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Panel discussion
International experts in colorectal surgery and histopathology discuss the optimal treatment depending on the type of rectal tumor, with the aim of obtaining a low risk of recurrence and an acceptable quality of life.
Open TME – Video presentation
From the United Kingdom, Brendan Moran analyses the key points in the evolution of the management of rectal cancer over the last 4 decades.
Laparoscopic TME – Video presentation
High-quality trials have confirmed that laparoscopic TME is a feasible and safe approach to treatment of rectal cancer.
Robotic TME – Video presentation
The pelvis is a difficult space to operate, due to its being funnel shaped. Robotic surgery has emerged as an alternative to conventional open and even to laparoscopic surgery...
TaTME – Video presentation
TaTME is the latest approach to the treatment of rectal cancer. A huge number of papers have been published in the last few years, demonstrating its potential and raising expectations. While waiting for more robust evidence,...
Watch and Wait – ‘The Outsider’
Rectal surgery is associated with a significant impact on quality of life. Several authors think that in the future surgery will be avoided in cases of a complete tumor regression after neoadjuvant therapy.
Approaches to Rectal Cancer – The Contenders
International colorectal surgeons discuss the role of the “Watch and Wait” approach to rectal tumors treated with neoadjuvant therapy, an approach that has not been become standard so far.
In-theatre pathology assessment
The high point of the AIS Winter Event 2016 was the surgeons’ contest in four simultaneous live operations. Expert pathologists in the theater assessed the specimens, as we can see in the video.
The future of surgical training
As described by Sami Chadi, the oncological and functional outcomes of rectal cancer surgery are correlated with an appropriate plane of dissection.
Discussion of the 4 Techniques Session and Closure
International leaders in colorectal surgery discuss the challenge of the AIS Winter Event 2106, as well as the present and the future of rectal cancer surgery
Welcome and Introduction
In the last decade, minimally invasive procedures have emerged as an alternative to conventional open approach for the treatment of rectal cancer.
Total mesorectal excision – Past, present and future
Since the total mesorectal excision technique was described in the early ‘80s, a lower risk of locorregional recurrence in rectal cancer has been achieved.
Do the results of TME vary by technique?
In rectal cancer surgery, the completeness of the mesorectum, a negative circumferential resection margin and an optimal lymph node yield are very important for the oncological outcomes
Do the clinical outcomes vary with technique?
Rectal cancer surgery is associated with significant morbidity, especially in complex cases, as in obese men with low tumors. Robotics in colorectal surgery are increasing,...
Attempts to reduce anastomotic leaks?
For a colorectal surgeon, an anastomotic leak is the most feared complication. It has direct impact on survival, quality of life, recurrence and economics.