Smits Lisanne J H, van Lieshout Annabel S, Grüter Alexander A J, Horsthuis Karin, Tuynman Jurriaan B
Department of Surgery, Amsterdam UMC, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, the Netherlands.
Department of Surgery, Amsterdam UMC, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, the Netherlands.
Surg Oncol. 2022 Mar;40:101687. doi: 10.1016/j.suronc.2021.101687. Epub 2021 Nov 29.
The implementation of bowel cancer screening programs has led to a rise in the incidence of early rectal cancer. The combination of increased incidence and the growing interest in organ-sparing treatment options has led to an amplified importance of local excision techniques in treatment strategies for early rectal cancer. In addition, developments in new technologies of single-port surgery have popularized surgical techniques. Although local treatment of early rectal cancer seems promising, a multidisciplinary approach is necessary and awareness of the oncological robustness is warranted to enable shared decision-making. This review illustrates the position of surgical local excision in the treatment of early rectal cancer and reflects on its role in current and future clinical practice.
结直肠癌筛查项目的实施导致早期直肠癌发病率上升。发病率的增加以及对保留器官治疗方案的兴趣日益浓厚，使得局部切除技术在早期直肠癌治疗策略中的重要性日益凸显。此外，单孔手术新技术的发展使手术技术得到普及。尽管早期直肠癌的局部治疗似乎前景广阔，但多学科方法是必要的，并且有必要认识到肿瘤学的稳健性，以实现共同决策。本综述阐述了手术局部切除在早期直肠癌治疗中的地位，并思考了其在当前和未来临床实践中的作用。
