Titlebook: Rectal Cancer; Modern Approaches to George J. Chang Book 2018 Springer International Publishing AG 2018 Abdominoperineal Excision.Composite

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Radiation Therapy for Rectal Cancer,phincter preservation rates. Preoperative chemoradiation and preoperative short course radiotherapy are now considered standards of care for appropriate rectal cancer patients. Specific radiation therapy techniques such as reirradiation and intraoperative radiation therapy may also improve outcomes

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Preoperative and Postoperative Chemotherapy for Rectal Cancer,the optimal surgical approaches and have refined the delivery of radiation therapy. Well-conducted trials have rearranged the sequence of successive therapies. Most remarkably, ongoing trials are now looking to subtract, rather than to add, elements to the treatment algorithm. While the use of perio

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Total Mesorectal Excision,tomical plane with an embryological basis. TME has improved results of rectal cancer surgery all over the world. TME can safely be performed laparoscopically and the use of robot for TME is also gaining acceptance..Understanding the anatomy of rectum is crucial to performing a good TME. The relation

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Laparoscopic Rectal Surgery,al cancer represents one of the most complex technical challenges in the field. Given this complexity, controversy persists regarding the long-term outcomes and safety profile of this minimally invasive technique in rectal cancer. These facts, in concert with the clinical and scientific evidence, th

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Intersphincteric Resection and Coloanal Reconstruction,r is the mainstay among the treatment modalities and intersphincteric resection (ISR) is considered a relatively new but effective surgical treatment for low rectal cancer. Increasingly, patients who have undergone abdominoperineal resection in the past can be treated with ISR. Furthermore, preopera

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Management of Lateral Pelvic Lymph Nodes,Europe/the USA and Japan), with much still unknown in terms of the significance of LPLN dissection. In Japan, extended surgery, including LPLN dissection, but not preoperative chemoradiotherapy, has been the standard surgical procedure for locally advanced rectal cancer. According to Japanese studie

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Evaluation of Treatment of Locally Recurrent Rectal Cancer,section for rectal cancer [1]. The rate of local recurrence after primary treatment of rectal cancer with curative intent varies between 2.4 and 10% in modern series [2] and is dependent on a multitude of variables including patient-specific factors, tumor biology, and surgical and oncology practice

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Reconstruction of the Pelvis and Perineum,he perineum is one of the most challenging regions to adequately and safely reconstruct. Significant dead space volume, close proximity of local organs, increased bacterial susceptibility, and extended periods of direct wound pressure (i.e., sitting, lying in bed) all serve to complicate surgical ef