Surgical Techniques for Transanal Local Excision for Early Rectal Cancer
The primary objective in the treatment of early rectal cancer is to achieve optimal oncological control while minimizing the long-term impact of therapeutic interventions on patients' quality of life. The current standard of care for m...
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| Format: | Article |
| Language: | English |
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Ewha Womans University College of Medicine
2023-12-01
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| Series: | The Ewha Medical Journal |
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| Online Access: | http://www.e-emj.org/archive/view_article?pid=emj-46-s1-26 |
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| _version_ | 1850116478102142976 |
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| author | Gyoung Tae Noh |
| author_facet | Gyoung Tae Noh |
| author_sort | Gyoung Tae Noh |
| collection | DOAJ |
| description | The primary objective in the treatment of early rectal cancer is to achieve
optimal oncological control while minimizing the long-term impact of therapeutic
interventions on patients' quality of life. The current standard of care
for most stage I and II rectal cancers involves radical surgery, specifically
total mesorectal excision. Although total mesorectal excision is generally
curative for early rectal cancers, it can significantly affect patients'
quality of life by potentially necessitating a permanent colostomy and causing
bowel, bladder, and sexual dysfunction. Given the morbidity associated with
radical surgery, alternative approaches to managing early rectal cancer, such as
local excision through transanal excision, transanal endoscopic microsurgery,
and transanal minimally invasive surgery, have been investigated. If these
surgical approaches are applied cautiously to carefully selected cases of early
rectal cancer, it is anticipated that these local procedures will achieve
comparable oncological outcomes to the established standard of radical surgery,
potentially offering superior results regarding morbidity, mortality, and
overall quality of life. |
| format | Article |
| id | doaj-art-63875a9b62db400ca9c2eaf9654ee6da |
| institution | OA Journals |
| issn | 2234-2591 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Ewha Womans University College of Medicine |
| record_format | Article |
| series | The Ewha Medical Journal |
| spelling | doaj-art-63875a9b62db400ca9c2eaf9654ee6da2025-08-20T02:36:19ZengEwha Womans University College of MedicineThe Ewha Medical Journal2234-25912023-12-0146s110.12771/emj.2023.e26emj-46-s1-26Surgical Techniques for Transanal Local Excision for Early Rectal CancerGyoung Tae NohThe primary objective in the treatment of early rectal cancer is to achieve optimal oncological control while minimizing the long-term impact of therapeutic interventions on patients' quality of life. The current standard of care for most stage I and II rectal cancers involves radical surgery, specifically total mesorectal excision. Although total mesorectal excision is generally curative for early rectal cancers, it can significantly affect patients' quality of life by potentially necessitating a permanent colostomy and causing bowel, bladder, and sexual dysfunction. Given the morbidity associated with radical surgery, alternative approaches to managing early rectal cancer, such as local excision through transanal excision, transanal endoscopic microsurgery, and transanal minimally invasive surgery, have been investigated. If these surgical approaches are applied cautiously to carefully selected cases of early rectal cancer, it is anticipated that these local procedures will achieve comparable oncological outcomes to the established standard of radical surgery, potentially offering superior results regarding morbidity, mortality, and overall quality of life.http://www.e-emj.org/archive/view_article?pid=emj-46-s1-26rectal neoplasmslocal excisiontransanal excisiontransanal endoscopic microsurgerytransanal endoscopic surgery |
| spellingShingle | Gyoung Tae Noh Surgical Techniques for Transanal Local Excision for Early Rectal Cancer The Ewha Medical Journal rectal neoplasms local excision transanal excision transanal endoscopic microsurgery transanal endoscopic surgery |
| title | Surgical Techniques for Transanal Local Excision for Early Rectal
Cancer |
| title_full | Surgical Techniques for Transanal Local Excision for Early Rectal
Cancer |
| title_fullStr | Surgical Techniques for Transanal Local Excision for Early Rectal
Cancer |
| title_full_unstemmed | Surgical Techniques for Transanal Local Excision for Early Rectal
Cancer |
| title_short | Surgical Techniques for Transanal Local Excision for Early Rectal
Cancer |
| title_sort | surgical techniques for transanal local excision for early rectal cancer |
| topic | rectal neoplasms local excision transanal excision transanal endoscopic microsurgery transanal endoscopic surgery |
| url | http://www.e-emj.org/archive/view_article?pid=emj-46-s1-26 |
| work_keys_str_mv | AT gyoungtaenoh surgicaltechniquesfortransanallocalexcisionforearlyrectalcancer |