Topic: A bespoke approach to rectal cancer resection and management

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A special issue of Mini-invasive Surgery  (Online ISSN:2574-1225).

Deadline for manuscript submissions: 31 Jul 2018

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Guest Editor(s)

  • Gordon N. Buchanan, MBBS, MD, MSc, FRCS
    The Lister Hospital, London, UK.

Special Issue Introduction:

The platform or mode of resecting colorectal cancer, particularly in the rectum can influence outcome – it is not just the expertise of the primary surgeon, but also the mode of resection (open vs. laparoscopic/ robotic) that will not only predict the length of stay due to recovery but also the pathological parameters; enhanced recovery programmes further accelerate patient discharge. There are very important team factors too; the skill of assistance is magnified in laparoscopic colorectal resection where not only does the camera operator need to understand and predict steps to smooth the operation, but also a second assistant particularly in left sided resection can retract during the case thus facilitating easier dissection – however for rectal cancer resection recent trials using a non-inferiority assessment for oncological parameters have shown that patients undergoing a laparoscopic resection fared worse than those undergoing open surgery. The robotic platform for rectal cancer allows a very detailed evaluation of pelvic anatomy due to its 3D visualisation – in addition the wrist element afforded by the robot enables excellent dissection of the TME plane, akin to the early descriptions popularised by Heald et al. but with a more magnified view. It is within the confines of the pelvis that robotic resection is likely to be of greatest benefit, particularly for dissection of the mid and low rectum – the extra robotic arm can be continuously placed in a similar fashion to a St Mark’s pelvic retractor in open surgery thus enabling accurate retraction without assistance fatigue or movement as may occur in open or standard laparoscopic surgery. This should both reduce conversion to open resection for low rectal cancer and improve oncological parameters, either equivalent to, or superior to those of open resection. Lower conversion rates should enhance earlier discharge and hospital recovery and reduce costs in the longer term. Whilst some parts of the world have high rates of uptake for laparoscopic colorectal resection, others lag far behind – the use of robotic surgery currently represents a small minority of cases; going forward a tailored approach to colorectal cancer resection needs to encompass and study these important factors to achieve the best clinical and oncological outcomes for patients. In addition other modalities including Transanal total mesorectal excision (TaTME) to enable the inferior aspect of TME dissection and its place also need detailed evaluation.
The evolution of therapies in rectal cancer continues to expand allowing a unique approach through local excision, chemoradio - and contact therapy, watch and wait along with endoscopic and extended resection. This special edition aims to focus on the breadth of options available to clinicians and patients working in this arena.

Keywords:

Rectal, cancer, robotic, multidisciplinary, teamwork, image guided

Submission Information:

Articles of special issue are free of charge for article processing.
For Author Instructions, please refer to http://misjournal.net/pages/view/author_instructions
For Online Submission, please login at http://misjournal.net/login
Submission Deadline: 31 July 2018
Contacts: Lucia Jia, Assistant Editor, editor001@misjournal.net

Published Articles Download All Articles
  • The importance of pathological quality control for rectal surgery

    Alice C. Westwood , Nick P. West
    Pathologists are an integral member of the colorectal multidisciplinary team and are able to closely interact with surgeons, radiologists and oncologists to facilitate improvements in surgical quality and patient outcomes. Accurate, high quality pathology reports containing all vital prognostic information are essential to ensure the patient receives optimal treatment. These reports should also... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:38. | doi:10.20517/2574-1225.2018.50
    Published on: 31 Oct 2018  | Viewed:260  | Downloaded:21
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  • Surgical management of hereditary colorectal cancer

    Peter C. Ambe , Gabriela Möslein
    Colorectal cancer (CRC) is one of the most common solid malignancies worldwide. Although sporadic CRC represents the most common form, genetic alterations is increasingly being identified in a relevant portion of patients with CRC. Familial CRC describes an increased incidence of adenomatous polyps and CRC in first - degree relatives. Hereditary CRC is defined by the identification of... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:37. | doi:10.20517/2574-1225.2018.45
    Published on: 28 Oct 2018  | Viewed:269  | Downloaded:27
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  • The role of splenic flexure mobilization in laparoscopic rectal surgery for rectal cancer

