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A difference was observed in 5-year survival between the different classes of LNR. Conclusions: The results showed that the LNR has an impact on 5-year survival of patients with rectal cancer not submitted to neoadjuvant therapy. Keywords: rectum; colorectal neoplasms; lymph nodes; lymph node excision; survival analysis.

The lowest OS of these patients required complementary therapies associated with the surgical treatment to improve these rates, regardless of the number of compromised LNs4. Then, patients with only one compromised LN are submitted to the same complementary treatment protocol as those with more extensive lymph node involvement4.

The precise evaluation of the presence of lymp node metastases is possible only when a proper number of LNs is examined5. Modern international guidelines recommend that the minimum number of 12 LNs should be analyzed to enable proper staging However, the number of examined LNs in the surgical specimen is influenced by different variables.

Despite such peculiarities, the international guidelines recommend that the same number of LNs should be studied for a proper CRC staging Colorectal cancer CRC is the third most prevalent neoplasm in the world and the second cause of death related to cancer in western countries1. Epidemiological studies have shown a 2. In the last two decades, despite the increase in the number of proximal colon tumors, rectal tumors are still more prevalent3.

Many clinical, histopathological, molecular and genetic variables have been related to overall survival OS and disease-free survival DFS in patients with CRC4. Despite the importance of all variables, the parietal invasion, the lymph node involvement and the presence of metastases remain as the variables of more power to predict the OS, DFS and guide the adjuvant therapy indication In , Dukes8 developed the first classification system for colorectal CR staging.

In this system, the different stages of the disease were classified according to the extent of rectal wall involvement and the presence or not of lymph node metastases. Later, several alterations were proposed to improve the OS prediction capability of the original classification9, In the TNM system, the patients are divided into groups and subgroups, according to the extent of tumor invasion in the colon wall, presence and number of metastases in the LNs and the involvement of distant organs Lymph node involvement is determined by using the number of metastatic LNs and subdivided into: N0 for no LN involvement; N1 for metastases in up to three LNs; and N2 for when four or more LNs are taken by neoplasm The importance of a proper lymph node resection is evident with the results of studies showing that the recovery of less than 12 LNs in the surgical specimen is directly related to lower OS and DFS in patients with CRC22, In order to find a variable that could improve the accuracy of staging systems, especially in patients submitted to improper lymph node resection, the incorporation of lymph node ratio LNR into staging systems as an additional variable has been proposed Initially, the prognostic value of LNR was evaluated in patients with stomach25,26, bladder27, breast28 and pancreas29 cancer, presenting correlation with DFS and OS.

In patients with gastric cancer submitted to improper lymphadenectomy, LNR presented greater prognostic power when compared to the number of comproimsed LNs, when using the current staging systems The routine incorporation of LNR into the staging systems was able to reduce the effects of stage migration4, Berger et al. They observed that, after the curative resection, the LNR was an important prognostic variable, recommending its use in future studies to analyze adjuvant treatments Later, a series of studies confirmed the importance of LNR as a prognostic factor in patients with CC4,5, The evaluation in patients with CRC is more difficult to be performed, because the patients submitted or not to LNR protocols are usually evaluated as a single group, which influences the number of recovered LNs in the surgical specimen.

It would be interesting to first study the impact of LNR, subdividing the patients into two groups: one of patients submitted and one of patients not submitted to the NCR, to confirm whether the LNR has predictive power in OS in both groups.

From total patients with CRC monitored from to , 90 were eligible for the study, with confirmed histological diagnosis of rectal adenocarcinoma, in any stage according to the TNM classification, and who had been submitted to complete resection of primary tumor. The study excluded synchronic tumors, patients with suspicion of belonging to families with hereditary CRC familial adenomatous polyposis and non-polypoid CRC or CRC associated with intestinal inflammatory disease and patients submitted to NCR.

The study considered as rectal tumors neoplasms located below the sacral promontory, according to data collected from the surgical description. All patients were operated through laparotomy and none of them received drainage of lateral chain pelvic LNs. The mean follow-up period was Twenty-six patients concluded the proposed adjuvant scheme. In the database review, the following variables were analyzed: age over or under 65 years old , gender male or female , ethnic group white, black and yellow , histological degree of neoplasm well, moderate The histological blades of each patient were hematoxylin-eosin HE stained, then analyzed by the Pathology Department and reviewed by an pathologist with experience in digestive tract neoplasms to confirm the histopathological diagnosis and review the considered variables.

In the previous anatomopathological study, LN dissection was performed with fixed specimen. No fat clearing method was used to enhance LN recovery. Wall invasion was evaluated according to the involvement extent of mucosa, submucosa, muscularis propria, serous membrane, adipose tissue or adjacent organs. The review of neoplastic involvement of resected LNs was analyzed exclusively through the HE technique, not using the immunohistochemical method to study micrometastases.

