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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...

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Surgical options for locally recurrent rectal cancer--review and update.

International journal of colorectal disease·2015
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Related Experiment Video

Updated: Jun 8, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

[Locally recurrent rectal cancer].

A Troja1, H R Raab

  • 1Klinik für Allgemein- und Viszeralchirurgie, Klinikum Oldenburg GmbH, Rahel-Straus-Straße 10, 26133, Oldenburg, Deutschland. achimtroja@hotmail.com

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 17, 2010
PubMed
Summary
This summary is machine-generated.

Recurrent rectal cancer, though reduced by advanced surgical techniques like total mesorectal excision (TME) and radiochemotherapy, remains a challenge. Curative-intent surgery for local recurrence offers a 30% 5-year survival in specialized centers.

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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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Related Experiment Videos

Last Updated: Jun 8, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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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

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Area of Science:

  • Oncology
  • Surgical Oncology
  • Gastrointestinal Surgery

Context:

  • Rectal cancer therapy has significantly advanced, reducing local recurrence rates from nearly 50% to under 10% through improved surgical techniques and multimodal treatments.
  • Despite progress, locally recurrent rectal cancer persists as a significant clinical challenge, necessitating further research into predictive factors and treatment strategies.

Purpose:

  • To review the current understanding of predictive factors for locally recurrent rectal cancer.
  • To evaluate the role of surgical resection, including composite sacropelvic resection, in the curative treatment of locally recurrent rectal cancer.
  • To emphasize the importance of optimizing primary tumor therapy and early diagnosis for future management.

Summary:

  • Key predictive factors for local recurrence include surgical experience, tumor location, resection margins, and multimodal therapy. Tumor biology also plays a role.
  • While historically palliative, surgical resection of locally recurrent rectal cancer in experienced centers can achieve curative intent with a 5-year survival of approximately 30% and a mortality rate around 5%.
  • Composite sacropelvic resection is a viable option for curative treatment of locally recurrent rectal cancer.

Impact:

  • Highlights the potential for curative-intent surgery in managing locally recurrent rectal cancer, shifting the paradigm from palliative care.
  • Underscores the need for continued focus on primary rectal cancer treatment optimization to prevent recurrence.
  • Emphasizes the critical role of early diagnosis and multimodal therapeutic approaches in improving outcomes for patients with recurrent rectal cancer.