Impact of specific modes of circumferential resection margin involvement in rectal cancer local recurrence: A retrospective study

2018 ◽  
Vol 118 (7) ◽  
pp. 1122-1128
Author(s):  
Javier Suárez ◽  
Andrea Goicoetxea ◽  
M.L. Gómez ◽  
G. Jiménez ◽  
M.C. Llanos ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Retrospective Study ◽  
Local Recurrence ◽  
Circumferential Resection Margin ◽  
Resection Margin ◽  
Margin Involvement ◽  
Circumferential Resection Margin Involvement ◽  
Rectal Cancer Local Recurrence

scholarly journals Oncologic superiority of extralevator abdominoperineal excision for low rectal cancer

2013 ◽  
Vol 21 (1) ◽  
pp. 11-13
Author(s):  
Dejan Lukic ◽  
Zoran Radovanovic ◽  
Tomislav Petrovic ◽  
Milan Breberina ◽  
Andrija Golubovic ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Local Recurrence ◽  
Circumferential Resection Margin ◽  
Resection Margin ◽  
Abdominoperineal Excision ◽  
Low Rectal Cancer ◽  
Margin Involvement ◽  
Radio Therapy ◽  
Circumferential Resection Margin Involvement ◽  
Prone Jackknife Position

Background: Rectal cancer treatment has been dramatically improved during the last two decades in terms of a lower local recurrence rate and prolonged survival. This improvement was achieved mainly due to a better surgical technique (implementation of a total mesorectal excision-TME) and neoadjuvant chemo and radio therapy. A more radical approach to abdominoperineal excision, extralevator abdominoperineal excision technique in the prone Jackknife position, may improve the oncological outcome. The aim of this study is to show our early experience by using extralevator abdominoperineal excision. Methods: Extralevator abdominoperineal excision has been used routinely at Oncology Institute of Vojvodina since 2011. In the last 23 months, we had 11 operations. Clinical and pathological data were obtained from operative protocols, histopathological data and patients? medical history. Results: An audit of results showed reduced rate of intra-operative perforations and circumferential resection margin involvement. Late postoperative complications have occurred in two patients, sexual dysfunction in one and pelvic pain in the other. The follow up period is too short (min 2 months, max 23 months, median 8 months) for analysis of local recurrence. Conclusion: Extralevator abdominoperineal excision, with the emphasis on the perienal dissection and prone Jackknife position, may help achieve the goals of radical resections for low rectal cancer. This technique could be associated with less intra-operative perforations and circumferential resection margin involvement.

Occurrence and prognostic value of circumferential resection margin involvement for patients with rectal cancer

2009 ◽  
Vol 24 (4) ◽  
pp. 385-390 ◽  
Author(s):  
Cun Wang ◽  
Zong-guang Zhou ◽  
Yong-yang Yu ◽  
Ye Shu ◽  
Yuan Li ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Prognostic Value ◽  
Circumferential Resection Margin ◽  
Resection Margin ◽  
Margin Involvement ◽  
Circumferential Resection Margin Involvement

Factors Affecting Circumferential Resection Margin Involvement After Rectal Cancer Excision

2007 ◽  
Vol 50 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Henry S. Tilney ◽  
Paris P. Tekkis ◽  
Parvinder S. Sains ◽  
Vasilis A. Constantinides ◽  
Alexander G. Heriot
Keyword(s):  
Rectal Cancer ◽  
Circumferential Resection Margin ◽  
Resection Margin ◽  
Factors Affecting ◽  
Margin Involvement ◽  
Circumferential Resection Margin Involvement
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