Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

Controlled Case Report on the Surgical Treatment of Recurrent Rectal Cancer. The Role of the Minimally Invasive Approach

Paolo Izzo
* ORCID logo ,
Luciano Izzo
,
Maurizio Cardi
,
Andrea Polistena
ORCID logo ,
Daniele Crocetti
,
Simone Sibio
ORCID logo ,
Claudia De Intinis
ORCID logo ,
Sara Izzo
Version 1 : Received: 21 June 2023 / Approved: 22 June 2023 / Online: 22 June 2023 (15:14:42 CEST)

How to cite: Izzo, P.; Izzo, L.; Cardi, M.; Polistena, A.; Crocetti, D.; Sibio, S.; De Intinis, C.; Izzo, S. Controlled Case Report on the Surgical Treatment of Recurrent Rectal Cancer. The Role of the Minimally Invasive Approach. Preprints 2023, 2023061639. https://doi.org/10.20944/preprints202306.1639.v1 Izzo, P.; Izzo, L.; Cardi, M.; Polistena, A.; Crocetti, D.; Sibio, S.; De Intinis, C.; Izzo, S. Controlled Case Report on the Surgical Treatment of Recurrent Rectal Cancer. The Role of the Minimally Invasive Approach. Preprints 2023, 2023061639. https://doi.org/10.20944/preprints202306.1639.v1

Abstract

Background and Objectives: The aim of this study is to investigate the diagnostic-therapeutic prob-lem of pelvic recurrence of rectum cancer, highlighting current surgical standards and the possi-ble role of the minimally invasive approach. This retrospective analysis of our surgical case study wishes to enter this debate while suggesting a possible line of action, based on the site of recur-rence. Materials and Methods: We examined, retrospectively, all the patients diagnosed, between 2008 and 2018, with cancer of the rectum at the "Pietro Valdoni" Department of Surgery and monitored their follow-up for 5 years. The sample consisted of 368 patients with rectal neoplasm, 136 females and 232 males, with an average age of 65.8 (ranging from 37 to 86). In 103 of the cases, the neo-plasm was located in the upper rectum (28%), in 119 cases in the middle rectum (32.3%), in 102 cases in the lower rectum (27.7%), in 31 cases (8.4%) at the level of the right/sigma junction and in 13 cases it was not possible to define the site with certainty (3.5%). Results: We examined all patients diagnosed with cancer of the rectum between 2008 and 2018 at the "Pietro Valdoni" Department of Surgery retrospectively and monitored their follow-up for 5 years. The sample consists of 368 patients with rectal neoplasm, 136 females and 232 males. Conclusions: The discussion remains open as to which approach is best at surgical level, whether laparoscopic, robotic or open-air. Our experience informs us that the most dangerous site remains on the anastomotic site.

Keywords

colorectal cancer; laparoscopic surgery; robotic surgery; open-air surgery

Subject

Medicine and Pharmacology, Surgery

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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