Notes

Preceptorship associated with clinical learning in nursing homes : Any qualitative review of affects of an interprofessional team input.
The present study clarified the effect on the health-related quality of life and patient satisfaction of single-incision laparoscopic colectomy compared with multiport laparoscopic colectomy for colorectal cancer.

We conducted a multicenter, randomized, control trial comparing single-incision and multiport laparoscopic colectomy for colon cancer. We performed a pre-planned secondary analysis of health-related quality of life and patient satisfaction data of 200 patients. Health-related quality of life was evaluated using the Japanese 36-item Short Form Health Survey (SF-36) version 2.0 before surgery and at 1month after surgery. Patient satisfaction was compared using seven questionnaires at 1month after surgery.

One hundred patients were assigned to each group. learn more After excluding 18 patients (9.0%) who did not complete the SF-36, 182 patients (91.0%) were included in the analysis (92 cases of single-incision laparoscopic colectomy and 90 cases of multiport laparoscopic colectomy). The SF-36 scores at 1monort laparoscopic colectomy in terms of the role emotional.
In response to the rising use of laparoscopic surgery, recent studies have shown that laparoscopic multivisceral resections for locally advanced colon cancer are safe, feasible, and provide acceptable oncological outcomes. However, the usefulness of laparoscopic multivisceral resection remains controversial. Here, we aimed to compare short-term and long-term outcomes between laparoscopic and open multivisceral resection approaches for treating locally advanced colon cancer.

We retrospectively collected data on 1315 consecutive patients admitted to the National Hospital Organization, Osaka National Hospital, for surgical treatment of colorectal cancer between 2010 and 2017. We assessed invasiveness in terms of operating times, blood loss, and complications. Oncological outcomes included 5-year survival rates and recurrences.

We included 85 patients that underwent a colectomy with a multivisceral resection for locally advanced colon cancer; of these, 38 were treated with a laparoscopic approach and 47 were treated with an open approach. Compared to the open surgery group, the laparoscopic group had significantly less blood loss (median volume 25 vs 140mL,
<0.001), a lower complication rate (10.5% vs 29.8%,
=0.036), and shorter hospital stays (12 vs 15days,
=0.028). After excluding patients with stage Ⅳ colon cancer, the groups showed similar pathologic outcomes and no significant differences in 5-year disease-free survival (73.9% vs 67.4%;
=0.664) or 5-year overall survival (75.8% vs 67.7%;
=0.695).

A laparoscopic approach for locally advanced colon cancer could be less invasive than an open approach without affecting oncological outcomes in selected patients.
A laparoscopic approach for locally advanced colon cancer could be less invasive than an open approach without affecting oncological outcomes in selected patients.
The prognostic value of the stage III subclassification system based on the Japanese Classification of Colorectal, Appendiceal, and Anal Carcinoma has not yet been clarified. This study aimed to develop a modified system with optimal risk stratification and compare its performance with the current staging systems.

Clinicopathological data from 6855 patients with stage III colorectal cancers who underwent D3 dissection were collected from a nationwide multicenter database. After determining patient survival rates across 13 divisions based on pathological N stage (N1, N2a, and N2b/N3) and tumor depth (T1, T2, T3, T4a, and T4b), except for T1N2a and T1N2b/N3 due to the small number, we categorized patients into three groups and developed a trisection staging system according to the Akaike information criterion. We then compared the Akaike information criterion of the developed system with those of the current staging systems.

The T1N1
division (98.5%) had the most favorable prognosis in terms of 5-year cancer-specific survival, followed by T2N1
(93.9%), T2N2a
(92.0%), T3N1
(87.0%), T3N2a
(78.8%), T4aN1
(78.7%), T2N2b/N3
(77.8%), T4aN2a
(75.2%), T4bN1
(73.5%), T3N2b/N3
(64.7%), T4aN2b/N3
(61.5%), T4bN2b/N3
(43.0%), and T4bN2a
(42.5%). Compared to the categorizations of the Japanese and tumor-node-metastasis systems (Akaike information criterion, 22684.6 and 22727.1, respectively), the following stage categorizations were proven to be the most clinically efficacious T1N1

-T3N1
, T3N2a

-T4bN1
, and T3N2b/N3

-T4bN2a
(Akaike information criterion, 22649.2).

The proposed modified system may be useful in the risk stratification of patients with stage III colorectal cancer who had undergone D3 dissection.
The proposed modified system may be useful in the risk stratification of patients with stage III colorectal cancer who had undergone D3 dissection.
Gastric cancer with peritoneum dissemination is intractable with surgical resection. The evaluation of the degree of dissemination using computed tomography (CT) is difficult. We focused on the amount of ascites based on CT findings and established a scaling system to predict these patients' prognoses.

We extracted individual data from a population-based cohort. Patients diagnosed with histologically proven gastric adenocarcinoma with peritoneum dissemination were enrolled. Two raters evaluated the CT images and determined the grade of ascites in each patient grade 0 indicated no ascites in all slices; grade 1 indicated ascites detected only in the upper or lower abdominal cavity; grade 2 indicated ascites detected in both the upper and lower abdominal cavities; and grade 3 indicated ascites extending continuously from the pelvic cavity to the upper abdominal cavity. We evaluated the relationship between the ascites grade and survival time. After adjusting for other clinical factors, we calculated hazard ratios of each ascites grade.

A total of 718 patients were enrolled. The number of patients with grades 0, 1, 2, and 3 were 303, 223, 94, and 98, respectively. The median overall survival times were 16.0, 8.7, 5.4, and 3.0months for ascites on CT grades 0, 1, 2, and 3, respectively (
<.001). The adjusted hazard ratios for the survival time were 1.74 (1.33-2.26,
<.001), 3.20 (2.25-4.57,
<.001), and 4.76 (3.16-7.17,
<.001) for grades1, 2, and 3, respectively.

We established a new grading system of pretreatment ascites to better predict the prognosis of gastric cancer.
We established a new grading system of pretreatment ascites to better predict the prognosis of gastric cancer.
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