Operations for Rectal Cancer

A. D’Andrea,Marta Jiménez-Toscano,A. Otero-Piñeiro,Raquel Bravo-Infante,A. Lacy,P. Sylla

Published 2019 in Shackelford's Surgery of the Alimentary Tract, 2 Volume Set

ABSTRACT

Abstract The surgical management of rectal cancer has evolved remarkably over the past century. Since the first description of radical abdominoperineal resection (APR) by Miles in 1908, surgery for rectal cancer has moved toward less aggressive approaches to reduce morbidity and mortality while making sphincter preservation a priority. This chapter reviews the various surgical approaches for the curative resection of rectal cancer, including different techniques for completing a proctectomy with sphincter preservation. Open low anterior resection (LAR), laparoscopic LAR, robotic LAR, and laparoscopic-assisted transanal total mesorectal excision (taTME) are described. The benefits and limitations of each surgical approach are reviewed, as well as postoperative complications and oncologic and functional outcomes.

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