Extended pelvic side wall excision for locally advanced rectal cancers

Extended pelvic side wall excision for locally advanced rectal cancers

Extended pelvic side wall excision is a useful technique for treatment of recurrent or advanced rectal cancer involving sciatic notch and does not compromise the dissection of major pelvic vessels and vascular control.

Which rectal cancers are locally advanced?

Drs. Cellini and Valentini describe the developments in the management of rectal cancers over the past decades, the results of major trials, and the conclusions members of the medical community have reached concerning these developments and results, which have led to both areas of agreement and controversies. Better imaging, improved surgical techniques, and the integration of radiotherapy alon...

Side Effects of Neoadjuvant Treatment in Locally Advanced Rectal Cancer

Intensified neoadjuvant radio-chemotherapy for locally advanced rectal cancer: mono-istitutional experience and long-term results

Background: Purpose: The purpose of our study is to demonstrate that intensified neoadjuvant chemo-radiotherapy (CRT) treatment in locally advanced rectal cancer (LARC), aimed at further enhancing the complete pathological response and local disease control, is feasible and well tolerated.  Materials and Methods: From January 2011 to December 2015, 62 patients (women 21, men 41, mean age 61,5, ...

Pelvic exenteration for advanced rectal carcinoma.

Twelve patients with advanced rectal cancer and no evidence of extrapelvic metastases underwent pelvic exenteration. The operative mortality rate was 8.3 per cent. Determinate 3 and 5 year survival rates of 54 and 37 per cent were achieved. Criteria for the selection of patients and techniques of supravesical urinary diversion are discussed.