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Surgery for rectal cancer (conventional open surgery)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Colorectal Surgery.
2010 (English)In: European Surgery, ISSN 1682-8631, Vol. 42, no 6, 267-275 p.Article in journal (Refereed) Published
Abstract [en]

Background Discrepancy exists how to surgically approach rectal cancer (open or minimally invasive) and how to implement neoadjuvant oncological concepts into the treatment algorithm Methods Analysis of the literature regarding the surgical treatment of rectal cancer Results Oncological criteria (resection margin and lymphnode harvest) are equally met by the laparoscopic and open approach, when conducted in experienced centers Due to the pelvic anatomy, the open approach seems to be advantageous for low rectal cancers, when compared to laparocopy Total mesorectal excision should be reserved for low rectal cancers, tumors of the mid and proximal portion of the rectum should be treated by subtotal mesorectal excision Conclusions Laparoscopic rectal surgery can re place the open approach in the majority of the cases Respective expertise is required to reproduce the excellent results of high volume centers

Place, publisher, year, edition, pages
2010. Vol. 42, no 6, 267-275 p.
Keyword [en]
Rectal cancer, laparoscopy, open surgery, oncology, resection margin, mesorectal resection
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-146884DOI: 10.1007/s10353-010-0569-3ISI: 000285861600005OAI: oai:DiVA.org:uu-146884DiVA: diva2:399265
Available from: 2011-02-21 Created: 2011-02-21 Last updated: 2011-02-21Bibliographically approved

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