Decision making: Low colorectal, coloanal, APR, or intersphinteric resection?

This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by Matthew F Kalady during the Postgraduate Course: Total Mesorectal Excision – Optimizing Surgery and Managing Challenges on April 11 2018

Keyword(s): abdominoperineal resection, anal canal, anal verge, APR, biopsy, BM, bowel movement, Chicago, China, circumferential resection margin, coloanal anastomosis, continent, CRM, decision making, defecation, DFS, digital rectal exam, disease free survival, Diseases of the Colon & Rectum, distal margins, DRE, endoscopy, experience, external sphincter, flex sig, flexible sigmoidoscopy, France, French, high ligation, holy plane, IMA, imaging, incontinence, inferior mesenteric artery, internal sphincter, intersphincteric resection, ISR, judgement, LAR, lavators, local recurrence, low anterior resection, low colorectal, male, Memorial Sloan Kettering Cancer Center, mesorectum, metrics, morbidly obese, neoadjuvant chemoradiation, oncologic outcomes, partial mesorectal excision, pathology, peritoneal reflection, QoL, quality, quality of life, rectal cancer, rectal tumors, rectal valve, rectum, resident, restorative proctectomy, retrospective, rigid procto, rigid proctoscopy, robotics, scar, sigmoid colon, skills, specimen, sphincter function, sphincter preserving surgery, stapled anastomosis, taTME, teaching, technique, TME, total mesorectal excision, transanal, transanal total mesorectal excision, tumor board, tumor scatter, ulcer, visualization

TME–1:11 Semin Surg Oncol 1998

Importance of clear margins–2:08 DCR 2012

Factors in decision making–2:27

LAR–3:42 DCR 2011

Coloanal anastomosis–5:05

Distal margins–7:02 Ann Surg Onol 2003

DCR 2017

Ultra-low intersphincteric dissection–9:25

Oncologic outcomes after ISR–10:12 Ann Surg 2007

Ann Surg 2009

Function after ISR–10:46 Ann Surg 2007

Ann Surg Oncol 2014

APR–11:45

Tumor scatter after neoadjuvant therapy–12:29 DCR 2012

Summary–13:59