Home > Journals > Minerva Chirurgica > Past Issues > Minerva Chirurgica 2015 August;70(4) > Minerva Chirurgica 2015 August;70(4):283-96

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints
Cite this article as

MINERVA CHIRURGICA

A Journal on Surgery


Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,115


eTOC

 

REVIEWS  


Minerva Chirurgica 2015 August;70(4):283-96

Copyright © 2015 EDIZIONI MINERVA MEDICA

language: English

Is there a place for organ preservation in infiltrating rectal cancer?

Manceau G., Panis Y.

Department of Colorectal Surgery, Pôle des Maladies de l’Appareil Digestif (PMAD), Beaujon Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), University Denis Diderot (Paris VII), Clichy, France


PDF  


Neoadjuvant chemoradiotherapy followed by total mesorectal excision is currently the standard of care for locally advanced rectal cancers. However, this therapeutic approach does not take into account response to neoadjuvant treatment, which can go up to a pathologic complete response in 10-20% of the patients. Moreover, despite its efficacy in terms of local control and survival, radical surgery is associated with a significant risk of postoperative morbidity, anastomotic leakage, permanent stoma, impaired quality of life, bowel and genitourinary dysfunction. Based on these adverse events, new strategies of organ preservation have emerged recently. They include, in case of suspicion of complete tumor response, both “watch and wait” strategy and local excision of the residual scar. They seem attractive options, both for patients and surgeons, in terms of postoperative results. But few high-quality studies are available and fears remain regarding oncologic results and reproducibility of published results. Before these strategies can be recommended, large prospective randomized studies are still needed. The aim of this review is to discuss these two options for organ preservation, based on the current literature, with a special focus on oncologic outcomes.

top of page

Publication History

Cite this article as

Manceau G, Panis Y. Is there a place for organ preservation in infiltrating rectal cancer? Minerva Chir 2015 August;70(4):283-96. 

Corresponding author e-mail

yves.panis@bjn.aphp.fr