Outcomes in the surgical treatment of low rectal cancer: does neoadjuvant treatment equalize results?

2014 ◽  
Vol 85 (3) ◽  
pp. 140-144 ◽  
Author(s):  
William G. Pollett ◽  
Peter Gibbs ◽  
Stephen McLaughlin ◽  
Jimmy Eteuati ◽  
Michael Harold ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Surgical Treatment ◽  
Neoadjuvant Treatment ◽  
Low Rectal Cancer

Sphincter-saving surgery versus abdominoperineal resection in low rectal cancer following neoadjuvant treatment with propensity score analysis

2021 ◽  
Author(s):  
Jung Kyong Shin ◽  
Hee Cheol Kim ◽  
Woo Yong Lee ◽  
Seong Hyeon Yun ◽  
Yong Beom Cho ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Propensity Score ◽  
Abdominoperineal Resection ◽  
Propensity Score Analysis ◽  
Neoadjuvant Treatment ◽  
Low Rectal Cancer ◽  
Score Analysis ◽  
Sphincter Saving

Choice of surgical treatment options in «low» rectal cancer

2020 ◽  
Vol 9 (2) ◽  
pp. 5
Author(s):  
A.A. Medvednikov ◽  
A.V. Shelekhov ◽  
V.V. Dvornichenko ◽  
S.M. Plenkin ◽  
S.I. Radostev
Keyword(s):  
Rectal Cancer ◽  
Surgical Treatment ◽  
Treatment Options ◽  
Low Rectal Cancer

scholarly journals SP1.1.2Perineal reconstruction following extralevator abdominoperineal excision of rectum - Is IGAP flap a feasible option

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Prem Thambi ◽  
Wafa Abdul Muiz Dzihni ◽  
Trisha Jha ◽  
Haroon Siddiqui ◽  
Madan Jha
Keyword(s):  
Rectal Cancer ◽  
Neoadjuvant Treatment ◽  
Case Series ◽  
Perineal Wound ◽  
Abdominoperineal Excision ◽  
Low Rectal Cancer ◽  
Wound Complications ◽  
Rectal Cancer Surgery ◽  
Tertiary Centre ◽  
The Mean

Abstract Aim Extra-levator abdomino-perineal excision for low rectal cancer has been shown to reduce tumor perfoation rates and incidence of local recurrence when compared to a conventional abdominoperineal excision. This is however associated with increased wound complications. This study was done to evaluate the feasibility of an inferior gluteal artery flap in patients undergoing ELAPE. Methods This was retrospective analysis was done at tertiary centre for all patients who underwent an ELAPE over a period of 7 years (December 2013 to July 2020). Patient demographic, relevant co morbidities and the data regarding chemotherapy and radiotherapy were analysed. Results A Total of 33 patients underwent ELAPE with an IGAP flap wound reconstruction. The mean age was 68 (44-86) with a mean BMI of 27 (25-45). 26 patients out of 33 (82%) received neoadjuvant treatment for cancer. The mean LoS was 11 days (6-31). The perineal wound complications were graded as per Clavein Dindo classification and 56 % had no wound complications recorded. 07/33 had Grade I and 06/33 had Grade II complications. Conclusion IGAP flap closure for perineal defects, does offer the advantage of compatibility with both minimally invasive and open procedures and the avoidance of using irradiated tissue. This case series does demonstrate the feasibility of IGAP flaps as viable option to cover perineal defects following radical low rectal cancer surgery with low morbidity.

scholarly journals Update and Debate Issues in Surgical Treatment of Middle and Low Rectal Cancer

2012 ◽  
Vol 28 (5) ◽  
pp. 230 ◽  
Author(s):  
Nam Kyu Kim ◽  
Min Sung Kim ◽  
Sami F. AL-Asari
Keyword(s):  
Rectal Cancer ◽  
Surgical Treatment ◽  
Low Rectal Cancer

scholarly journals Intersphincteric Resection for Low Rectal Cancer – Case Report

2016 ◽  
Vol 62 (1) ◽  
pp. 142-145
Author(s):  
Cristian Russu ◽  
Călin Molnar ◽  
Sanda Maria Copotoiu ◽  
Claudiu Sărăcuț ◽  
Mircea Gherghinescu ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Surgical Treatment ◽  
Multimodality Treatment ◽  
Functional Results ◽  
Radical Resection ◽  
Intersphincteric Resection ◽  
Low Rectal Cancer ◽  
Cancer Case ◽  
One Year

Abstract Introduction: Surgical treatment for low rectal cancer represents a challenge: to perform a radical resection and to preserve the sphincter’s function. We report a case of intersphincteric resection in a combined multimodality treatment for low rectal cancer, with good oncologic and functional outcome. Case presentation: We report a case of a 73 years old woman admitted in April 2014 in surgery, for low rectal cancer. The diagnostic was established by colonoscopy and malignancy confirmed by biopsy. Complete imaging was done using computed tomography and magnetic resonance to establish the exact stage of the disease. The interdisciplinary individualized treatment began with radiotherapy (total dose of 50 Gy, administered in 25 fractions) followed by surgery after eight weeks. We performed intersphincteric rectal resection by a modified Schiessel technique. There were no postoperative complications and the oncologic and functional results were very good at one year follow up. Conclusions: Intersphincteric resection, in this selected case of low rectal cancer, represented an efficient surgical treatment, with good functional results and quality of life for the patient. A multidisciplinary team is an invaluable means of assessing and further managing the appropriate, tailored to the case, treatment in the aim of achieving best results.

scholarly journals The Influence of Neoadjuvant Treatment on the Number of Lymph Nodes on the Surgical Specimen in Mid and Low Rectal Cancer - A Retrospective Single-Centre Study

Chirurgia ◽  
2019 ◽  
Vol 114 (2) ◽  
pp. 207
Author(s):  
Dragoş-Viorel Scripcariu ◽  
Gianina-Vanda Moraru ◽  
Ionuţ Huţanu ◽  
Bogdan Filip ◽  
Mihaela-Mădălina Gavrilescu ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Lymph Nodes ◽  
Neoadjuvant Treatment ◽  
Low Rectal Cancer ◽  
Single Centre ◽  
Surgical Specimen ◽  
Centre Study ◽  
Single Centre Study

scholarly journals Reappraisal of pull-through delayed colo-anal anastomosis for surgical treatment of low rectal cancer: do we have to look back to go forward?

2018 ◽  
Vol 3 ◽  
pp. 97-97
Author(s):  
Andrea Belli ◽  
Paola Incollingo ◽  
Armando Falato ◽  
Silvia De Franciscis ◽  
Francesco Bianco
Keyword(s):  
Rectal Cancer ◽  
Surgical Treatment ◽  
Low Rectal Cancer ◽  
Look Back ◽  
Anal Anastomosis ◽  
Pull Through
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