Minimally Invasive Approaches to Rectal Cancer and Diverticulitis

Minimally Invasive Approaches to Rectal Cancer and Diverticulitis Opinion Editorials represent the opinions of the authors and JAMA EDITORIAL and not those of the American Medical Association. Minimally Invasive Approaches to Rectal Cancer and Diverticulitis Does Less Mean More? Scott A. Strong, MD; Nathaniel J. Soper, MD Several advances have occurred in the field of colorectal mesorectal excision (TME), uninvolved CRM, and unin- surgery over the past 25 years, but 3 areas of noticeable volved distal resection margin. The North American study progress relate to appreciating an anatomical operative included patients (N = 486) with clinical stage II or III rectal approach to rectal cancer, understanding the natural course cancer treated with neoadjuvant therapy followed by mini- of diverticular disease, and adopting minimally invasive mally invasive (n = 240) or open (n = 222) proctectomy. strategies for large bowel disorders such as colon cancer and The Australasian study enrolled patients (N = 475) with 1,2 ulcerative colitis. clinical stage I-III rectal cancer who underwent laparoscopic The high local recurrence rates customarily accepted (n = 238) or open (n = 235) pelvic dissection; 50% received after curative resection of rectal cancer were challenged preoperative radiotherapy. when an association between the circumferential resection The technical quality of surgery in http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Minimally Invasive Approaches to Rectal Cancer and Diverticulitis

JAMA, Volume 314 (13) – Oct 6, 2015

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Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2015.11454
pmid
26441178
Publisher site
See Article on Publisher Site

Abstract

Opinion Editorials represent the opinions of the authors and JAMA EDITORIAL and not those of the American Medical Association. Minimally Invasive Approaches to Rectal Cancer and Diverticulitis Does Less Mean More? Scott A. Strong, MD; Nathaniel J. Soper, MD Several advances have occurred in the field of colorectal mesorectal excision (TME), uninvolved CRM, and unin- surgery over the past 25 years, but 3 areas of noticeable volved distal resection margin. The North American study progress relate to appreciating an anatomical operative included patients (N = 486) with clinical stage II or III rectal approach to rectal cancer, understanding the natural course cancer treated with neoadjuvant therapy followed by mini- of diverticular disease, and adopting minimally invasive mally invasive (n = 240) or open (n = 222) proctectomy. strategies for large bowel disorders such as colon cancer and The Australasian study enrolled patients (N = 475) with 1,2 ulcerative colitis. clinical stage I-III rectal cancer who underwent laparoscopic The high local recurrence rates customarily accepted (n = 238) or open (n = 235) pelvic dissection; 50% received after curative resection of rectal cancer were challenged preoperative radiotherapy. when an association between the circumferential resection The technical quality of surgery in

Journal

JAMAAmerican Medical Association

Published: Oct 6, 2015

References

  • A systematic review and meta-analysis of laparoscopic vs open restorative proctocolectomy.
    Singh, P; Bhangu, A; Nicholls, RJ; Tekkis, P

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