Cutting Edge: A Comprehensive Guide to Colorectal Cancer Surgery in Inflammatory Bowel Diseases

Over the past two decades, surgical techniques in colorectal cancer (CRC) have improved patient outcomes through precision and reduced invasiveness. Open colectomy, laparoscopic surgery, robotic-assisted procedures, and advanced rectal cancer treatments such as total mesorectal excision (TME) and tr...

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Main Authors: Ionut Eduard Iordache, Lucian-Flavius Herlo, Razvan Popescu, Daniel Ovidiu Costea, Luana Alexandrescu, Adrian Paul Suceveanu, Sorin Deacu, Gabriela Isabela Baltatescu, Alina Doina Nicoara, Nicoleta Leopa, Andreea Nelson Twakor, Andrei Octavian Iordache, Liliana Steriu
Format: Article
Language:English
Published: MDPI AG 2025-03-01
Series:Journal of Mind and Medical Sciences
Subjects:
Online Access:https://www.mdpi.com/2392-7674/12/1/6
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author Ionut Eduard Iordache
Lucian-Flavius Herlo
Razvan Popescu
Daniel Ovidiu Costea
Luana Alexandrescu
Adrian Paul Suceveanu
Sorin Deacu
Gabriela Isabela Baltatescu
Alina Doina Nicoara
Nicoleta Leopa
Andreea Nelson Twakor
Andrei Octavian Iordache
Liliana Steriu
author_facet Ionut Eduard Iordache
Lucian-Flavius Herlo
Razvan Popescu
Daniel Ovidiu Costea
Luana Alexandrescu
Adrian Paul Suceveanu
Sorin Deacu
Gabriela Isabela Baltatescu
Alina Doina Nicoara
Nicoleta Leopa
Andreea Nelson Twakor
Andrei Octavian Iordache
Liliana Steriu
author_sort Ionut Eduard Iordache
collection DOAJ
description Over the past two decades, surgical techniques in colorectal cancer (CRC) have improved patient outcomes through precision and reduced invasiveness. Open colectomy, laparoscopic surgery, robotic-assisted procedures, and advanced rectal cancer treatments such as total mesorectal excision (TME) and transanal TME are discussed in this article. Traditional open colectomy offers reliable resection but takes longer to recover. Laparoscopic surgery transformed CRC care by improving oncological outcomes, postoperative pain, and recovery. Automated surgery improves laparoscopy’s dexterity, precision, and 3D visualisation, making it ideal for rectal cancer pelvic dissections. TME is the gold standard treatment for rectal cancer, minimising local recurrence, while TaTME improves access for low-lying tumours, preserving the sphincter. In metastatic CRC, palliative procedures help manage blockage, perforation, and bleeding. Clinical examples and landmark trials show each technique’s efficacy in personalised care. Advanced surgical techniques and multidisciplinary approaches have improved CRC survival and quality of life. Advances in CRC treatment require creativity and customised surgery.
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institution OA Journals
issn 2392-7674
language English
publishDate 2025-03-01
publisher MDPI AG
record_format Article
series Journal of Mind and Medical Sciences
spelling doaj-art-8da2175593354bfaab9d91ee8f4fcb932025-08-20T02:21:10ZengMDPI AGJournal of Mind and Medical Sciences2392-76742025-03-01121610.3390/jmms12010006Cutting Edge: A Comprehensive Guide to Colorectal Cancer Surgery in Inflammatory Bowel DiseasesIonut Eduard Iordache0Lucian-Flavius Herlo1Razvan Popescu2Daniel Ovidiu Costea3Luana Alexandrescu4Adrian Paul Suceveanu5Sorin Deacu6Gabriela Isabela Baltatescu7Alina Doina Nicoara8Nicoleta Leopa9Andreea Nelson Twakor10Andrei Octavian Iordache11Liliana Steriu12Department of General Surgery, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaDoctoral School, “Victor Babes” University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square 2, 300041 Timisoara, RomaniaDepartment of General Surgery, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaDepartment of General Surgery, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaFaculty of Medicine and Pharmacy Constanta, Ovidius University, 900527 Constanta, RomaniaGastroenterology Department, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaDepartment of Forensic Medicine, County Clinical Emergency Hospital of Constanta, 900591 Constanta, RomaniaClinical Service of Pathology, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaFaculty of Medicine and Pharmacy Constanta, Ovidius University, 900527 Constanta, RomaniaDepartment of General Surgery, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaInternal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaFaculty of Medicine and Pharmacy Constanta, Ovidius University, 900527 Constanta, RomaniaDepartment of General Surgery, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaOver the past two decades, surgical techniques in colorectal cancer (CRC) have improved patient outcomes through precision and reduced invasiveness. Open colectomy, laparoscopic surgery, robotic-assisted procedures, and advanced rectal cancer treatments such as total mesorectal excision (TME) and transanal TME are discussed in this article. Traditional open colectomy offers reliable resection but takes longer to recover. Laparoscopic surgery transformed CRC care by improving oncological outcomes, postoperative pain, and recovery. Automated surgery improves laparoscopy’s dexterity, precision, and 3D visualisation, making it ideal for rectal cancer pelvic dissections. TME is the gold standard treatment for rectal cancer, minimising local recurrence, while TaTME improves access for low-lying tumours, preserving the sphincter. In metastatic CRC, palliative procedures help manage blockage, perforation, and bleeding. Clinical examples and landmark trials show each technique’s efficacy in personalised care. Advanced surgical techniques and multidisciplinary approaches have improved CRC survival and quality of life. Advances in CRC treatment require creativity and customised surgery.https://www.mdpi.com/2392-7674/12/1/6colorectal cancersurgical techniquesopen colectomylaparoscopic surgeryrobotic-assisted surgerytotal mesorectal excision
spellingShingle Ionut Eduard Iordache
Lucian-Flavius Herlo
Razvan Popescu
Daniel Ovidiu Costea
Luana Alexandrescu
Adrian Paul Suceveanu
Sorin Deacu
Gabriela Isabela Baltatescu
Alina Doina Nicoara
Nicoleta Leopa
Andreea Nelson Twakor
Andrei Octavian Iordache
Liliana Steriu
Cutting Edge: A Comprehensive Guide to Colorectal Cancer Surgery in Inflammatory Bowel Diseases
Journal of Mind and Medical Sciences
colorectal cancer
surgical techniques
open colectomy
laparoscopic surgery
robotic-assisted surgery
total mesorectal excision
title Cutting Edge: A Comprehensive Guide to Colorectal Cancer Surgery in Inflammatory Bowel Diseases
title_full Cutting Edge: A Comprehensive Guide to Colorectal Cancer Surgery in Inflammatory Bowel Diseases
title_fullStr Cutting Edge: A Comprehensive Guide to Colorectal Cancer Surgery in Inflammatory Bowel Diseases
title_full_unstemmed Cutting Edge: A Comprehensive Guide to Colorectal Cancer Surgery in Inflammatory Bowel Diseases
title_short Cutting Edge: A Comprehensive Guide to Colorectal Cancer Surgery in Inflammatory Bowel Diseases
title_sort cutting edge a comprehensive guide to colorectal cancer surgery in inflammatory bowel diseases
topic colorectal cancer
surgical techniques
open colectomy
laparoscopic surgery
robotic-assisted surgery
total mesorectal excision
url https://www.mdpi.com/2392-7674/12/1/6
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