The ideal cut-off for the classification of groups, considering the best specificity and sensitivity values to the selected sample, was obtained from the receiver operating characteristics ROC curve, in order to find the ideal LNR for the case classification. Descriptive statistics was used to describe the clinical characteristics of the selected case and the histopathological data of neoplasm. The OS curves in a 5-year follow-up were determined using the Kaplan-Meyer method, with the Cox-Mantel test used in comparisons.

Figure 1. Five-year survival according to Dukes classification. Kaplan-Meier Curve. Cox-Mantel Test. Figure 3. Fifteen patients Figure 1 shows the OS according to Dukes classification. Seventeen patients Sixty-one patients Figure 2.

In the whole analysis, compromised LNs, mean of 1. No correlation was observed between the number of resected LNs and the They dissected total LNs, with mean They found on average Later, other authors, when dissecting 30 cadavers, counted the number of LNs in the mesorectum, comparing the lymph node recovery through manual dissection to the adipose tissue clearing technique.

The authors also divided the mesorectum into three segments upper, middle and lower. The mean recovered LNs per cadaver was 6. However, they point out the fact that, in the lower third of the mesorectum, the clearing technique enabled the recovery of a greater number of LNs of small sizes These findings are essential when the number of recovered LNs is studied in patients with CRC located below the peritoneal reflection.

In addition, it should be emphasized that the best recommendations for the CRC treatment propose the use of NCR exactly in the patients with tumors located in the middle and lower rectum, where the number of LNs is lower. The use of NCR reduces not only the size, but especially the quantity of recovered LNs for histological analysis.

Marks et al. In our group, Habr-Gama et al. A considerable number of LNs in the surgical specimen ensures neoplasm staging certainty and suggests the surgical resection execution according to the recommended oncologic standards, demonstrating that the extracted specimen had been submitted to a detailed histopathological analysis5,45, Despite all precaution of surgeons and pathologists, other variables can interfere in the number of studied LNs.

Proximal colon tumors have shown to recover a significantly greater number of LNs when compared to distal colon tumors These differences are attributed to the possibility of resecting a greater number of lymph node chains in the proximal colon than in the distal colon and rectum This possibility is confirmed by the results of a study that analyzed patients of CRC, showing that the mean value of recovered LNs in the right colon was higher than in the left colon Our group also found similar results in a previous study, which analyzed only patients with CC and CRC located above the peritoneal reflection, with mean value of recovered LNs of However, in this study, for which only patients with CRC were selected, the mean value was Recently, a study that dissected 12 cadavers of patients that died of diseases not related to the diges However, they point out that these findings are not completely applicable when using NCR, at NCR, besides reducing the number of recovered LNs, creates a group of patients without LN in the surgical specimen, changing the post-chemoradiation staging.

They suggest that the absence of LN may reflect a better response to NCR therapy, instead of worsened surgical radicality With these findings, they proposed that the surgical treatment could be avoided in patients with complete clinical, endoscopic and radiological response to NCR, with the indication of a rigorous postoperative follow-up only, and the surgical therapy could be indicated to cases of unsatisfactory response or recurrence, identified through clinical, endoscopic and imaging exams during the follow-up52, However, there are no sufficient evidences, based on wellconducted multi-center studies, that justify the indication of non-surgical treatments to patients that present complete response after NCR54, All these evidences suggest that lymph node staging in patients with CRC submitted to NCR, based on the number of identified LNs only, is controversial and should be interpreted as a precaution The surgical and histological technique also influences the number of recovered LNs in the surgical specimen.

A study analyzing 15 patients submitted to NCR, rectal resection with total excision of mesorectum and lateral chain LN dissection, showed the recovery of LNs. The study reported mean resected LNs per patient of Surgeon training is also considered an important variable for a proper lymphadenectomy. A study evaluating total patients showed that the number of resected LNs significantly increases when the patients are operated by surgeons specialized in CRC treatment This study showed that the number of LNs removed by the trained surgeons was, on average, of All these arguments suggest that, when combining the proper surgeon training, histological technique, utilization of NCR and aspects related to the patient, such as obesity and the fact of being a male, the number of identified LNs in the CRC specimens can be lower, further aggravating the correct prognostic classification18, Perhaps, the most important objective of a proper lymphadenectomy in patients with CRC is to select, with superior accuracy, those who will benefit from a complementary adjuvant treatment When comparing the OS of patients with CRC in relation to the number of extirpated LNs, it is observed that the improper resection significantly worsens the disease prognosis16, Most authors consider the range of 10 and 17 LNs as ideal12,36,59, In the USA, the National Quality Forum and other organizations have recently defined that, in patients with CRC, the minimum number of 12 LNs should be resected, in this parameter, which is one of the most important in the quality analysis of a unit specialized in the disease treatment Then, resections with less than 12 LNs can be considered improper, not enabling the correct staging.

Many pathologists prefer to classify patients with less than 12 LNs identified in the surgical specimen as NX or add a note to the anatomopathological study report emphasizing the risk of predicting the lymph node status based on the number of dissected LNs4, Resections with insufficient number of LNs contribute to the phenomenon of stage migration described by Feinstein et al.

