPIC surgery, INDOCYANINE green
Abstract

Background: Anastomotic leakage (AL) is one of the most feared complications in colorectal surgery, with an incidence of 12–39% and associated risk of mortality of 2–24%. The causes of AL and the ways to prevent it are currently under investigation. This study aims to verify if a quadruple assessment of colorectal anastomosis could reduce AL incidence. Methods: A retrospective analysis of prospectively collected data on rectal cancer surgery performed from January 2015 to December 2017 and from January 2021 to December 2023 at a tertiary referral cancer centre was performed. Demographics, clinicopathological features, short-term outcomes, recurrences, and survival were investigated. Results: A total of 293 patients were enrolled. AL incidence was lower in the quadruple assessment group than in the control group, reaching a statistically significant result (7.7% vs. 16%; p = 0.001). This result was also confirmed after a propensity score match analysis (PSM), in which the AL rate was lower in the quadruple assessment group (5.4% vs. 12.3%; p = 0.01). Conclusions: This study shows how the systematic implementation of a quadruple assessment when performing a colorectal anastomosis could increase awareness on anastomotic success and reduce the incidence of AL. [ABSTRACT FROM AUTHOR]

Published
2024
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41. Minimal access surgery in colorectal disease

Author

Khan, Jim and Mills, Graham

Subjects
610
Abstract

This body of work presents the research and publications undertaken under a general theme of minimal access colorectal surgery. Papers are presented on surgery for colon cancer, rectal cancer, splenic flexure, emergency surgery, and complications after laparoscopic surgery, outcomes, training in minimal access surgery and robotic surgery. The work highlights my own personal contributions and publications under this theme, as well as collaborations and output emanating from multi-centre trials. Presentations include video, oral and poster presentations at national and international meetings. With my background experience of laparoscopic surgery, the focus has been on applications of laparoscopy for the management of colorectal cancer, role of laparoscopy in emergency settings, and complications of colorectal surgery. With a significant experience in robotics, I have shared the published data from management of rectal cancers and the techniques of single docking total mesorectal excision and flexure mobilization. A particular focus has been on teaching and training in minimal access surgery. My publication record comprises; pathfinder and seminal papers; papers from co-supervised MD/MSc; international collaborations; technical authorship and support; other published contributions; guideline development and technical reports and internal briefing papers.

Published
2017

42. Radical surgery versus organ preservation via short-course radiotherapy followed by transanal endoscopic microsurgery for early-stage rectal cancer (TREC): a randomised, open-label feasibility study

Author

Brown, Gina, Antonio, Peter, Vince, Alex, Hilken, Nick, Sidile, Chakanaka, Wilcockson, Adrian, Peto, Richard, Crosby, Tom, Moran, Brendan, Olliff, Julie, Ashok, Katti, Slawik, Simone, Smethurst, Andrew, Sripadam, Rajaram, Tagore, Veena, Terlizzo, Monica, Philip, Bearn, Davies, Robert, Dodd, Susan, Essapen, Sharadah, Nisar, Pasha, Stewart, Alexandra, Trickett, Jonathan, Ashish, Bansal, Billings, Peter, Chandran, Palanichamy, Corr, Conor, Favill, Edward, Gollins, Simon, Marsh, Peter, Maw, Andrew, Neupane, Rakha, Rajagopal, Ramesh, Cooper, Rachel, Griffith, John, Hatfield, Paul, Lowe, Andy, Ostrowski, Julian, Robinson, Jonathan, Simpson, Rhian, Adams, Richard, Bleehen, Robert, Davies, Michael, Morgan, Meleri, Boone, Darren, Lacey, Nicola, Seddon, Ian, Sizer, Bruce, Stunell, Helen, Wu, Shaobin, Hadaki, Maher, Blunt, Dominic, Cleator, Susan, Darzi, Ara, Goldin, Robert, Ziprin, Paul, Dobson, Mike, Pitt, Mark, Susnerwala, Shabbir, Williamson, Deborah, Howarth, Georgina, Lee, Stephen, Wright, Paul, Hoare, Tim, Horgan, Alan, McDonald, Fiona, Needham, Stephanie, Scott, John, Simmons, Timothy, Biswas, Debashis, Hernon, James, Kapur, Gaurav, Kapur, Sandeep, Sington, James, Speakman, Christopher, Stebbings, William, Williams, Stuart, Adusumalli, Madhavi, Agarwal, Anil, Borowski, David, Garg, Dharmendra, Gill, Talvinder, Hegab, Mohammed, Hobday, Catherine, Rao, Veena, Shrimankar, Jyotsna, Tabaqchali, Mohamed, Wilson, David, Jones, Oliver, Mortensen, Neil, Slater, Andrew, Szuts, Aron, Wang, Lai, Warren, Bryan, Weaver, Andrew, Ahmad, Mukhtar, Alexander, Julian, Flubacher, Maxine, Tarver, David, Baluch, Suhail, Beable, Richard, Cowlishaw, David, Higginson, Antony, Vogiatzis, Prokopios, Cruickshank, Neil, Joy, Howard, Peake, David, Zanetto, Ulises, Saunders, Mark, Sun-Myint, Arthur, Teo, Mark, Allan, Arthur, Geh, Ian, Glaholm, John, Goldstein, Mark, Hejmadi, Rahul, Langman, Gerald, Morton, Dion, Nelson, Cyril, Tattersall, Deborah, Falk, Stephen, Longman, Robert, Roach, Huw, Shabbir, Jamshed, Shelley-Fraser, Golda, Thomas, Michael, Cripps, Neil, Haba, Yasser, Harris, Guy, Hookway, Max, Simson, Jay, Skull, Angela, Umar, Tijani, Bach, Simon P, Gilbert, Alexandra, Brock, Kristian, Korsgen, Stephan, Hill, James, Hainsworth, Paul, Tutton, Matthew G, Khan, Jim, Steward, Mark, Cunningham, Christopher, Levy, Bruce, Beveridge, Alan, Handley, Kelly, Kaur, Manjinder, Marchevsky, Natalie, Magill, Laura, Russell, Ann, Quirke, Philip, West, Nicholas P, and Sebag-Montefiore, David

