Jibran Mohsin - Surgical Oncologist

04/12/2023

30/10/2023

Candidates for Preoperative Systemic Therapy in Breast Cancer

Reference: NCCN Guidelines Version 4.2023 (Invasive Breast Cancer)

21/09/2023

visual abstract on impact of Anastomotic Leak on Long-Term Oncological Outcomes After Restorative Surgery for **alCancer

https://bit.ly/44MVcm3

26/08/2023

Enhanced Recovery After Colon and Re**al Surgery from ASCRS and SAGES

26/08/2023

Caprini VTE risk assessment Tool: A Caprini score of 5 or more is a reliable criterion for identifying patients with an increased risk for VTE in CRC Surgery.
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In a prospective study of 148 patients undergoing laparoscopic colorectal cancer surgery, the overall screened VTE risk at postoperative day 6 was 24%; the highest risk was in patients with a Caprini score of 12 or more (40.5%) and between 9 and 12 (20.4%). [1]

An additional prospective study of 80 patients with colorectal cancer who received routine postoperative VTE prophylaxis (enoxaparin and compression stockings) found that a cutoff in the Caprini score of 11 resulted in a sensitivity of 76.2% and the specificity of 74.6% in predicting postoperative VTE. [2]

A retrospective population-based study of 17,774 surgical patients who received “standard prophylaxis” found a VTE rate of 0.8% and increased Caprini scores were found to be associated with VTE risk (score 0–1: 0.2%; score 2: 0.4%; score 3–4: 0.7%; score 5–6: 1.4%; score 7–8: 2.0%; score 9 or more: 3.3%). [3]
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[1] Lu X, Zeng W, Zhu L, Liu L, Du F, Yang Q. Application of the Caprini risk assessment model for deep vein thrombosis among patients undergoing laparoscopic surgery for colorectal cancer. Medicine (Baltimore). 2021;100:e24479.

[2] Lobastov K, Dementieva G, Sosh*tova N, et al. Utilization of the Caprini score in conjunction with thrombodynamic testing reduces the number of unpredicted postoperative venous thromboembolism events in patients with colorectal cancer. J Vasc Surg Venous Lymphat Disord. 2020;8:31–41.

[3] Bo H, Li Y, Liu G, et al. Assessing the risk for development of deep vein thrombosis among Chinese patients using the 2010 Caprini risk assessment model: a prospective multicenter study. J Atheroscler Thromb. 2020;27:801–808.

26/08/2023

The American Society of Colon and Re**al Surgeons (ASCRS) Clinical Practice Guidelines for the Reduction of Venous Thromboembolic (VTE) Disease in Colorectal Surgery (2023)

15/08/2023

Extended Right-Sided Colon Resection Does Not Reduce the Risk of (Right) Colon Cancer Local-Regional Recurrence: Nationwide Population-Based Study From Danish Colorectal Cancer Group Database

Large population-based study comparing extended right hemicolectomy & standard hemicoloectomy. Does extended resection reduce locoregional recurrence? Find out in : https://bit.ly/46ZPD5S