In fact, it is a frequent phenomenon in oncology, which occurs when the prediction of favorable survival is threatened by unfavorable progress4, In order to improve the lymph node staging and reduce the possibility of stage migration, the incorporation or new strategies has been studied. They selected patients who presented the mean number of 13 LNs analyzed. Unlike this study, De Ridder et al. They concluded that the LNR is a variable that can improve staging in improper lymph node resection.

A multi-center study published by Wang et al. Curiously, Derwinger et al. Through a univariate analysis, they reported that the LNR showed to be a more important prognostic factor to predict the OS and indication of. Rosenberg et al. The rate of potentially curative surgeries was After the statistic study, they established that the best cohort level for the LNR classification was 0. When considering all patients as a single group, they observed that the LNR presented a greater prognostic power than the number of compromised LNs.

In the first, the authors analyzed patients, most were males The median value of dissected LNs per patient was The univariate analysis showed that the OS of patients included in the study was related to LNR, disease staging and tumor recurrence.

However, in the multivariate analysis, they observed that the only independent factor related to OS was TNM. Perhaps, these findings are related to the fact that more than half the selected patients in the study The authors justify that the possible explanations for the fact that the LNR does not predict OS were: sample heterogeneity in relation to the initial tumor staging, number of dissected LN, short follow-up With the multivariate analysis, they reported that the LNR can be considered an independent prognostic variable.

The results of all these studies were confirmed by a recently-published systematic literature review that selected total 16 studies with good level of evidence. The results showed that the capability to predict OS as provided by the LNR was greater than that found only through the number of committed LNs They found the relative risk for OS of 2. Few studies have evaluated whether the LNR could be related to OS in patients exclusively with CRC, and even so, these studies do not clearly state whether the patients were categorized according to the criterion of having been submitted to NCR or not, which could influence the LNR calculation42,44, Peng et al.

The multivariate analysis showed that, when considered as a continuous variable, LNR was the most important prognostic factor in OS. In the same year, Peschaud et al. From the patients, Recently, Kang et al. They observed that the patients with CRC previously submitted to NCR frequently present less than 12 dissected LNs, despite the intense surgical rigor and careful pathological analysis.

From total patients, were submitted to dissection of LNs from the lateral pelvic wall. The mean number of resected LNs in patients submitted or not to lateral dissection was 45 and 17, respectively. The study excluded 45 patients who had less than 12 LNs in the surgical specimen. Among the several clinical and pathological parameters analyzed, they observed that the number of committed LNs and LNR were variables related to the disease prognosis.

This idea is defended by others who believe that the LNR can become a better method to select patients with CRC eligible to adjuvant therapy43,70, Recently, investigators observed that the LNR is a variable that predicts the development of pulmonary metastases in patients with CRC The study selected only patients that had been submitted to surgical resection, regardless of the number of recovered LNs in the surgical specimen, and that had not received NCR.

The main purpose was to observe whether the systematic surgery alone for CRC, with total excision of the mesorectum, and performed by a trained medical team for the disease treatment, could confirm the relation between LNR and OS.

The review of histopathologi-. In this study, when analyzing the clinical variables, age, gender and ethnic group in relation to OS, no significant differences were observed. They also demonstrated that the mean survival of these patients is In this study, no relation was found between the histological type of the tumor and OS.

This finding is probably related to the small number 8. Perhaps this small number is due to the fact that only patients with CRC were selected, and in these patients, the proportion of this histological type is smaller when compared to CC patients, and due to the fact that the study excluded patients with suspicion of belonging to families with HNPCC, which present higher incidence of mucus-secreting tumors Although tumors with worse histological degree are also associated to worse OS, this study did not observe any relation between worse histological degree and smaller OS.

Perhaps the small number of little differentiated tumors found in the study 4. Regarding the tumor size, the results obtained agree with those found in the literature. Larger tumors usually present small chances of curative resection R0 , greater possibility of invasion of adjacent structures prostate, bladder, vagina, presacral fascia , locoregional recurrence and distant metastases, factors that influence the OS.

When considering the extent of rectal wall penetration as a variable It should be noted that the LNR could predict the OS even in patients with less than 12 recovered LNs results not shown and who would be properly categorized according to the best current directions for CRC staging. However, some considering should be pointed out. Most authors that have evaluated the prognostic impact of LNR on OS have analyzed a small number of cases, patients with differences regarding.

Another factor of crucial importance is the absence of standardization at the cohort levels used to categorize the patients into groups according to the LNR in different studies. Only with the results of systematic reviews of multi-center, prospective studies, with an expressive number of cases, better standardization of inclusion criteria and that use standardized cohort levels it will be possible to definitively confirm the prognostic impact of LNR and propose its inclusion as a useful variable to improve the staging systems currently available.

Until then, due to the easy-to-use calculation of no additional cost, the routine use of LNR is recommended as a valid instrument to help the correct categorization of patients with CRC, reducing staging errors. Impact of tumor location on nodal evaluation for colon cancer.

