Oncohema Key

Fig. 1.1 MRI of pelvis (sagittal, T2 sequence), male, ulcerated tumor in the posterior, lower rectum (arrow) Fig. 1.2 Rectal anatomy , lateral view Fig. 1.3 Rectal anatomy , AP…

Fig. 13.1 Lymphatic flow of the rectum. The rectal lymphatic flow is categorized into three categories including an upward lymphatic flow, which moves upward in line with the inferior mesenteric…

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…

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…

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)…

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…

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…

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…

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…

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….