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[Staged resection in rectal carcinoma].

C Chiari1, F Herbst, R Jakesz

  • 1Klinische Abteilung für Allgemeinchirurgie, Universitätsklinik für Chirurgie, Allgemeines Krankenhaus der Stadt Wien, Osterreich. catharina.chiari@akh-wien.ac.at

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 14, 2001
PubMed
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Staged resection for rectal cancer, including total mesorectal excision (TME), may not prevent anastomotic leaks but can mitigate severe consequences. Diverting stomas can minimize irreversible outcomes for rectal cancer patients.

Area of Science:

  • Colorectal surgery
  • Surgical oncology
  • Gastrointestinal surgery

Context:

  • Total mesorectal excision (TME) improves rectal cancer outcomes but increases anastomotic leak risk.
  • Ultra-low colorectal and coloanal anastomoses are associated with higher leak rates.
  • Staged resection strategies are employed to manage rectal cancer complexities.

Purpose:

  • To review the advantages, disadvantages, and consequences of staged resection for rectal cancer.
  • To analyze the role and criteria for using diverting stomas in rectal cancer surgery.
  • To evaluate the impact of surgical techniques on functional outcomes and morbidity.

Summary:

  • Diverting stomas do not prevent anastomotic leaks following rectal cancer surgery.
  • Decisions regarding staged resection are often based on surgeon experience rather than strict criteria.

Related Experiment Videos

  • Staged resection can minimize irreversible consequences of anastomotic leaks on survival and function.

    • Impact:

    • Informing surgical decision-making for rectal cancer patients undergoing TME.
    • Highlighting the need for standardized criteria in the use of diverting stomas.
    • Improving functional outcomes and survival rates for rectal cancer survivors.