Dis Colon Rectum ;51 2 Lymph node retrieval after resection of rectal cancer following preoperative chemoradiotherapy. Medicina Kaunas ;46 5 Variation in lymph node evaluation in rectal cancer: a Dutch nationwide population-based study. Ann Surg Oncol ;18 2 Effect of preoperative radiochemotherapy on lymph node retrieval after resection of rectal cancer. Arch Surg ; 2 Influence of preoperative chemoradiotherapy on the number of lymph nodes retrieved in rectal cancer. Ann Surg ; 2 Lymph node retrieval in colorectal cancer resection specimens: national standards are achievable, and low numbers are associated with reduced survival.

Colorectal Dis ;12 4 Number and size of lymph nodes recovered from dukes B rectal cancers: correlation with prognosis and histologic antitumor immune response. Dis Colon Rectum ;50 1 Ann Surg Oncol ;18 9 Prognostic impact of positive lymph node ratio in gastric carcinoma.

J Surg Oncol ;96 2 Ratio of metastatic lymph nodes: impact on staging and survival of gastric cancer. Eur J Surg Oncol ;34 5 Herr HW. Superiority of ratio based lymph node staging for bladder cancer. J Urol ; 3 Lymph node ratio: a proposed refinement of current axillary staging in breast cancer patients. J Am Coll Surg ; 1 Lymph node ratio versus number of affected lymph nodes as predictors of survival for resected pancreatic adenocarcinoma.

World J Surg ;34 4 The Will Rogers phenomenon: Stage migration and new diagnostic techniques as a source of misleading statistics for survival in cancer. N Engl J Med ; 25 Vital signs: colorectal cancer screening, incidence, and mortality - United States, Lancet Oncol ;9 8 Boyle P, Ferlay J. Cancer incidence and mortality in Europe, Ann Oncol ;16 3 Metastatic lymph node ratio as an independent prognostic variable in colorectal cancer: study of patients.

Tech Coloproctol ;13 2 Impact of metastatic lymph node ratio in node-positive colorectal cancer. World J Gastrointest Surg ;2 3 Adjuvant therapy of colon cancer--results of a prospectively randomized trial. Gastrointestinal Tumor Study Group. N Engl J Med ; 12 Sobin LH, Wittekind C. TNM classification of malignant tumors. New York: Wiley-Liss; Dukes CE. The classification of cancer of the rectum. J Pathol ; The prognostic significance of direct extension of carcinoma of the colon and rectum.

Ann Surg ; 6 Guidelines for colon and rectal cancer surgery. J Natl Cancer Inst ;93 8 Benson AB 3rd. New approaches to the adjuvant therapy of colon cancer. Oncologist ;11 9 Number of nodes examined and staging accuracy in colorectal carcinoma.

J Clin Oncol ;17 9 The prognosis of T3N0 colon cancer is dependent of the number of nodes retrieved on resection. Ann Surg Oncol ; Prognostic factors in colorectal cancer. College of American Pathologists Consensus Statement Arch Pathol Lab Med ; 7 Lymph node recovery from colorectal tumor specimens: recommendation for a minimum number of lymph nodes to be examined. World J. Surg ;26 3 Colon cancer survival is associated with increasing number of lymph nodes analyzed: a secondary survey of intergroup trial INT J Clin Oncol ;21 15 Colon cancer survival is associated with decreasing ratio of metastatic to examined lymph nodes.

J Clin Oncol ;23 34 Prognostic significance of metastatic lymph node ratio in node-positive colon carcinoma. Ann Surg Oncol ;14 5 Lymph node ratio: role in the staging of node-positive colon cancer. Ann Surg Oncol ;15 6 A study of lymph node ratio as a prognostic marker in colon cancer. Eur J Surg Oncol ;34 7 Prognosis of patients with colorectal cancer is associated with lymph node ratio: a single-center analysis of 3, patients over a year time period.

Rev Ass Med Bras ;53 6 J Coloproctol ;28 4 Nodal stage of stage III colon cancer: the impact of metastatic lymph node ratio. J Surg Oncol ; 3 Metastatic lymph node ratio is a more precise predictor of prognosis than number of lymph nodes metastases in stage III colon cancer. Int J Colorectal Dis ;24 11 Prognostic value of lymph node ratio in node positive colon cancer.

Gut ;55 11 The metastatic lymph node ratio predicts survival in colon cancer. Am J Sur ; 6 Prognostic significance of the metastatic lymph node ratio in node-positive rectal cancer. Ann Surg Oncol ;15 11 Lymph node ratio as a prognostic factor in patients with stage III rectal cancer treated with total mesorectal excision followed by chemoradiotherapy. The ratio of metastatic to examined lymph nodes is a powerful independent prognostic factor in rectal cancer.

Lymph node size and metastatic. Ann Surg Oncol ;6 6 : Validation of lymphatic mapping in colorectal cancer: In vivo, ex vivo, and laparoscopic techniques. Ann Surg Oncol ;8 2 Differences in colorectal cancer patterns between right and left sided colorectal cancer lesions. J BUON ;15 3 : Anatomical lymph node mapping in normal mesorectal adipose tissue.

