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Updated: Aug 9, 2026
Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
[Rectal cancer--diagnostic and therapeutic difficulties]
I D Vîlcea1, I Vasile, M Paşalega
1Clinica II Chirurgie, U.M.F Craiova. danielvldoc@rdslink.ro
Early diagnosis and sequential treatment, including preoperative radiotherapy, curative surgery, and adjuvant therapy, are crucial for improving outcomes in rectal cancer patients. This approach enhances tumor resection rates and patient survival.
Area of Science:
- Oncology
- Surgical Gastroenterology
Context:
- Rectal cancer management requires a multidisciplinary approach.
- Treatment strategies have evolved over time, necessitating analysis of historical data.
Purpose:
- To analyze diagnostic and therapeutic strategies for rectal cancer.
- To evaluate surgical outcomes and the impact of preoperative radiotherapy.
Summary:
- A 10-year analysis (1995-2004) of 179 rectal cancer cases from Craiova's Surgical II Clinic.
- 163 patients underwent surgery with a 38.03% curative intent and an 84.66% global tumor resection rate.
- Preoperative radiotherapy was administered in 82 cases, particularly in later years for curative-stage disease, with a 3.68% postoperative mortality and 33.74% morbidity.
Impact:
- Highlights the significance of early diagnosis in rectal cancer.
- Emphasizes the importance of a sequential treatment protocol: preoperative radiotherapy, curative surgical resection, and postoperative adjuvant therapy.
- Suggests that adherence to this protocol can improve treatment efficacy and patient outcomes.
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