At initial presentation, 20% to 30% of patients with colon and rectal cancer have detectable metastatic disease. Precise guidelines are lacking for the treatment of this special subset. Most of…
Functional outcomes of colorectal cancer treatment are an increasingly prominent interest of patients, clinicians, and researchers. The current literature on function after colorectal cancer treatment is difficult to assimilate, with…
There are an increasing number of reports on nonoperative management of rectal cancer patients who achieve a dramatic response to neoadjuvant therapy. This review discusses the current literature, and describes…
Abdominoperineal excision (APE) is a necessary operation in many patients with low rectal cancer. Outcomes after this procedure, however, have been variable and often suboptimal. With a new concept of…
Total mesorectal excision with preoperative radiation and chemotherapy provide the lowest local recurrence rates for rectal cancer. Timing of surgery after preoperative chemoradiation is being increased to optimize tumor downstaging….
Over the past several decades there have been tremendous improvements in the outcomes of patients with rectal cancer. Imaging modalities such as endorectal ultrasonography (ERUS), magnetic resonance imaging (MRI), and…
Colorectal cancer is one of the most commonly diagnosed cancers in men and women in the developed world. Although surgery is the foundation of curative treatment, adjuvant chemotherapy also improves…
There is sufficient level I evidence to support and even recommend laparoscopy as the surgical modality of choice for colon cancer resection. Laparoscopy offers improved short-term outcomes and at least…
The traditional approach to surgical resection of colonic cancer involves removal of the primary tumor together with the associated lymphovascular pedicle. In an attempt to improve oncological outcomes, several groups…
Surgery remains the cornerstone in the multidisciplinary treatment of colon and rectal cancer. Many diagnostic, technical, and adjuvant therapies are known to impact the immediate and long-term oncologic results. Guidelines…