Dis Colon Rectum ;53 12 Anatomic study of distribution, numbers, and size of lymph nodes in mesorectum in indians: a autopsy study. Int J Surg Pathol ;19 3 Fewer than 12 lymph nodes can be expected in a surgical specimen after high-dose chemoradiation therapy for rectal cancer. Dis Colon Rectum ;53 7 Absence of lymph nodes in the resected specimen after radical surgery for distal rectal cancer and neoadjuvant chemoradiation therapy: what does it mean?

Dis Colon Rectum ;51 3 Complete clinical response after neoadjuvant chemoradiation therapy for distal rectal cancer: characterization of clinical and endoscopic findings for standardization. Nonoperative approaches to rectal cancer: a critical evaluation. Semin Radiat Oncol ;21 3 Singh-Ranger G, Kumar D.

Current concepts in the nonoperative management of rectal cancer after neoadjuvant chemoradiation. Anticancer Res ;31 5 Impact of preoperative radiation for rectal cancer on subsequent lymph node evaluation: a population-based analysis. Evaluation of lateral lymph node metastases in advanced distal rectal cancer. Hepatogastroenterology ;57 Advanced fellowship training is associated with improved lymph node retrieval in colon cancer resections.

J Surg Res ; 1 :e Sigurdson ER. Lymph node dissection: Is it diagnostic or therapeutic? J Clin Oncol ;21 6 Lymph node recovery from colorectal resection specimens removed. Am J Clin Pathol ; 2 More extensive nodal dissection improves survival for stages I to III of colon cancer: a population-based study. Ann Surg ; 4 Hospital lymph node examination rates and survival after resection for colon cancer.

JAMA ; 18 Derwinger K, Gustavsson B. A study of lymph node ratio in stage IV colorectal cancer. World J Surg Oncol ; Ann Surg Oncol ;16 3 Positive lymph node retrievel ratio optimises patient staging in colorectal cancer. Br J Cancer ; 10 : Lymph node ratio as prognostic factor for colon cancer treated by colorectal surgeons. Dis Colon Rectum ;52 7 Prognostic value of the lymph node ratio in stage III colorectal cancer: a systematic review.

Ann Surg Oncol ;17 11 Prognostic impact of the Lymph node ratio in rectal cancer patients who underwent preoperative chemoradiation. The prognostic value of lymph node ratio after neoadjuvant chemoradiation and rectal cancer surgery. Dis Colon Rectum ;54 2 Lymph node ratio is a powerful prognostic index in patients with stage III distal rectal cancer: a Japanese multicenter study. Int J Colorectal Dis ;26 7 Postoperative radiotherapy in rectal cancer: long-term results of patients. Hepatogastroenterology ;57 : Metastatic lymph node ratio in stage III rectal cancer; prognostic significance in addition to the 7th edition of the TNM classification.

Eur J Surg Oncol ;36 12 Predictive factors for pulmonary metastases after curative resection of rectal cancer without preoperative chemoradiotherapy. Dis Colon Rectum ;54 8 Signet-ring cell carcinoma of the colon and rectum: a matched control study. Dis Colon Rectum ;42 9 Signet ring cell differentiation in mucinous colorectal carcinoma. J Pathol ; 3 Rev Col Bras Cir ;35 4 Abstract: ulcerative colitis treatment intends to induce remission, and its maintenance.

Biological drugs, such as infliximab, have been indicated in moderate and severe cases of the disease, which are unresponsive to conventional medication. Randomized controlled trials proved the efficacy of biological treatment with high rates of sustained disease remission and mucosal healing.

Recently, the concept of mucosal healing has been inversely associated with surgical treatment. Patients treated with infliximab have lower colectomy rates than those receiving conventional therapies. To support this hypothesis, a literature review from January, to April, was performed. Keywords: biological therapy; colectomy; colitis, ulcerative; treatment outcome.

However, its role in the pathogenesis of non-specific ulcerative colitis UC is still an issue of debate The clinical control of UC patients is based on salicylate therapy, such as sulphasalazine and mesalazine. In refractory cases, most authors recommend im-. The main anti-TNF drugs used in clinical practice are: infliximab, adalimumab, and more recently certolizumab pegol Funding source: none.

Steroid treatment is only indicated for a few weeks in the remission induction, but it is not suggested for remission maintenance. The main objective of medical treatment is to induce and maintain disease remission, avoiding flare-ups and the need for steroids.

Remission maintenance of the disease is inversely associated with indication of a surgical procedure, such as total colon removal and ileal pouch anal anastomosis IPAA Several pilot studies have been performed using anti-TNF, especially infliximab, with the aim of treating patients with UC unresponsive to conventional medication The most important study in this topic was published in Two recent randomized, controlled and double-blinded trials with UC patients denominate ACT 1 and ACT 2 Active Colitis Trial 1 and 2 demonstrated the efficacy of infliximab for induction and maintenance of remission in patients with moderate to severe UC not responding to conventional treatment5.

