Current issues in colorectal cancer surgery Journal Article


Authors: Guillem, J. G.; Cohen, A. M.
Article Title: Current issues in colorectal cancer surgery
Abstract: Increased understanding of the pathology and natural history of colorectal cancer has led to significant advances in the management of this disease. Surgical management of rectal cancer currently includes a spectrum of operative procedures ranging from radical operations to innovative sphincter-preserving techniques. At one end of the spectrum, 5% to 10% of patients present with small, superfically invasive rectal cancers amenable to a curative local excision. At the other end, a subset of patients present with locally advanced rectal cancers that require multimodality therapy, including sharp pelvic dissection with en-bloc resection of involved organs. However, the majority of rectal cancer patients present with nonfixed, yet deeply invasive, lesions requiring either a low anterior resection (LAR) or an abdominal perineal resection (APR). This report will address the controversies in the surgical management of colorectal cancer.
Keywords: cancer surgery; excision; surgical technique; review; combined modality therapy; cancer diagnosis; laparoscopy; lymph node excision; colorectal cancer; colorectal neoplasms; cancer invasion; colorectal surgery; treatment contraindication; colon; anastomosis, surgical; rectum; rectum anterior resection; proctocolectomy, restorative; surgical stapling; autonomic pathways; humans; human; priority journal
Journal Title: Seminars in Oncology
Volume: 26
Issue: 5
ISSN: 0093-7754
Publisher: Elsevier Inc.  
Date Published: 1999-10-01
Start Page: 505
End Page: 513
Language: English
PUBMED: 10528898
PROVIDER: scopus
DOI/URL:
Notes: Review -- Export Date: 16 August 2016 -- Source: Scopus
Citation Impact
MSK Authors
  1. Jose Guillem
    414 Guillem
  2. Alfred M Cohen
    244 Cohen