Abstract
INTRODUCTION: Using standard anterior-only or anterior then posterior approaches can make an R0 resection difficult to achieve in patients with pelvic sidewall recurrences because of confined working spaces and poor visibility. TECHNIQUE: Given the limitations of standard approaches, we have used a novel posterior-first then anterior 2-stage approach allowing us to widely expose and secure deep margins and control vessels under direct visualization. RESULTS: We present a technical note describing this approach in patients with recurrent rectal cancer involving the pelvic sidewall with extrapelvic extension. CONCLUSION: The posterior-first approach may assist in achieving a higher number of R0 resections in patients with locally recurrent rectal cancer involving the pelvic sidewall.
Original language | English (US) |
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Pages (from-to) | E465-E470 |
Journal | Diseases of the colon and rectum |
Volume | 64 |
Issue number | 8 |
DOIs | |
State | Published - Aug 1 2021 |
Keywords
- Anterior
- Exenteration
- Negative margins
- Posterior
- Recurrent rectal cancer
- Technique
ASJC Scopus subject areas
- Gastroenterology