Jarnerot et al. To support this hypothesis, a wide literature review was carried out to find better evidence over a period from January, to April, Amongst the initial 60 patients planned for inclusion, only 11 were randomized: 3 received placebo and the others, different infliximab doses. All three placebo patients had colectomies at the end of the study and among the eight receiving infliximab, only four underwent surgery2.

Forty-five patients were included 24 treated with infliximab and 21 with placebo. This was the first report in literature with strong evidence supporting the use of infliximab as a rescue therapy before colectomy indication5. In a multicenter retrospective study performed in Italy, Kohn et al. Those who did not respond to treatment were submitted to colectomy. Eighty-two per cent avoided colectomy at two months. Rutgeerts et al.

They reported about the efficacy of infliximab in patients with moderate and severe UC resistant to conventional therapy with corticosteroids and immunomodulators5. The objective of this post-hoc analysis was to establish whether infliximab could reduce the number of colectomies over a one-year period. Treatment with. Sands et al. Those who received infliximab presented clinical and endo Indeed, this fact supports the hypothesis and it allows us to speculate that, maybe, patients with extensive disease or severe symptoms may have been treated earlier and more aggressively.

The authors suggested that we must adopt a strategy for the earliest possible treatment in both children and adults. Such strategy can reduce hospitalization and surgery costs and may prevent complications and disability at a young age The natural history of inflammatory intestinal diseases can be changed if we adopt an effective treatment, which heals intestinal mucosa12, In the original study, patients with severe UC were randomized to receive a single infusion of infliximab or placebo, and colectomy rates were measured after 90 days6.

Patients of the same cohort were followed-up for three years. Additional anti-TNF therapy was allowed for clinical relapse. Eleven of 15 patients that did not undergo surgery at follow-up were in clinical remission and 12 of 15 patients not operated were in endoscopic remission. After three years, the authors reported a significant reduction in colectomy rates observed in the first study6.

Also, infliximab is associated with an improvement of inflamed tissue ultra-structure There is no question regarding intestinal healing as the main predictive factor related to long-term clinical remission12,14, A Norwegian, population-based, cohort study of UC patients reported that mucosal healing after one year of treatment was associated with low risk of future colectomy A population-based cohort of incident cases of IBD in Norway was collected from to and subjected to a scheduled prospective follow-up, with a one-year visit and a five-year visit.

An important intracellular improvement was seen after infliximab treatment. The authors reported improvement in the morphology and function of the epithelial organelles, rich mucus secretion, and recovery of the chorionic components. At the end of treatment, the new ultra-structural assessment clearly showed signs of epithelial barrier recovery, with appearance of the goblet cells, microvillus border, Golgi complex, and mitochondria, resulting in a general aspect of tissue healing.

The metabolic activity and the energetic function were re-engaged due to numerous vesicles synthesized in the cytoplasm and electron-dense normal mitochondria Therefore, it is evident that treatment with biological drugs promotes an improvement in clinical symptoms, and macroscopic endoscopy and microscopic mucosa healing, including the cellular level At present, unfortunately, there is no scientific evidence that support the theory that top-down approach in UC patients would be better than conventional treatment.

However, in patients with moderate to severe UC, it has shown higher rates of mucosal healing when comparing infliximab to conventional therapy5. Therefore, it is pertinent to speculate whether patients treated early with infliximab and who received a regular maintenance dose every two. Conclusions Anti-TNF biological drugs are a landmark in the treatment of inflammatory bowel disease, especially infliximab and adalimumab, The anti-TNFs promote healing of the inflamed intestinal mucosa with reduction in the local inflammatory process, erosions, and ulcerations5, Also, the use of infliximab in UC can lead to the ultra-structural improvement in inflamed cells Such macroscopic and ultra-structural changes observed in intestinal mucosa after treatment with anti-TNFs were defined in literature as mucosal healing.

Healing of the mucosa is directly associated with the reduction in number of colectomies in UC patients who received anti-TNF therapy,16, Acknowledgment The authors thank Juliana Interdonato and Colin Knaggs for medical writing and for polishing the English language. Infliximab: First line therapy in ulcerative colitis.

Preliminary report. J Coloproctol. Lichtenstein GR, Rutgeerts P. Importance of mucosal healing in ulcerative colitis. Inflamm Bowel Dis. Increased degree of histological inflammation predicts colectomy and hospitalization in patients with ulcerative colitis. Mucosal healing in inflammatory bowel disease: results from a Norwegian population-based cohort.

Fratila OC, Craciun C. Ultrastructural evidence of mucosal healing after infliximab in patients with ulcerative colitis. J Gastrointestin Liver Dis. Impact of pain on health-related quality of life in patients with inflammatory bowel disease. World J Gastroenterol. Quality of life in the late followup of ulcerative colitis patients submitted to restorative proctocolectomy with sphincter preservation over ten years ago.

