Chapter

Surgical management of colorectal cancer

Zahirul Huq and Dominic Slade

in Colorectal Cancer

Published on behalf of Oxford University Press

ISBN: 9780199590209
Published online May 2012 | e-ISBN: 9780191739675 | DOI: http://dx.doi.org/10.1093/med/9780199590209.003.0003

Series: Oxford Oncology Library

Surgical management of colorectal cancer

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• Oncological principles for colorectal cancer surgery involve removal of the tumour with an adequate margin and clearance of the draining lymphatic basin • Laparoscopic colorectal surgery offers several advantages over the equivalent open procedure. Laparoscopic resection should be considered as an alternative to open resection for individuals in whom both techniques are suitable • The gold standard of rectal cancer surgery is dissection in the TME plane • Early (T1) rectal cancers may be adequately treated by TEMS • A ‘cylindrical’ abdominoperineal resection is oncologically superior to the conventional technique for low T3 and T4 rectal cancers especially with the pelvic floor involvement.

Chapter.  2908 words.  Illustrated.

Subjects: Medical Oncology

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