Locally advanced rectal cancer. The need for further specialization
Keywords:
Rectal cancer, Locally advanced, Surgical managementAbstract
We present a case, which due to its diagnostic and therapeutic connotations makes it especially educational, as it addresses the how, the who and where should the surgery be performed for locally advanced rectal cancer. It illustrates the diagnostic management and staging of rectal cancer at the present time. The case is approached in a multidisciplinary committee manner, and binds the various advances in surgery of rectal cancer in recent years (total mesorectal excision, laparoscopy, intraoperative radiotherapy, extended perineal resection, pelvic floor repair with prosthetic material). This serves to underline the view that there must behighly specialized institutions and groups dedicated to the treatment of this condition in order to centralize its health care.
Author Biographies
Fernando Fernández López, Complejo Hospitalario Universitario de Santiago de Compostela
Servicio de Cirugía General y del Aparato Digestivo, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Galicia, España
Jesús Pedro Paredes Cotore, Complejo Hospitalario Universitario de Santiago de Compostela
Servicio de Cirugía General y del Aparato Digestivo, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Galicia, España
Antonio Gómez Caamaño, Complejo Hospitalario Universitario de Santiago de Compostela
Servicio de Oncología Radioterápica, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Galicia, España
Paula Peleteiro Higuero, Complejo Hospitalario Universitario de Santiago de Compostela
Servicio de Oncología Radioterápica, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Galicia, España
Manuel B Bustamante Montalvo, Complejo Hospitalario Universitario de Santiago de Compostela
Servicio de Cirugía General y del Aparato Digestivo, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Galicia, España
References
Wibe A, Moller B, Norstein J, Carlsen E, Wiig JN, Heald RJ, et al. A National strategic change in treatment policy for rectal cancer-implementation of total mesorecrtal excision as routine treatment in Norway. A national audit. Dis Colon Rectum. 2002;45:857-66.
https://doi.org/10.1007/s10350-004-6317-7
Maruthappu M, Gilbert BJ, El-Harasis MA, Nagendran M, McCulloch P, Duclos A, et al. The influence of volume and experience on individual surgical performance. A systematic review. Ann Surg. 2015;261(4):642-7.
https://doi.org/10.1097/SLA.0000000000000852
Martí-Ragué J, Parés D, Biondo S, Navarro M, Figueras J, de Oca J, et al. Supervivencia y recidiva en el tratamiento multidisciplinario del carcinoma colorrectal. Med Clin (Barc). 2004;123(8):291-6.
https://doi.org/10.1016/S0025-7753(04)74495-4
Anderin C, Granath F, Martling A, Holm T. Local recurrence after prone vs supine abdominoperineal excision for low rectal cancer. Colorectal Dis. 2013;15(7):812-5.
https://doi.org/10.1111/codi.12148
Hermanek P. Impact of surgeon's technique on outcome after treatment of rectal carcinoma. Dis Colon Rectum. 1999;42:559-62.
https://doi.org/10.1007/BF02234128
García-Granero E, Martí-Obiol R, Gómez-Barbadillo J, García- Armengol J, Esclapez P, Espí A, et al. Impact of surgeon organization and specialization in rectal cancer outcome. Colorectal Dis. 2001;3(3):179-84.
https://doi.org/10.1046/j.1463-1318.2001.00223.x
García-Granero E. Opciones quirúrgicas en el cáncer de recto del tercio distal localmente avanzado. Necesidad de una superespecialización. Cir Esp. 2014;92 Supl. 1:1-3.
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