Clinics Sao Paulo. Maintenance of remission with infliximab in inflammatory bowel disease: efficacy and safety long-term follow-up. Experience of maintenance infliximab therapy for refractory ulcerative colitis from six centres in England. Aliment Pharmacol Ther. Review article: defining remission in ulcerative colitis.

Infliximab in the treatment of severe, steroid-refractory ulcerative colitis: a pilot study. Infliximab in moderately severe glucocorticoid resistant ulcerative colitis: a randomised controlled trial. Infliximab for acute, not steroid-refractory ulcerative colitis: a randomized pilot study.

Eur J Gastroenterol Hepatol. Infliximab for induction and maintenance therapy for ulcerative colitis. N Engl J Med. Infliximab as rescue therapy in severe to moderately severe ulcerative colitis: a randomized, placebocontrolled study. Clinical trial: colectomy after rescue therapy in ulcerative colitis - 3-year follow-up of the Swedish-Danish controlled infliximab study. Colectomy rate in acute severe ulcerative colitis in the infliximab era.

Dig Liver Dis. Colectomy rate comparison after treatment of ulcerative colitis with placebo or infliximab. Infliximab in severe ulcerative colitis: shortterm results of different infusion regimens and long-term follow-up. Treatment of ulcerative colitis with adalimumab or infliximab: long-term follow-up of a single-centre cohort. Mucosal healing predicts sustained clinical. Body mass index as a predictor of complications and conversion in patients undergoing laparoscopic colectomy.

J Coloproctol, ;31 4 : Abstract: Objective: Evaluate the predictive value of body mass index BMI for hospital length-of-stay, surgical conversion, and postoperative complications in laparoscopic colorectal surgeries. Methods: Retrospective analysis of patients undergoing laparoscopic colorectal surgery.

The average hospital length-of-stay and the complication and conversion rates of the groups were compared. Results: Group II had a longer average hospital length-of-stay 9. No significant difference was observed between the groups regarding complications.

Keywords: body mass index; laparotomy; laparoscopy; colorectal surgery; postoperative complications. The increasingly common use of this technique has enabled a detailed and individualized evaluation of the risk factor for the conversion to the laparotomy technique and postoperative complications Other conditions, such as the influence of excessive weight, are still points to be discussed.

Laparoscopic colon resection, described for the first time in for diverticular disease treatment, is today an alternative technique for the treatment of most benign or malign diseases that affect this segment of intestine. Despite the initial difficulties, the experience acquired has allowed to extend indications to obese, elderly, intestinal inflammatory disease2 patients and patients submitted to prior laparotomy.

Once the equivalence of oncologic radicality of laparoscopy in relation to conventional surgeries, the procedure was extended to the treatment of malign tumors of colon and rectum, promoting the technique and its consolidation as a safe alternative for the treatment of colorectal diseases With the procedure safety, also. Body mass index as a predictor of complications and conversion in patients undergoing laparoscopic colectomy Breno Xaia Martins da Costa et al. The test also showed homogeneous groups in terms of frequency of malign and benign diseases in each group test result: 0.

Statistically significant differences were observed in relation to hospital length-of-stay and rate of conversion to conventional surgery between the groups. In terms of in-hospital complications, no statistically significant differences were observed. Group I had mean hospital length-of-stay lower than Group II 7. Group I presented the conversion rate of The OR of this association was 2.

Therefore, the patients in Group II have a conversion chance 2. In this period, laparoscopic colorectal surgeries were performed and the corresponding protocols were analyzed. The patients were sorted into two groups. Group I had patients with BMI of 30 or less, totaling The rates of conversion to conventional surgery, inhospital complications and the mean hospital length-ofstay were compared between the two groups.

In-hospital complications considered in the analysis were as follows: hypovolemia, atelectasis, pneumonia, pulmonary thromboembolism, deep venous thrombosis, urinary infection, urinary retention, surgical site infection, intestinal fistula, pelvic abscess, intestinal ischemia, evisceration, acute myocardial infarction and subcutaneous emphysema.

Odds ratio OR was used as an association measurement to compare the conversion and complication rates during the hospital length-of-stay between the two groups. The t test was used to evaluate the mean hospital length-of-stay. Table 3. Conversion rate versus grouped index. Up to 30 Over 30 Converted From the 27 patients. Table 4. Complication rate versus grouped body mass index.

Group I had Therefore, as data were collected, there are no evidences of difference in the chances of in-hospital complications between the two groups Table 4. According to Kurmann et al. In a retrospective study that evaluated laparoscopic colectomy exams from to , Kim C. Lu et al. Chew et al. The results of our study confirm the literature mentioned and show that the BMI over 30, in the studied group, increased the mean hospital length-of-stay 9.

On the other hand, a study conducted by Delaney et al. The surgical conversion rate is greater in obese patients. According to a study developed by Chew et al. The conversion risk due to obesity was confirmed by other authors, such as Kim C. The results of this study also indicate obe-. The comparative analysis of post-laparoscopic colectomy between obese and non-obese patients shows divergent results in the literature.

