Safety, Survival, and Efficacy of Preserving Left Colonic Artery in Rectal Cancer Surgery: A Meta-analysis and Review
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
ConclusionRACRS is safe in the treatment of patients with stage I –III colorectal cancer. Oncological outcome did not differ between RACRS and LCRS groups. RACRS had lower conversion and intra-operative complication rates.
Condition: Rectal Cancer Patients Intervention: Diagnostic Test: MA_LARS Sponsors: Moroccan Society of Surgery; Institut National d'Oncologie Sidi Mohammed Ben Abdellah Recruiting
Conditions: Anastomotic Leak Rectum; Rectal Cancer Intervention: Procedure: The efficacy of various interventions for anastomotic leakage after rectal cancer resection are investigated Sponsors: Radboud University; Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) Not yet recruiting
ConclusionsThe present data indicate that in URCC patients, the integration of HPP/target-therapy and precision oncotherapy based upon liquid biopsy is as effective and efficacious as third-line treatment in local disease control and, therefore, deserves to be further assessed and compared to conventional systemic treatments in future prospective randomized trials.
Madam — During the Royal College of Radiologists' 2018 annual meeting, radiotherapy contouring workshops were conducted on prostate and rectal cancer cases. Three months post-workshop, a survey was sent to all participants. Eleven of the 54 (20%) participants in the prostate workshop and seven of the 58 (11%) participants in the rectal workshop completed the survey.
ConclusionsMRI pelvimetry can identify patients at risk for a poor-quality resection after laparoscopic proctectomy for mid- and low rectal cancer. These patients may benefit from the selective use of more advanced access methods to improve surgical resection quality.
AbstractLocal excision following chemoradiotherapy in rectal cancer is an organ-preserving procedure which aims at reducing morbidity and functional disorders associated with total mesorectal excision (TME) in selected patients. Although TME after chemoradiotherapy remains the gold standard for locally advanced mid and low rectal cancer, in the last years multicenter research trials have offered encouraging oncologic results which have allowed to preserve the rectum in patients with a pathologic complete response after chemoradiotherapy. A review of the available literature on this topic was conducted to define the state o...
ConclusionsREIMS distinguishes rectal tissue types based on underlying lipid biology, and this can be translated in vivo by coupling it to TAMIS. There is a role for this technology in improving the efficacy of resection of early rectal cancers.
ConclusionsMore extended resections seem not to confer an increase of the overall survival rate.
ConclusionThis meta-analysis based on nonrandomized studies suggests that TaTME seems better than LaTME in terms of overall and major morbidities, anastomotic leak, readmission rate, CRM involvement, and length of stay. These results need to be confirmed by randomized controlled trial.