Published
2021
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44. An Institutional Shift from Routine to Selective Diversion of Low Anastomosis in Robotic TME Surgery for Rectal Cancer Patients Using the KHANS Technique: A Single-Centre Cohort Study.

Author

Duhoky, Rauand, Piozzi, Guglielmo Niccolò, Rutgers, Marieke L. W., Mykoniatis, Ioannis, Siddiqi, Najaf, Naqvi, Syed, and Khan, Jim S.

Subjects
RECTAL surgery, RECTAL cancer, SURGICAL robots, ONCOLOGIC surgery, REOPERATION, ILEOSTOMY
Abstract

(1) Background: In recent years, there has been a change in practice for diverting stomas in rectal cancer surgery, shifting from routine diverting stomas to a more selective approach. Studies suggest that the benefits of temporary ileostomies do not live up to their risks, such as high-output stomas, stoma dysfunction, and reoperation. (2) Methods: All rectal cancer patients treated with a robotic resection in a single tertiary colorectal centre in the UK from 2013 to 2021 were analysed. In 2015, our unit made a shift to a more selective approach to temporary diverting ileostomies. The cohort was divided into a routine diversion group treated before 2015 and a selective diversion group treated after 2015. Both groups were analysed and compared for short-term outcomes and morbidities. (3) Results: In group A, 63/70 patients (90%) had a diverting stoma compared to 98/135 patients (72.6%) in group B (p = 0.004). There were no significant differences between the groups in anastomotic leakages (11.8% vs. 17.8%, p = 0.312) or other complications (p = 0.117). There were also no significant differences in readmission (3.8% vs. 2.6%, p = 0.312) or reoperation (3.8% vs. 2.6%, p = 1.000) after stoma closure. After 1 year, 71.6% and 71.9% (p = 1.000) of patients were stoma-free. One major reason for the delay in stoma reversal was the COVID-19 pandemic, which only occurred in group B (0% vs. 22%, p = 0.054). (4) Conclusions: A more selective approach to diverting stomas for robotic rectal cancer patients does not lead to more complications or leaks and can be considered in the treatment of rectal cancer tumours. [ABSTRACT FROM AUTHOR]

Published
2024
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45. Robotic approach to colonic resection: For some or for all patients?

Author

Subramaniam, Sentilnathan, Piozzi, Guglielmo Niccolò, Kim, Seon‐Hahn, and Khan, Jim S.

Subjects
COLECTOMY, MINIMALLY invasive procedures, ROBOTICS, PROCTOLOGY, SURGICAL excision
Abstract

The robotic approach is rapidly gaining momentum in colorectal surgery. Its benefits in pelvic surgery have been extensively discussed and are well established amongst those who perform minimally invasive surgery. However, the same cannot be said for the robotic approach for colonic resection, where its role is still debated. Here we aim to provide an extensive debate between selective and absolute use of the robotic approach for colonic resection by combining the thoughts of experts in the field of robotic and minimally invasive colorectal surgery, dissecting all key aspects for a critical view on this exciting new paradigm in colorectal surgery. [ABSTRACT FROM AUTHOR]

Published
2024
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