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Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
[Transsacral local wide resection for mid-lower rectal tumors].
Xin Zhou1, Jun-Qing Shang, Jian-Nong Zhou
1Division of Colorectal Surgery, Department of General Surgery, Jiangsu Provincial Cancer Hospital, Nanjing 210009, China.
Summary
Transsacral local wide resection is a safe and effective surgical option for mid-lower rectal tumors. This sphincter-saving procedure shows promising results for benign tumors and selected early-stage rectal cancers.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Rectal Cancer Surgery
Context:
- Mid-lower rectal tumors present unique surgical challenges.
- Local wide resection aims for complete tumor removal.
- Transsacral approach offers access to the distal rectum.
Purpose:
- To evaluate the efficacy and safety of transsacral local wide resection for mid-lower rectal tumors.
- To assess oncological outcomes, including local recurrence and survival rates.
- To determine the suitability of this technique for various rectal tumor types.
Summary:
- A retrospective analysis of 133 patients undergoing transsacral local wide resection for mid-lower rectal tumors was performed.
- The procedure demonstrated a low complication rate and achieved negative resection margins in all cases.
- For T1 adenocarcinoma, 5-year local recurrence was 2.0% and overall survival was 100%.
Impact:
- Transsacral local wide resection is a viable, safe, and simple procedure for mid-lower rectal tumors.
- It is appropriate for benign rectal tumors and offers a sphincter-saving option for selected T1 lower rectal cancers.
- This technique contributes to improved patient outcomes and quality of life by preserving anal sphincter function.
