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Related Experiment Videos

[Trans-sacral local resection for rectal cancer].

Bao-shan Liu1, Jin Yan, Ming Zuo

  • 1Department of General Surgrey, Sichuan Cancer Hospital, Chengdu 610041, China.

Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|August 2, 2003
PubMed
Summary

Trans-sacral local resection is effective for early rectal cancer, avoiding an artificial anus. However, radical surgery is recommended for cases with vessel infiltration or positive margins.

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Gastroenterology

Context:

  • Rectal cancer management often involves radical surgery with significant morbidity.
  • Local resection techniques are being explored for early-stage rectal tumors.
  • The trans-sacral approach offers a minimally invasive alternative for specific rectal cancer cases.

Purpose:

  • To assess the efficacy and indications of trans-sacral local resection for rectal cancer located below the peritoneal reflection.
  • To determine the oncological outcomes and patient survival rates following this surgical technique.

Summary:

  • A study of 134 patients with early rectal carcinoma treated with trans-sacral local resection.
  • Excellent outcomes were observed in intra-mucosal carcinoma (no recurrence).

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  • Submucosal carcinoma cases with adverse features (positive margins, vessel infiltration, poor differentiation) required additional radical surgery, with low rates of recurrence and metastasis.

    • Impact:

    • Trans-sacral local resection is a viable, organ-sparing option for select early rectal cancers, minimizing the need for abdominoperineal resection.
    • Clear criteria are established for selecting patients suitable for local resection versus those requiring more extensive surgery.
    • This approach can improve quality of life by avoiding a permanent stoma.