Intersphincteric Resection and Coloanal Reconstruction
Fig. 12.1 Types of intersphincteric resection (ISR) . (a) Partial ISR, (b) subtotal ISR, (c) total ISR, (d) ISR in combination with resection of deep or superficial external anal sphincter…
Magnetic Resonance Imaging of the Rectum
Fig. 3.1 Axial image showing the difference between a high resolution (left) and lower resolution scan in the same patient (right). The polypoidal tumour is much more clearly depicted on…
Robotic Rectal Resection
Author, year Trial name Laparoscopic patients Open patients Conversion rate (%) Positive margin RR Complications Hospital stay Guillou 2005 [3] MRC CLASSIC triala 253 128 32.40 1.08 (0.60–1.97) 1.08 (0.83–1.43)…
Complications After Rectal Cancer Surgery
Fig. 21.1 Wound infection in a patient who underwent open low anterior resection with loop ileostomy for rectal cancer after pelvic radiation therapy. She had a long history of smoking…
Total Mesorectal Excision
Fig. 7.1 Cadaveric dissection of hemisectioned pelvis . (a) Presacral fascia covers the presacral vein over the sacrum. (b) The fascia picked up by the forceps is the rectal proper…
Maximizing Neoadjuvant Treatment Response and Watch and Wait
Fig. 18.1 Historic progression toward the current standard of care for locally advanced rectal cancer: chemoradiotherapy before total mesorectal excision. XRT radiotherapy, CRT chemoradiation therapy, TME total mesorectal excision, LR…
Laparoscopic Rectal Surgery
Trial Assigned group No. of patients Conversion rate (%) Operative time (min) Estimated blood loss (ml) Lymph node (mean) CRM + rate (overall, AR, APR) (%) COLOR II Laparoscopic 699 16 240…
Combined Transanal/Laparoscopic Total Mesorectal Excision
Fig. 11.1 Theater organization Transabdominal Approach The surgeon works from the patient’s right with the camera assistant on the surgeon’s left side and the first assistant on the patient’s left….
Local Excision: Transanal Endoscopic Microsurgery and Transanal Minimally Invasive Surgery
Fig. 4.1 TES (transanal endoscopic surgery) platforms . Rigid platforms include (a) TEM (transanal endoscopic microsurgery) (Richard Wolf Medical, Vernon Hills, IL, USA). (b) TEO (transanal endoscopic operation) (Karl Storz…
Molecular Markers and Mutational Analysis
Fig. 19.1 Pie chart showing proportion of colorectal cancer cases believed to be sporadic, familial, or due to hereditary cancer syndromes. HNPCC hereditary nonpolyposis colon cancer, FAP familial adenomatous polyposis…
