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Critical Reviews™ in Oncogenesis
SJR: 0.631 SNIP: 0.503 CiteScore™: 2

ISSN Imprimir: 0893-9675
ISSN On-line: 2162-6448

Critical Reviews™ in Oncogenesis

DOI: 10.1615/CritRevOncog.v17.i4.60
pages 373-382

Current Status of Surgical Intervention for the Management of Rectal Cancer

Craig Olson
University of Texas Southwestern, 1801 Inwood Rd., Ste. WA4.416, Dallas, TX 75390

RESUMO

Surgery for rectal cancer has advanced greatly over the past decade. Our knowledge of total mesorectal excision has led to improved oncologic outcomes. The concept of extralevator abdomino-perineal resection shows promise for reducing recurrence rates in tumors of the low rectum and anal canal. Once popular, local excision of rectal tumors has now been shown to have largely unacceptable recurrence rates. Minimally invasive techniques of laparoscopic and robotic surgery are technically feasible, and promise decreased complications in the future. Finally, new colonoscopic and endoscopic techniques offer alternatives for those unfit for surgery.


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