It occurs probably due to the absence of standardization of which complications are considered and computed. Just as Tuech et al. This study was a retrospective analysis, in which patients submitted to laparoscopic colorectal surgery has their results analyzed.

The study results agree with most available reports in the literature, showing longer hospital length-ofstay 9. Regarding postoperative complications, the studied population did not show any statistically significant difference when comparing the groups with BMI over or under Surg Endosc ; Randomized clinical trial comparing laparoscopic and open surgery for colorectal cancer within an enhanced recovery programme.

Br J Surg ; Operation time and body index are significant risk factors for surgical site infection in laparoscopic sigmoide resection: a multicenter study. Laparoscopic converted to open colectomy: predictors and outcomes from the Nationwide Inpatient Sample. Am J Surg ; Redefining conversion in laparoscopic colectomy and its influence on outcomes: analysis of cases from a single institution.

World J Surg ; A case-matched comparative study with open colectomy. Dis Colon Rectum ; Laparoscopic colectomy for sigmoid diverticulitis in obese and nonobese patients: a prospective comparative study. Minimally invasive colon resection laparoscopic resection. Surg Laparosc Endosc ; Laparoscopy-assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomised trial.

Lancet ; Lacy A. Colon cancer: laparoscopic resection. Ann Oncol ; Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST study group trial. Ann Surg ; Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomised trial. Lancet Oncol ; Systematic review of quality of life following laparoscopic and open colorectal surgery.

Colorectal Dis ; Laparoscopy decreases postoperative complication rates after abdominal colectomy: results from the national surgical quality improvement program. Evaluation of response to neoadjuvant treatment, by nuclear magnetic resonance, as a predictor of oncologic results and survival of patients with rectal cancer. ABSTRACT: Introduction: Neoadjuvant chemoradiation promotes tumor size reduction and staging before the surgery, reducing the risk of involving the circumferential resection margin and local recurrence.

For patients who have been submitted to the neoadjuvant therapy, the usefulness of a second nuclear magnetic resonance MRI after chemoradiation has not been clearly explained. Objective: Assess the degree of tumor regression and downstaging after chemoradiation using MRI, compared with the pathology, and its correlation with surgical outcomes and patient prognosis.

Methods: This study investigated 13 patients. Their mean age was Results: The agreement in T and N staging was T staging agreement was Conclusion: A second MRI after chemoradiation can evaluate the degree of tumor regression, but with low compliance in relation to pathology, with tendency to overstaging. More studies are required to confirm these initial observations. Keywords: magnetic resonance imaging; rectal cancer; neoadjuvant therapy.

Neoadjuvant chemoradiation NACR promotes tumor size reduction and staging before the surgery, reducing the risk of involving the CRM and local recurrence3. Magnetic Resonance Imaging MRI can assess staging, involvement of radial circumference margin and the. Its prognosis is influenced by several factors, such as lateral extension of tumor, lymph node involvement and presence of distant metastases. For patients with rectal cancer submitted to neoadjuvant therapy, the usefulness of a second MRI after chemoradiation to assess the response to the treatment, and performed just before the surgical procedure, has not been clearly explained.

The potential benefits that have been reported are: accurate identification of tumor regression for an adequate CRM, after a standard surgery with total mesorectal excision, and warn for possible points requiring more careful dissection or wider resection. In addition, some studies relate the response to the NACR to the prognosis. Few studies have assessed the predictive value of MRI after NACR as a predictor of oncologic results and survival of patients with rectal cancer. Nine patients All patients were submitted to the surgery of low anastomosis of colon with total mesorectal excision performed by the same surgeon.

One patient presented hepatic metastases at the diagnosis, which was later resected. All patients presented free circumferential resection margins. The AP study showed compliance in relation to T staging of When assessing associated T and N staging, the compliance was In the follow-up period of the 13 patients, one patient died due to postoperative complications staged patient, T3N0 at the first examination, with tumor regression estimated as Degree 2 by MRI, remained T3N0 after the NACR and the AP study indicated T2N0 , one patient had local recurrence and distant metastases one year and eight months after the surgery a T3N2 patient, with tumor regression estimated as Degree 3, but with T3N0 staging after the NACR and the AP study indicating T3N0 and died six months after the recurrence; two resected he-.

These patients were submitted to preoperative staging by thorax, abdomen and carcinoembryonic antigen CEA tomography, as well as a clinical evaluation. Locoregional staging was performed through pelvic MRI. The surgery was performed eight weeks after the neoadjuvant therapy, using the technique of total mesorectal excision.

One week before the surgery, one more pelvic MRI was performed to assess the degree of tumor regression. Then, the predictive value of MRI was evaluated in relation to the response to the neoadjuvant therapy, as well as the relation between the response to neoadjuvant therapy and the prognosis of these patients.

The nine other patients And only one out of the nine patients showing tumor regression with reduction at staging presented recurrence Table 3. This study shows initial observations indicating that the post-neoadjuvant therapy MRI could not estimate the reduction at the post-neoadjuvant therapy staging, showing compliance in relation to the AP.

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