CURRENT TRENDS IN THE SURGICAL MANAGEMENT OF RECTAL CANCER: FROM LOCAL EXCISION TO TOTAL MESORECTAL EXCISION
Keywords:
Rectal cancer, Surgical management, Local excision, Total mesorectal excision, Oncological outcomesAbstract
Rectal cancer remains a significant public health concern with its management involving surgery playing a crucial role. In recent years, the surgical approach to rectal cancer has undergone significant evolution, ranging from local excision techniques to the more comprehensive total mesorectal excision (TME). This article aims at giving an overview of the present trends in surgical management of rectal cancer, highlighting some techniques and their outcomes.
References
Sajid MS, Farag S, Leung P, Sains P, Miles WF, Baig MK. Systematic review and meta-analysis of published trials comparing the effectiveness of transanal endoscopic microsurgery and radical resection in the management of early rectal cancer. Colorectal Dis. 2014;16(1):2-14.
Pucciarelli S, De Paoli A, Guerrieri M, et al. Local excision after preoperative chemoradiotherapy for rectal cancer: results of a multicenter phase II clinical trial. Dis Colon Rectum. 2013;56(12):1349-1356.
Verseveld M, de Graaf EJ, Verhoef C, et al. Chemoradiation therapy for rectal cancer in the distal rectum followed by organ-sparing transanal endoscopic microsurgery (CARTS study). Br J Surg. 2015;102(7):853-860.
Rullier E, Denost Q, Vendrely V, Rullier A, Laurent C. Low rectal cancer: classification and standardization of surgery. Dis Colon Rectum. 2013;56(5):560-567.
Bonjer HJ, Deijen CL, Abis GA, et al. A randomized trial of laparoscopic versus open surgery for rectal cancer. N Engl J Med. 2015;372(14):1324-1332.
Fleshman J, Branda M, Sargent DJ, et al. Effect of laparoscopic-assisted resection vs open resection of stage II or III rectal cancer on pathologic outcomes: the ACOSOG Z6051 randomized clinical trial. JAMA. 2015;314(13):1346-1355.
Moran BJ, Heald RJ. Embryology, anatomy, and physiology of the rectum and anus.