A National Strategic Change in Treatment Policy for Rectal Cancer—Implementation of Total Mesorectal Excision as Routine Treatment in Norway. A National Audit

Wibe, Arne; Møller, Bjørn; Norstein, Jarle; Carlsen, Erik; Wiig, Johan N.; Heald, R. J.; Langmark, Frøydis; Myrvold, H. E.; Søreide, Odd

doi:10.1007/s10350-004-6317-7

Cited by 527 publications

(328 citation statements)

References 21 publications

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“…The term 'total mesorectal excision' (TME) is often used for this type of surgery, although the entire mesorectum is not always excised in high rectal cancers. Concentration of rectal cancer surgery to a colorectal cancer unit and extensive surgical training programmes have also resulted in low local failure rates (approximately 10 Á/15% after 2 Á/5 years) in unselected Swedish patient populations (3,54) and in Norway (55). Several individual hospitals have also reported low recurrence rates after having introduced the TME concept (e.g.…”

Section: Radiotherapy In Resectable Rectal Cancermentioning

confidence: 99%

A Systematic Overview of Radiation Therapy Effects in Rectal Cancer

et al. 2003

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Section: Radiotherapy In Resectable Rectal Cancermentioning

confidence: 99%

A Systematic Overview of Radiation Therapy Effects in Rectal Cancer

et al. 2003

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“…They found that the TME group did better compared to the conventional surgery group with respect to local recurrence rate (6 % vs. 12 %) and 4 year survival rate (73 % vs.60 %) 20 . The current reported local relapse with TME is less than 5 % [18,19]. Apart from a good surgical technique for TME, following a standard histopathology evaluation protocol is equally important as shown by Quirke and Nagtegaal et al [20].…”

Section: A) Mechanical Bowel Preparationmentioning

confidence: 86%

A Review of Controversies in the Management of Colorectal Cancers

et al. 2012

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Colorectal cancer (CRC) is one of the most common malignancies worldwide. Due to a higher incidence of CRC in the western hemisphere a significant amount of research was carried out and majority of the controversies could be resolved as far as management of CRC is concerned. Recently a number of significant advances were made in the field of CRC related to surgery, systemic therapy and radiotherapy. During the last decade we have witnessed introduction of minimally invasive surgery, incorporation of more effective newer chemotherapeutic regimes and targeted therapies and refinements in radiotherapy protocols. The demographics and clinical picture of CRC seems to be different in developing countries and there is paucity of CRC related studies from developing countries. In-order to update the practicing surgeons a review of conventional controversies of CRC surgery was performed and an update on the recent developments in the field of CRC was also presented in this article.

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“…has yielded local recurrence rates of 30% or higher [30] . The benefits of the mesorectal dissection technique have been confirmed in several European countries after introduction of training programs and national consensuses of TME as the standard operation method for rectal cancer [11,18,31] . It has been documented that cancers located in the upper rectum do not need to be removed along with all the fatty tissue surrounding the rectum (mesorectum) down to the pelvic floor [32] .…”

Section: Anterior Resectionmentioning

confidence: 99%

Surgical treatment for rectal cancer: An international perspective on what the medical gastroenterologist needs to know

Lindsetmo¹,

Joh²,

Delaney³

2008

WJG

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Rectal cancer accounts for one third of all colorectal cancers. The age adjusted death rates from colorectal cancer have declined over recent decades due to a combination of colorectal cancer screening, improved diagnostic tests, improved standardized surgical technique, improved medical support, neoadjuvant chemotherapies and radiation treatment or combinations of these. Because of complex treatment algorithms, use of multidisciplinary teams in the management of rectal cancer patients has also been popularized. Medical gastroenterologists performing colonoscopies are frequently the first health care provider to raise the suspicion of a rectal cancer. Although the diagnosis depends on histological confirmation, the endoscopic presentation is almost diagnostic in many cases. In order to meet the patient's immediate needs for information, it is important that the endoscopist has knowledge about the investigations and treatment options that will be required for their patient. The aim of this paper is to describe the modern preoperative investigations and operative procedures commonly offered to rectal cancer patients taking into account perspectives of three colorectal surgeons, practicing in the USA, Europe and Asia.

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A National Strategic Change in Treatment Policy for Rectal Cancer—Implementation of Total Mesorectal Excision as Routine Treatment in Norway. A National Audit

Abstract: A refinement of the surgical resection technique for rectal cancer can be achieved on a national level, the technique of total mesorectal excision can be widely distributed, and surgery alone can give good results.

Cited by 527 publications

References 21 publications

A Systematic Overview of Radiation Therapy Effects in Rectal Cancer

A Systematic Overview of Radiation Therapy Effects in Rectal Cancer

A Review of Controversies in the Management of Colorectal Cancers

Surgical treatment for rectal cancer: An international perspective on what the medical gastroenterologist needs to know

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