Premium
Local resection of early rectal cancer
Author(s) -
Baatrup Gunnar,
Qvist Niels
Publication year - 2014
Publication title -
apmis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 88
eISSN - 1600-0463
pISSN - 0903-4641
DOI - 10.1111/apm.12292
Subject(s) - medicine , colorectal cancer , danish , surgery , cancer , resection , mortality rate , general surgery , philosophy , linguistics
The introduction of the National Danish screening programme for colorectal cancer will result in the detection of more early rectal cancers ( ERC ), which may be considered for local excision. For the low risk ≤T1 cancer, the oncological outcome at local excision in smaller patient series has shown similar results to conventional surgery, but with a significantly lower rate of serious complications, morbidity and mortality. The challenge is correct preoperative staging, and a meticulous systematic histopathological staging of the excised specimen to distinguish the low risk from high‐risk cases, where rescue surgery may be considered. The establishment of a regional or national clinical database is necessary to improve the local treatment of ERC .