    Tao-Wei Ke , Christian Ross Geniales , William Tzu-Liang Chen
    Laparoscopic surgery for the treatment of colorectal cancer has gained an enormous advantage as compared to the traditional approach in terms of patient benefits. Although it has gained popularity among surgeons, there are still some contentious issues especially in laparoscopic rectal surgery. Splenic flexure mobilization (SFM) is a crucial aspect of the procedure with complex technical... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:35. | doi:10.20517/2574-1225.2018.46
    Published on: 9 Oct 2018  | Viewed:555  | Downloaded:32
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  • Minimally invasive contact X-ray brachytherapy as an alternative option in patients with rectal cancer not suitable for bespoke surgical resection

    Arthur Sun Myint , Jean Pierre Gerard
    Surgery remains the gold standard treatment for rectal cancer. All published guidelines and most protocols recommend surgery as the standard of care. However, non-surgical management of rectal cancer is increasingly gaining acceptance as it avoids extirpative surgery and a stoma. In patients who are not suitable for surgery because of advancing age or medical comorbidities, and also in a small... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:34. | doi:10.20517/2574-1225.2018.52
    Published on: 7 Oct 2018  | Viewed:481  | Downloaded:18
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  • Reduced-port surgery for rectal cancer

    Takashi Ishida , Kohei Shigeta , Koji Okabayashi , Masashi Tsuruta , Hirotoshi Hasegawa , Yuko Kitagawa
    Laparoscopic surgery for rectal cancer has short-term and long-term oncological outcomes similar to those of open surgery. Conventional multiport laparoscopic surgery (CMLS) for rectal cancer requires four or five abdominal incisions for trocars, each of which could lead to complications and/or pain. Single-incision laparoscopic surgery (SILS) would reduce the incidence of such wound-related... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:31. | doi:10.20517/2574-1225.2018.53
    Published on: 28 Sep 2018  | Viewed:335  | Downloaded:10
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  • Enhanced recovery after rectal surgery: what we have learned so far

    Giovanni D. Tebala , Ayeshah Gordon-Dixon , Mohammad Imtiaz , Ashish Shrestha , Mohamed Toeima
    Enhanced recovery after surgery (ERAS) protocols are gradually becoming the gold standard in the perioperative management of rectal patients. It is a multimodal and multidisciplinary approach that has the great merit to involve and empower the patient and bring him or her back to the centre of the strategy of care. If applied correctly, ERAS can improve the postoperative recovery, reduce the... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:32. | doi:10.20517/2574-1225.2018.37
    Published on: 28 Sep 2018  | Viewed:516  | Downloaded:22
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  • Open or laparoscopic resection: does approach matter?

    Ebru Esen , Cihangir Akyol
    In colon cancer surgery, laparoscopic resection is a safer and more feasible method than open resection; however, despite its increasing popularity in recent years, laparoscopic approaches for the treatment of rectal cancer have not become a standard therapy option, due to the technical difficulties in gaining access to the deep and narrow pelvis and the steep learning curve. Multiple... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:29. | doi:10.20517/2574-1225.2018.32
    Published on: 26 Sep 2018  | Viewed:464  | Downloaded:22
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  • Current state of transanal minimally invasive surgery in the management of rectal cancer

    Arman Erkan , Justin J. Kelly , John R. T. Monson
    Rectal cancer surgery has undergone a rapid change over the last few decades. We have come a long way from abdominoperineal resection to minimally invasive sphincter preserving techniques. Colorectal cancer screening programs made it possible to diagnose patients at earlier stages and this has led to question the necessity of radical surgery and the possibility of organ preservation. The... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:30. | doi:10.20517/2574-1225.2018.51
    Published on: 26 Sep 2018  | Viewed:537  | Downloaded:27
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  • Clinical feasibility of sphincter-preserving resection with transanal rectal dissection for low-lying rectal cancer in Japanese patients: a single-center cohort study

    Kimihiko Funahashi , Junichi Koike , Hiroyuki Shiokawa , Mitsunori Ushigome , Tomoaki Kaneko , Satoru Kagami , Takamaru Koda , Tatsuo Teramoto
    Aim: Recently, the transanal down-to-up rectal dissection, a new approach to improve the difficult total mesorectal excision (TME) for low-lying rectal cancer, has been popularized. This study assessed the long-term oncologic and functional outcomes after sphincter-preserving resection combined with transanal rectal dissection (TARD) under direct vision for both complete TME and preservation of... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:27. | doi:10.20517/2574-1225.2018.28
    Published on: 28 Aug 2018  | Viewed:557  | Downloaded:26
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  • Completion proctectomy following transanal endoscopic microsurgery for early rectal cancer

