TY - JOUR
T1 - Maximizing Rectal Cancer Results
T2 - TEM and TATA Techniques to Expand Sphincter Preservation
AU - Marks, John H.
AU - Frenkel, Joseph L.
AU - D'Andrea, Anthony P.
AU - Greenleaf, Chistopher E.
PY - 2011/7
Y1 - 2011/7
N2 - Rectal cancer management benefits from a multidisciplinary approach involving medical and radiation oncology as well as surgery. Presented are the current dominant issues in rectal cancer management with an emphasis on our treatment algorithm at the Lankenau Medical Center. By basing surgical decisions on the downstaged rectal cancer we explore how sphincter preservation can be extended even for cancers of the distal 3 cm of the rectum. TATA and TEM techniques can be used to effectively treat cancer from an oncologic standpoint while maintaining a high quality of life through sphincter preservation and avoidance of a permanent colostomy. We review the results of our efforts, including the use of advanced laparoscopy in the surgical management of low rectal cancers.
AB - Rectal cancer management benefits from a multidisciplinary approach involving medical and radiation oncology as well as surgery. Presented are the current dominant issues in rectal cancer management with an emphasis on our treatment algorithm at the Lankenau Medical Center. By basing surgical decisions on the downstaged rectal cancer we explore how sphincter preservation can be extended even for cancers of the distal 3 cm of the rectum. TATA and TEM techniques can be used to effectively treat cancer from an oncologic standpoint while maintaining a high quality of life through sphincter preservation and avoidance of a permanent colostomy. We review the results of our efforts, including the use of advanced laparoscopy in the surgical management of low rectal cancers.
KW - Laparoscopy
KW - Low anterior resection
KW - Neoadjuvant radiation
KW - Rectal cancer
KW - Transanal endoscopic microsurgery
UR - http://www.scopus.com/inward/record.url?scp=79957904068&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79957904068&partnerID=8YFLogxK
U2 - 10.1016/j.soc.2011.01.008
DO - 10.1016/j.soc.2011.01.008
M3 - Review article
C2 - 21640918
AN - SCOPUS:79957904068
SN - 1055-3207
VL - 20
SP - 501
EP - 520
JO - Surgical Oncology Clinics of North America
JF - Surgical Oncology Clinics of North America
IS - 3
ER -