Special Issue

Topic: A Bespoke Approach to Rectal Cancer Resection and Management

A Special Issue of Mini-invasive Surgery

ISSN 2574-1225 (Online)

Submission deadline: 31 Jul 2018

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 predict not only 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 the camera operator needs 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 Issue aims to focus on the breadth of options available to clinicians and patients in this area.

Keywords

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

Submission Deadline

31 Jul 2018

Submission Information

For Author Instructions, please refer to https://www.oaepublish.com/mis/author_instructions
For Online Submission, please login at https://oaemesas.com/login?JournalId=mis
Submission Deadline: 31 July 2018
Contacts: Lucia Jia, Assistant Editor, editor001@misjournal.net

Published Articles

Preface of the special issue on “A bespoke approach to rectal cancer resection and management”

Open Access Editorial DOI: 10.20517/2574-1225.2019.24 27 Mar 2019
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Transanal total mesorectal excision: current updates

Open Access Review DOI: 10.20517/2574-1225.2018.57 12 Feb 2019
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Complications of laparoscopic rectal cancer surgery

Open Access Review DOI: 10.20517/2574-1225.2018.62 27 Dec 2018
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Theranostic nanoplatforms for treatment and diagnosis of rectal and colon cancer: a brief review

Open Access Review DOI: 10.20517/2574-1225.2018.44 25 Dec 2018
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Robotic-assisted total mesorectal excision in low-lying rectal cancer

Open Access Original Article DOI: 10.20517/2574-1225.2018.42 23 Dec 2018
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Quality of life after minimally invasive surgery for rectal cancer

Open Access Review DOI: 10.20517/2574-1225.2018.59 29 Nov 2018
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Transanal minimal invasive surgery - pushing the boundaries of transanal surgery

Open Access Review DOI: 10.20517/2574-1225.2018.55 27 Nov 2018
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Aspirin and colorectal cancer chemoprevention

Open Access Opinion DOI: 10.20517/2574-1225.2018.23 20 Nov 2018
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The importance of pathological quality control for rectal surgery

Open Access Review DOI: 10.20517/2574-1225.2018.50 30 Oct 2018
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Surgical management of hereditary colorectal cancer

Open Access Review DOI: 10.20517/2574-1225.2018.45 27 Oct 2018
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The role of splenic flexure mobilization in laparoscopic rectal surgery for rectal cancer

Open Access Review DOI: 10.20517/2574-1225.2018.46 8 Oct 2018
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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

Open Access Review DOI: 10.20517/2574-1225.2018.52 6 Oct 2018
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Enhanced recovery after rectal surgery: what we have learned so far

Open Access Review DOI: 10.20517/2574-1225.2018.37 27 Sep 2018
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Reduced-port surgery for rectal cancer

Open Access Review DOI: 10.20517/2574-1225.2018.53 27 Sep 2018
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Current state of transanal minimally invasive surgery in the management of rectal cancer

Open Access Review DOI: 10.20517/2574-1225.2018.51 25 Sep 2018
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Open or laparoscopic resection: does approach matter?

Open Access Review DOI: 10.20517/2574-1225.2018.32 25 Sep 2018
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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

Open Access Original Article DOI: 10.20517/2574-1225.2018.28 27 Aug 2018
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Completion proctectomy following transanal endoscopic microsurgery for early rectal cancer

Open Access Review DOI: 10.20517/2574-1225.2018.35 15 Aug 2018
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Is laparoscopic rectal surgery really not non-inferior?

Open Access Review DOI: 10.20517/2574-1225.2018.34 13 Aug 2018
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The role of transanal total mesorectal excision in rectal surgery

Open Access Review DOI: 10.20517/2574-1225.2018.17 1 Aug 2018
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Functional results and quality of life after transanal total mesorectal excision

Open Access Review DOI: 10.20517/2574-1225.2018.30 23 Jul 2018
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Minimal invasive approach for beyond total mesorectal excision/extended resections in rectal cancer

Open Access Review DOI: 10.20517/2574-1225.2018.26 22 Jul 2018
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Is robotic rectal resection the preferred option for resectable cancer?

Open Access Review DOI: 10.20517/2574-1225.2018.40 19 Jul 2018
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The treatment of early rectal cancer in the era of adjuvant and neo-adjuvant therapy

Open Access Review DOI: 10.20517/2574-1225.2018.25 17 Jul 2018
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Mini-invasive Surgery
ISSN 2574-1225 (Online)
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