scholarly journals Pelvic sidewall excision with en bloc complete sciatic nerve resection in locally re‐recurrent rectal cancer

2019 ◽  
Vol 90 (6) ◽  
pp. 1202-1204
Author(s):  
Dewei J. Lee ◽  
Peadar S. Waters ◽  
José T. Larach ◽  
Jacob J. McCormick ◽  
Alexander G. Heriot ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Sciatic Nerve ◽  
Recurrent Rectal Cancer ◽  
En Bloc

Posterior high sacral segmental disconnection prior to anterior en bloc exenteration for recurrent rectal cancer

2016 ◽  
Vol 20 (6) ◽  
pp. 401-404 ◽  
Author(s):  
K. G. M. Brown ◽  
M. J. Solomon ◽  
K. K. S. Austin ◽  
P. J. Lee ◽  
P. Stalley
Keyword(s):  
Rectal Cancer ◽  
Recurrent Rectal Cancer ◽  
En Bloc

Laparoscopic en bloc lateral pelvic exenteration for locally advanced and recurrent rectal cancer

2021 ◽  
Author(s):  
Tae Hoon Lee ◽  
Ji‐Seon Kim ◽  
Ju Yong Cheong ◽  
Seon Hui Shin ◽  
Se‐Jin Baek ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Pelvic Exenteration ◽  
Locally Advanced ◽  
Recurrent Rectal Cancer ◽  
En Bloc

The Posterior-First Two-Stage Approach to En-bloc Resection of Locally Recurrent Rectal Cancer Involving the Pelvic Sidewall

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Shinichiro Sakata ◽  
Syed M. Karim ◽  
Kellie L. Mathis ◽  
Scott R. Kelley ◽  
Peter S. Rose ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Recurrent Rectal Cancer ◽  
Two Stage ◽  
En Bloc ◽  
Locally Recurrent Rectal Cancer ◽  
Locally Recurrent

scholarly journals Towards Standardisation of Technique for En Bloc Sacrectomy for Locally Advanced and Recurrent Rectal Cancer

2021 ◽  
Vol 10 (21) ◽  
pp. 4921
Author(s):  
Ailín C. Rogers ◽  
John T. Jenkins ◽  
Shahnawaz Rasheed ◽  
George Malietzis ◽  
Elaine M. Burns ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Surgical Approach ◽  
Locally Advanced ◽  
Treatment Strategies ◽  
Standard Of Care ◽  
Recurrent Rectal Cancer ◽  
Current Standard ◽  
En Bloc ◽  
Comprehensive Review ◽  
Sacral Resection

Treatment strategies for advanced or recurrent rectal cancer have evolved such that the ultimate surgical goal to achieve a cure is complete pathological clearance. To achieve this where the sacrum is involved, en bloc sacrectomy is the current standard of care. Sacral resection is technically challenging and has been described; however, the technique has yet to be streamlined across units. This comprehensive review aims to outline the surgical approach to en bloc sacrectomy for locally advanced or recurrent rectal cancer, with standardisation of the operative steps of the procedure and to discuss options that enhance the technique.

Recurrent rectal cancer causing lumbosacral plexopathy with perineural spread to the spinal nerves and the sciatic nerve: An anatomic explanation

2014 ◽  
Vol 28 (1) ◽  
pp. 136-143 ◽  
Author(s):  
Stepan Capek ◽  
Patrick S. Sullivan ◽  
Benjamin M. Howe ◽  
Thomas C. Smyrk ◽  
Kimberly K. Amrami ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Sciatic Nerve ◽  
Recurrent Rectal Cancer ◽  
Perineural Spread ◽  
Spinal Nerves ◽  
Lumbosacral Plexopathy

Outcomes of metastasectomy and pelvic exenteration for patients with metastatic advanced primary or recurrent rectal cancer

2021 ◽  
Vol 91 (3) ◽  
pp. 231-232
Author(s):  
Michelle Z. Chen ◽  
Kirk K. S. Austin ◽  
Michael J. Solomon ◽  
Kilian G. M. Brown ◽  
Daniel Steffens
Keyword(s):  
Rectal Cancer ◽  
Pelvic Exenteration ◽  
Recurrent Rectal Cancer

scholarly journals Impact of the preoperative prognostic nutritional index as a predictor for postoperative complications after resection of locally recurrent rectal cancer

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Masakatsu Paku ◽  
Mamoru Uemura ◽  
Masatoshi Kitakaze ◽  
Shiki Fujino ◽  
Takayuki Ogino ◽  
...  
Keyword(s):  
Risk Factors ◽  
Rectal Cancer ◽  
Postoperative Complications ◽  
Blood Loss ◽  
Receiver Operating Characteristic ◽  
Odds Ratio ◽  
Inflammatory Markers ◽  
Operating Characteristic ◽  
Recurrent Rectal Cancer ◽  
Prognostic Nutrition Index

Abstract Background Local recurrence is common after curative resections for rectal cancer. Surgical intervention is among the best treatment choices. However, achieving a negative resection margin often requires extensive pelvic organ resections; thus, the postoperative complication rate is quite high. Recent studies have reported that the inflammatory index could predict postoperative complications. This study aimed to validate the correlation between clinical factors, including inflammatory markers, and severe complications after surgery for local recurrent rectal cancer. Methods This retrospective study included 99 patients that underwent radical resections for local recurrences of rectal cancer. Postoperative complications were graded according to the Clavien-Dindo classification. Grades ≥3 were defined as severe complications. Risk factors for severe complications were identified with univariate and multivariate logistic regression models and assessed with receiver-operating characteristic curves. Results Severe postoperative complications occurred in 38 patients (38.4%). Analyses of correlations between inflammatory markers and severe postoperative complications revealed that the strongest correlation was found between the prognostic nutrition index and severe postoperative complications. The receiver-operating characteristic analysis showed that the optimal prognostic nutrition index cut-off value was 42.2 (sensitivity: 0.790, specificity: 0.508). In univariate and multivariate analyses, a prognostic nutrition index ≤44.2 (Odds ratio: 3.007, 95%CI:1.171–8.255, p = 0.02) and a blood loss ≥2850 mL (Odds ratio: 2.545, 95%CI: 1.044–6.367, p = 0.04) were associated with a significantly higher incidence of severe postoperative complications. Conclusions We found that a low preoperative prognostic nutrition index and excessive intraoperative blood loss were risk factors for severe complications after surgery for local recurrent rectal cancer.

Sign in / Sign up

Export Citation Format

Share Document