From mininvasive to maxinvasive surgery in colorectal cancer: modem evolution of oncologic specialized units.

G. Romano, F. Bianco, P. Delrio, F. Cremona, F. Ruffolo, U. Pace, C. Sassaroli, D. Scala, S. De Franciscis, E. Cardone, P. F. Atelli

Research output: Contribution to journalArticle

Abstract

In the last years a wide range of new technique offers the possibility to have R0 resection in colorectal cancer. We report our experience about Single Port Laparoscopic Surgery (SPL) for not advanced right colon cancer and about pelvectomy with cilindric Abdominal Perineal Resection (APR) for advanced rectal cancer. SPL offer mainly cosmetic advantages but also quicker recovery. No touch technique with adequate surgical margin and lymphectomy were respected. Operative time of SPL was 85-115 minutes, the incision was 5 cm long. There were no complications. Length of hospital stay was 4-6 days. With advanced pelvic cancer, pelvic exenteration with en-bloc resection is indicated. Then we propose a case of a 55 years old woman with a pelvic recurrence from a metastatic rectal cancer involving the right obturator fossa, the vaginal stump, the right ureter. Modern surgical technique give us the chance to offer the most appropriate oncologic surgical treatment.

Original languageEnglish
Pages (from-to)73-75
Number of pages3
JournalActa chirurgica Iugoslavica
Volume57
Issue number3
Publication statusPublished - 2010

ASJC Scopus subject areas

  • Medicine(all)

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