    Katarina Levic-Souzani , Orhan Bulut
    Transanal endoscopic microsurgery (TEM) has proven to be a safe and effective procedure in removal of rectal lesions and may be used in treatment of early rectal cancer in selected patients. In cases when the TEM specimen shows non-radical resection, or histological high-risk factors, completion proctectomy (CP) is warranted. It is debated when it is the best time to perform CP following TEM.... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:25. | doi:10.20517/2574-1225.2018.35
    Published on: 16 Aug 2018  | Viewed:401  | Downloaded:19
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  • Is laparoscopic rectal surgery really not non-inferior?

    Peter F. O’Donohue , Conor D. Warren , Carina F. K. Chow
    Laparoscopic rectal surgery has gained popularity over the last 20 years. Currently there are still questions surrounding the safety and efficacy of this technique as compared to the traditional open modalities. To date, despite the initial enthusiasm for laparoscopic rectal surgery this technique is yet to reach non-inferiority in trials when compared to open resection. This review article... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:24. | doi:10.20517/2574-1225.2018.34
    Published on: 14 Aug 2018  | Viewed:457  | Downloaded:35
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  • The role of transanal total mesorectal excision in rectal surgery

    Shlomo Yellinek , Steven D. Wexner
    Transanal total mesorectal excision (TaTME) is the newest approach for the resection of rectal cancer, according to the principles of TME. The evolution of TaTME started almost 40 years ago and is a combination of several important developments in both micro-endoscopic surgery and transanal surgery. The preliminary clinical data have revealed acceptable TME quality. Clinical trials to determine... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:22. | doi:10.20517/2574-1225.2018.17
    Published on: 2 Aug 2018  | Viewed:1792  | Downloaded:97
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  • Functional results and quality of life after transanal total mesorectal excision

    Paola De Nardi
    This is a narrative review on ano-rectal, sexual, urinary, and quality of life outcomes after transanal total mesorectal excision (TME). Little is known on this topic as only a few studies are currently available in the literature. According to these, it appears that the functional results and quality of life are not substantially impaired compared with standard TME. However more data are... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:20. | doi:10.20517/2574-1225.2018.30
    Published on: 24 Jul 2018  | Viewed:904  | Downloaded:48
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  • Minimal invasive approach for beyond total mesorectal excision/extended resections in rectal cancer

    Naveena A. N. Kumar , Praveen Kammar , Avanish Saklani
    Minimal invasive surgery (MIS) is an accepted modality of treatment for rectal cancer. The indications for MIS have gradually been extended to locally advanced and locally recurrent rectal cancer as a result of technological advances in instrumentation, advances in surgical techniques, increased surgeon experience, and high volume center. However, safety and feasibility of laparoscopic surgery... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:19. | doi:10.20517/2574-1225.2018.26
    Published on: 23 Jul 2018  | Viewed:1109  | Downloaded:26
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  • Is robotic rectal resection the preferred option for resectable cancer?

    Hanumant Chouhan , James Shin , Seon-Hahn Kim
    The ultimate goal of rectal cancer surgery is to achieve a negative circumferential, distal resection margin and intact mesorectal excision; however, controversy remains as to what is the best approach. Based on the current evidence, open surgery remains the “gold standard”, however recent improvements in minimally invasive surgery (MIS) techniques with the introduction of robotic surgery and... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:18. | doi:10.20517/2574-1225.2018.40
    Published on: 20 Jul 2018  | Viewed:562  | Downloaded:27
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  • The treatment of early rectal cancer in the era of adjuvant and neo-adjuvant therapy

    Michael G. Thomas , David E. Messenger , Katherine Gash
    The accurate staging of rectal cancer improves the stratification of patients for adjuvant therapy. Staging of tumor with endoluminal ultrasonography (EUS) shows a good correlation with histology (κ = 0.85; 95% confidence interval 0.76-0.95). Overall pT and pN stage accuracy of EUS was 92% and 65% respectively. The staging of local disease can be further augmented by EUS guided fine needle... Read more
    This article belongs to the Special Issue A bespoke approach to rectal cancer resection and management
    Mini-invasive Surg 2018;2:17. | doi:10.20517/2574-1225.2018.25
    Published on: 18 Jul 2018  | Viewed:480  | Downloaded:25
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Mini-invasive Surgery ISSN 2574-1225 (Online)
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