AIM:To assess the outcomes of laparoscopic colorectal cancer resection in the octogenarian population at our institution.METHODS:Retrospective analysis of registry data accumulated prospectively were used in conjuncti...AIM:To assess the outcomes of laparoscopic colorectal cancer resection in the octogenarian population at our institution.METHODS:Retrospective analysis of registry data accumulated prospectively were used in conjunction with the data obtained from patient notes to identify outcome data for octogenarians who had undergone elective laparoscopic colorectal cancer resection.RESULTS:Laparoscopic colorectal cancer resections were performed in 68 octogenarians between 2003 and 2011 at our institution.Four operations(6%) were converted to an open technique.There were twelve cases of morbidity(18%) and two cases of mortality(3%).The overall median hospital stay was 8 d.The median time for a patient to be deemed surgically fit for discharge was 5 d reflecting a delay in provision of social care or stoma education.CONCLUSION:Our results support the view that laparoscopic surgery in octogenarians is safe,feasible and with a reduced length of stay.This is well reflected in our results which are compatible with United Kingdom national figures.展开更多
The occurrence of intussusception in adults is rare,accounting for less than 5% of all cases of intussusceptions and almost 1%-5% of bowel obstruction.The condition is found in less than 1 in 1300 abdominal operations...The occurrence of intussusception in adults is rare,accounting for less than 5% of all cases of intussusceptions and almost 1%-5% of bowel obstruction.The condition is found in less than 1 in 1300 abdominal operations and 1 in 100 patients operated for intestinal obstruction.The child to adult ratio is more than 20:1.We report a rare case of ileocolic intussusception in an adult secondary to an ileal lipoma.展开更多
Cervical cancer is the fourth most common cancer in women and is responsible for 275,000 deaths worldwide each year. The burden of this disease lies in the developing world. However it is arguably the most preventable...Cervical cancer is the fourth most common cancer in women and is responsible for 275,000 deaths worldwide each year. The burden of this disease lies in the developing world. However it is arguably the most preventable cancer. The Human Papilloma Virus (HPV) is responsible for almost all cases of Cervical Cancer. HPV is sexually transmitted and has a lifetime cumulative risk of infection of 80%. National Cervical cytology screening programmes are used to detect cervical abnormalities, lesions and early cancers in as many eligible women as possible, saving lives and reducing morbidity. However uptake of screening is declining, and screening programmes have not been implemented in lower resource countries due to the cost and infrastructure required. Alternative screening methods have been implemented in such countries such as Visual Inspection with Acetic acid (VIA) but mortality and morbidity remain high. Since 2007, programmes of vaccination against the most oncogenic types of HPV have been rolled out internationally aiming to capture girls, and eventually potentially boys, before they become sexually active. These programmes have been largely successful, with good coverage and low adverse effects reported. Going forward, the vaccine and the advent of effective HPV screening and self testing mean that there needs to be a reorganisation of current cervical screening programmes.展开更多
文摘AIM:To assess the outcomes of laparoscopic colorectal cancer resection in the octogenarian population at our institution.METHODS:Retrospective analysis of registry data accumulated prospectively were used in conjunction with the data obtained from patient notes to identify outcome data for octogenarians who had undergone elective laparoscopic colorectal cancer resection.RESULTS:Laparoscopic colorectal cancer resections were performed in 68 octogenarians between 2003 and 2011 at our institution.Four operations(6%) were converted to an open technique.There were twelve cases of morbidity(18%) and two cases of mortality(3%).The overall median hospital stay was 8 d.The median time for a patient to be deemed surgically fit for discharge was 5 d reflecting a delay in provision of social care or stoma education.CONCLUSION:Our results support the view that laparoscopic surgery in octogenarians is safe,feasible and with a reduced length of stay.This is well reflected in our results which are compatible with United Kingdom national figures.
文摘The occurrence of intussusception in adults is rare,accounting for less than 5% of all cases of intussusceptions and almost 1%-5% of bowel obstruction.The condition is found in less than 1 in 1300 abdominal operations and 1 in 100 patients operated for intestinal obstruction.The child to adult ratio is more than 20:1.We report a rare case of ileocolic intussusception in an adult secondary to an ileal lipoma.
文摘Cervical cancer is the fourth most common cancer in women and is responsible for 275,000 deaths worldwide each year. The burden of this disease lies in the developing world. However it is arguably the most preventable cancer. The Human Papilloma Virus (HPV) is responsible for almost all cases of Cervical Cancer. HPV is sexually transmitted and has a lifetime cumulative risk of infection of 80%. National Cervical cytology screening programmes are used to detect cervical abnormalities, lesions and early cancers in as many eligible women as possible, saving lives and reducing morbidity. However uptake of screening is declining, and screening programmes have not been implemented in lower resource countries due to the cost and infrastructure required. Alternative screening methods have been implemented in such countries such as Visual Inspection with Acetic acid (VIA) but mortality and morbidity remain high. Since 2007, programmes of vaccination against the most oncogenic types of HPV have been rolled out internationally aiming to capture girls, and eventually potentially boys, before they become sexually active. These programmes have been largely successful, with good coverage and low adverse effects reported. Going forward, the vaccine and the advent of effective HPV screening and self testing mean that there needs to be a reorganisation of current cervical screening programmes.
