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Surg Clin North Am. 2017 Jun;97(3):587-604. doi: 10.1016/j.suc.2017.01.008.

New Strategies in Rectal Cancer.

Author information

1
Department of Colorectal Surgery, Angelita & Joaquim Gama Institute, Rua Manoel da Nóbrega 1564, São Paulo 04001, Brazil.
2
Department of Colorectal Surgery, Hospital Israelita Albert Einstein, Avenida Albert Einstein 627, Suite 219, São Paulo 05652, Brazil.
3
Department of Colorectal Surgery, Angelita & Joaquim Gama Institute, Rua Manoel da Nóbrega 1564, São Paulo 04001, Brazil. Electronic address: rodrigo.operez@gmail.com.

Abstract

In recent years, our understanding of rectal cancer has improved, including how locally advanced disease responds to chemotherapy and radiation. This has led to new innovations and advances in the treatment of rectal cancer, which includes organ-preserving strategies for responsive disease, and minimally invasive approaces for the performance of total mesorectal excision/protectomyh for persistently advanced disease. This article discusses new strategies for rectal cancer therapy, including Watch and Wait, local excision, minimally invasive proctectomy, and transanal total mesorectal excision particularly in the setting of preoperative multimodality treatment.

KEYWORDS:

Local excision; Organ-preserving strategies; Transanal TME; Watch and wait

PMID:
28501249
DOI:
10.1016/j.suc.2017.01.008
[Indexed for MEDLINE]

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