Surgical Treatment for Colorectal Cancer

2011 ◽  
Vol 96 (2) ◽  
pp. 120-126 ◽  
Author(s):  
Art Hiranyakas ◽  
Yik-Hong Ho
Keyword(s):  
Colorectal Cancer ◽  
Rectal Cancer ◽  
Surgical Treatment ◽  
Surgical Techniques ◽  
Cancer Surgery ◽  
Oncologic Outcomes ◽  
Rectal Cancer Surgery ◽  
Short Term ◽  
Colon And Rectal Cancer ◽  
Laparoscopic Colon

Abstract The rapid in development of surgical technology has had a major effect in surgical treatment of colorectal cancer. Laparoscopic colon cancer surgery has been proven to provide better short-term clinical and oncologic outcomes. However this quickly accepted surgical approach is still performed by a minority of colorectal surgeons. The more technically challenging procedure of laparoscopic rectal cancer surgery is also on its way to demonstrating perhaps similar short-term benefits. This article reviews current evidences of both short-term and long-term outcomes of laparoscopic colorectal cancer surgery, including the overall costs comparison between laparoscopic surgery and conventional open surgery. In addition, different surgical techniques for laparoscopic colon and rectal cancer are compared. Also the relevant future challenge of colorectal cancer robotic surgery is reviewed.

Hand-assisted laparoscopic colon and rectal cancer surgery: Feasibility, short-term, and oncological outcomes

Surgery ◽  
2010 ◽  
Vol 148 (2) ◽  
pp. 378-385 ◽  
Author(s):  
Rajesh Pendlimari ◽  
Stefan D. Holubar ◽  
Jirawat Pattan-Arun ◽  
David W. Larson ◽  
Eric J. Dozois ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Short Term ◽  
Oncological Outcomes ◽  
Colon And Rectal Cancer ◽  
Laparoscopic Colon

scholarly journals The importance of training and education in performing total mesorectal excision in rectal cancer surgery

2017 ◽  
Vol 74 (4) ◽  
pp. 349-353
Author(s):  
Tomislav Petrovic ◽  
Ferenc Vicko ◽  
Dragana Radovanovic ◽  
Nemanja Petrovic ◽  
Milan Ranisavljevic ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Surgical Treatment ◽  
Local Recurrence ◽  
Anastomotic Leakage ◽  
New Technologies ◽  
Surgical Techniques ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Significant Difference ◽  
Duration Of Surgery

Background/Aim. In the last two decades there has been a significant progress in rectal cancer surgery. Preoperative radiotherapy, the introduction of staplers and largely improved surgical techniques have greatly contributed to better treatment outcomes, primarily by reducing the frequency of early surgical complications and the rate of local recurrence. The aim of this study was to compare operative and postoperative results in the treatment of rectal cancer between the two groups of surgeons ? those who are closely engaged in colorectal surgery and those who deal with these issues sporadically. Methods. This retrospective study included 146 patients who had underwent rectal cancer surgery at the Institute of Oncology of Vojvodina in the period from January 1, 2008 to December 31, 2010. The patients were divided into two groups, the group N1 of 101 patients operated on by trained colorectal surgeons, and the group N2 of 45 patients operated on by surgeons without training in totalmesorectal excision (TME). Results. Preoperative chemoradiotherapy was received by 49 (33.56%) of the patients. A statistically significant difference between the two groups was noted in the duration of surgery and the need for blood transfusion during surgery. Anastomotic leakage occurred in 3 patients from the group N1 and in 10 patients from the group N2. Seven (4.79%) of the patients developed local recurrence after surgical treatment. There were significant differences in local recurrence rate and anastomotic leakage rate between the compared groups. Conclusion. It is necessary to continue education and training in surgery for rectal cancer to master new technologies and surgical techniques and to improve the results of surgical treatment.

Adenocarcinoma of the Colon and Rectum

2019 ◽  
Author(s):  
Winson Jianhong Tan ◽  
Martin R. Weiser
Keyword(s):  
Colorectal Cancer ◽  
Rectal Cancer ◽  
Surgical Management ◽  
Systemic Chemotherapy ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Colon And Rectal Cancer ◽  
Colon And Rectum ◽  
Adenocarcinoma Of The Colon ◽  
Surgery Management

Despite advances in systemic chemotherapy, surgery remains the mainstay of treatment in colorectal cancer. While there are similarities in the principles of colon and rectal cancer surgery, there are specific considerations that are unique to the surgical management of rectal cancer. In this chapter, we discuss the surgical management of colon and rectal cancer and highlight pertinent differences in the surgical management of rectal cancer. This review contains 9 figures, 2 tables, and 76 references. Keywords: Colon, Rectal, Colorectal Cancer, Adenocarcinoma, Surgery, Management

The effect of surgical approach on short-term oncologic outcomes in rectal cancer surgery

Surgery ◽  
2015 ◽  
Vol 158 (2) ◽  
pp. 453-459 ◽  
Author(s):  
Emily F. Midura ◽  
Dennis J. Hanseman ◽  
Richard S. Hoehn ◽  
Bradley R. Davis ◽  
Daniel E. Abbott ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Surgical Approach ◽  
Cancer Surgery ◽  
Oncologic Outcomes ◽  
Rectal Cancer Surgery ◽  
Short Term

scholarly journals Leakage after Surgery for Rectum Cancer: Inconsistency in Reporting to the Danish Colorectal Cancer Group

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
L. Borly ◽  
M. B. Ellebæk ◽  
N. Qvist
Keyword(s):  
Colorectal Cancer ◽  
Rectal Cancer ◽  
Anastomotic Leakage ◽  
Leakage Rate ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
Prognostic Impact ◽  
Cancer Specific Survival ◽  
Cancer Group ◽  
Core Questions

Purpose. Anastomotic leakage accounts for up to 1/3 of all fatalities after rectal cancer surgery. Evidence suggests that anastomotic leakage has a negative prognostic impact on local cancer recurrence and long-term cancer specific survival. The reported leakage rate in 2011 in Denmark varied from 7 to 45 percent. The objective was to clarify if the reporting of anastomotic leakage to the Danish Colorectal Cancer Group was rigorous and unequivocal.Methods. An Internet-based questionnaire was e-mailed to all Danish surgical departments, who reported to Danish Colorectal Cancer Group (DCCG) in 2011. There were 23 questions. Four core questions were whether pelvic collection, fecal appearance in a pelvic drain, rectovaginal fistula, and “watchfull” waiting patients were reported as anastomotic leakage.Results. Fourteen out of 17 departments, who in 2011 according to DDCG performed rectal cancer surgery, answered the questionnaire. This gave a response rate of 82%. In three of four core questions there was disagreement in what should be reported as anastomotic leakage.Conclusion. The reporting of anastomotic leakage to the Danish Colorectal Cancer Group was not rigorous and unequivocal. The reported anastomotic leakage rate in Danish Colorectal Cancer Group should be interpreted with caution.

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