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2024 ; 16
(7
): 1960-1964
Nephropedia Template TP
gab.com Text
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English Wikipedia
Minimally invasive pelvic exenteration for primary or recurrent locally advanced
rectal cancer: A glimpse into the future
#MMPMID39087129
Kehagias D
; Lampropoulos C
; Kehagias I
World J Gastrointest Surg
2024[Jul]; 16
(7
): 1960-1964
PMID39087129
show ga
Surgeons have grappled with the treatment of recurrent and T4b locally advanced
rectal cancer (LARC) for many years. Their main objectives are to increase the
overall survival and quality of life of the patients and to mitigate
postoperative complications. Currently, pelvic exenteration (PE) with or without
neoadjuvant treatment is a curative treatment when negative resection margins are
achieved. The traditional open approach has been favored by many surgeons.
However, the technological advancements in minimally invasive surgery have
radically changed the surgical options. Recent studies have demonstrated
promising results in postoperative complications and oncological outcomes after
robotic or laparoscopic PE. A recent retrospective study entitled "Feasibility
and safety of minimally invasive multivisceral resection for T4b rectal cancer: A
9-year review" was published in the World Journal of Gastrointestinal Surgery. As
we read this article with great interest, we decided to delve into the latest
data regarding the benefits and risks of minimally invasive PE for LARC.
Currently, the small number of suitable patients, limited surgeon experience, and
steep learning curve are hindering the establishment of minimally invasive PE.