Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Conservative surgery in rectal cancer]

A Leggeri1, M Roseano, A Balani

  • 1Istituto di Clinica Chirurgica, Università degli Studi, Trieste.

Chirurgia Italiana
|January 1, 1994
PubMed
Summary

Sphincter-saving resections for rectal cancer offer good quality of life with similar recurrence and survival rates to abdominoperineal resections. Comprehensive lymphadenectomy is crucial for optimal outcomes in rectal cancer surgery.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Guided endodontic microsurgery in apicoectomy: a review.

Journal of biological regulators and homeostatic agents·2021
Same author

The effectiveness of subgingival irrigant ozone-based as adjuvant for non-surgical periodontal therapy in the treatment of chronic periodontitis: a review.

Journal of biological regulators and homeostatic agents·2020
Same author

Renal tuberculosis with lobar calcification.

Indian journal of nephrology·2016
Same author

Short- and long-term efficacy of intragastric air-filled balloon (Heliosphere® BAG) among obese patients.

Obesity surgery·2012
Same author

Differential diagnosis between splenic nodules and peritoneal metastases with contrast-enhanced ultrasound based on signal-intensity characteristics during the late phase.

La Radiologia medica·2008
Same author

The treatment of inguinal hernia in the elderly: open technique or laparoscopic approach?

Acta bio-medica : Atenei Parmensis·2006

Area of Science:

  • Surgical Oncology
  • Gastrointestinal Surgery
  • Rectal Cancer Treatment

Background:

  • Rectal cancer surgery involves complex decisions regarding resection type and extent.
  • Optimizing surgical techniques is essential for improving patient outcomes and quality of life.
  • The role of neoadjuvant therapy and lymphadenectomy requires ongoing evaluation.

Purpose of the Study:

  • To analyze surgical outcomes for 387 rectal cancer cases.
  • To evaluate the impact of surgical approach on recurrence and survival rates.
  • To determine optimal surgical strategies and adjuvant therapies for rectal cancer.

Main Methods:

  • Retrospective analysis of 387 rectal cancer surgeries.
  • Surgical approach selection based on tumor location, not solely tumor features.
  • Standardized lumbo-aortic lymphadenectomy with high ligation of the inferior mesenteric artery.
  • Inclusion of preoperative radiotherapy for B2-C stage patients since 1991.
  • Wide pelvic dissection to prevent the "cone effect".

Main Results:

  • Recurrence rates and survival were comparable between abdominoperineal and sphincter-saving resections.
  • Tumor stage was the only statistically significant risk factor identified.
  • Sphincter-saving resection demonstrated a favorable quality of life.
  • Lumbo-aortic lymphadenectomy with high inferior mesenteric artery ligation was consistently performed.

Conclusions:

  • Sphincter-saving resection is recommended for rectal cancer due to improved quality of life.
  • Thorough lymphadenectomy, including lumbo-aortic nodes, is vital.
  • The optimal timing and choice of adjuvant therapy for rectal cancer remain subjects for further discussion.

Related Experiment Videos