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Surgical management of colorectal cancer 

Surgical management of colorectal cancer
Chapter:
Surgical management of colorectal cancer
Author(s):

Zahirul Huq

and Dominic Slade

DOI:
10.1093/med/9780199590209.003.0003
Page of

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date: 31 March 2020

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.

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