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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Related Experiment Video

Updated: Jun 15, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Published on: February 12, 2022

Preoperative decision making for rectal cancer.

Panagiotis Taflampas1, Manousos Christodoulakis, Eelco de Bree

  • 1Department of Surgery, Venizeleio Hospital, Herakleion, Greece. taflampas2003@yahoo.gr

American Journal of Surgery
|March 13, 2010
PubMed
Summary

Multidisciplinary teams optimize rectal cancer treatment using advanced imaging, surgery, and therapies. Preoperative chemoradiotherapy improves outcomes by ensuring clear surgical margins and reducing recurrence.

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Published on: March 24, 2023

Area of Science:

  • Oncology
  • Surgical Oncology
  • Radiation Oncology

Background:

  • Rectal cancer treatment has evolved into a multimodal approach.
  • Advances in imaging, staging, surgery, radiotherapy, and chemotherapy enable tailored treatment plans.

Purpose of the Study:

  • To review the principles and components of effective multidisciplinary team (MDT) management for rectal cancer.
  • To highlight the role of preoperative chemoradiotherapy in optimizing surgical outcomes.

Main Methods:

  • Literature search of MEDLINE and PubMed databases.
  • Keywords included "rectal cancer," "total mesorectal excision," "multidisciplinary treatment/team," "radiotherapy," and "chemotherapy."
  • Review of references from relevant published articles.

Main Results:

  • Effective MDTs require total mesorectal excision, high-resolution pelvic MRI, preoperative chemoradiotherapy, and standardized pathology reports.
  • Key discussion points for MDTs include circumferential margin status, radiotherapy/surgery type, and chemotherapy agents.

Conclusions:

  • Circumferential margin status is a critical determinant for preoperative chemoradiotherapy.
  • Preoperative chemoradiotherapy enhances the rate of free circumferential resection margins and reduces local recurrence and toxicity.