What Is the Contribution of Intraoperative Radiotherapy (IORT) in Tailoring Local Therapy in Primary or Recurrent Rectal Cancer?

2012 ◽  
pp. 155-161
Author(s):  
Felipe A. Calvo
Keyword(s):  
Rectal Cancer ◽  
Intraoperative Radiotherapy ◽  
Local Therapy ◽  
Recurrent Rectal Cancer

Intraoperative radiotherapy for primary and recurrent rectal cancer

1995 ◽  
Vol 21 (2) ◽  
pp. 191-194 ◽  
Author(s):  
F. Kallinowski ◽  
M.J. Eble ◽  
H.J. Buhr ◽  
M. Wannenmacher ◽  
Ch. Herfarth
Keyword(s):  
Rectal Cancer ◽  
Intraoperative Radiotherapy ◽  
Recurrent Rectal Cancer

High-dose-rate intraoperative radiotherapy for close or positive margins in patients with locally advanced or recurrent rectal cancer

2004 ◽  
Vol 58 (1) ◽  
pp. 106-112 ◽  
Author(s):  
Joost J Nuyttens ◽  
Inger-Karine K Kolkman-Deurloo ◽  
Maarten Vermaas ◽  
Floris T Ferenschild ◽  
Wilfried J Graveland ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Dose Rate ◽  
Locally Advanced ◽  
Intraoperative Radiotherapy ◽  
High Dose Rate ◽  
Recurrent Rectal Cancer ◽  
High Dose ◽  
Positive Margins

Combined modality treatment including intraoperative radiotherapy in locally advanced and recurrent rectal cancer

1997 ◽  
Vol 44 (3) ◽  
pp. 277-282 ◽  
Author(s):  
Kjell Maque Tveit ◽  
Johan N. Wiig ◽  
Dag Rune Olsen ◽  
Andreas Storaas ◽  
Jan Peter Poulsen ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Locally Advanced ◽  
Intraoperative Radiotherapy ◽  
Recurrent Rectal Cancer ◽  
Combined Modality Treatment ◽  
Combined Modality

Reoperative Pelvic Surgery

2014 ◽  
Author(s):  
Eric J. Dozois ◽  
Daniel I. Chu
Keyword(s):  
Rectal Cancer ◽  
Intraoperative Radiotherapy ◽  
Operative Management ◽  
Recurrent Rectal Cancer ◽  
Pelvic Surgery ◽  
Presacral Space ◽  
Anastomotic Complications ◽  
Fillet Flap ◽  
Primary Indication ◽  
Cancer Complications

Reoperative pelvic surgery is technically challenging and carries with it significant potential risk. Pelvic pathology that requires reoperative surgery typically involves recurrent malignancies, complications from ileal pouch-anal anastomoses (IPAA) for inflammatory bowel disease, complications from low pelvic anastomoses, and palliative situations. The goals of reoperative pelvic surgery are resection/repair of the primary indication and reconstruction whenever possible. This review describes pelvic anatomy and operative management for recurrent rectal cancer. Complications following IPAA, low anastomotic complications, and palliative reoperative pelvic surgery are also detailed. Tables outline prognostic factors negatively impacting outcomes following surgery for recurrent rectal cancer, absolute and relative contraindications for exenterative surgery, survival following exenteration for recurrent rectal cancer, intraoperative radiotherapy doses related to resection margin, indications for reoperative pouch surgery, and mobilization techniques for difficult reconstructions. Figures show anterior and posterior exenteration; the anatomy of presacral space after rectal mobilization; vascular exposure and dissection; unicortical transverse osteotomy; placement of Silastic mesh; division of the sacrospinous and sacrotuberous ligaments and piriformis muscle; posterior sacral osteotomy; transperineal delivery of pedicled myocutaneous rectus flap; vertical rectus abdominis myocutaneous flap; gracilis flap; total thigh fillet flap; sacropelvic resection classification; and increasing colon length with primary, secondary, and tertiary maneuvers. This review contains 18 figures, 6 tables, and 89 references.

Predictors of Survival in Recurrent Rectal Cancer After Resection and Intraoperative Radiotherapy

2002 ◽  
Vol 45 (5) ◽  
pp. 585-592 ◽  
Author(s):  
Margo Shoup ◽  
Jose G. Guillem ◽  
Kaled M. Alektiar ◽  
Kathy Liau ◽  
Philip B. Paty ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Intraoperative Radiotherapy ◽  
Recurrent Rectal Cancer
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