Welcome to Medivizor!

You're browsing our sample library. Feel free to continue browsing. You can also sign up for free to receive medical information specific to your situation.

Posted by on Jun 20, 2019 in Colorectal cancer | 0 comments

In a nutshell

This study investigated the effectiveness of local vs radical surgery in patients with rectal cancer. Researchers suggested that local surgery is associated with better outcomes in certain patients with early cancers.

Some background

Colorectal cancer is the third most common cancer in the US. The standard treatment options for these patients include chemotherapy, radiation therapy, and surgery.

In radical surgery, the tumor and the surrounding tissue/organs are removed. However, for early cancers, there is the option for a local and less invasive surgery. In local surgery, laparoscopic methods can be used. This method consists in inserting a tube with a camera in the rectum to remove the tumor. This surgery is also associated with less short- and long-term complications. However, its effectiveness is still not clear in early rectal cancers.

Methods & findings

This study reviewed 16 other studies. These studies included information about patients with early rectal cancer treated with local or radical surgery.

Local surgery was associated with fewer complications than radical surgery. 6 out of 12 studies showed a higher recurrence (when the cancer comes back) rate in local surgery. This was seen mainly in tumors spread to the lymphatic nodes. In 7 of 15 studies, long-term survival was reduced when compared to radical surgery.

The bottom line

This study concluded that local surgery is a good option for certain patients with very early rectal cancer.  

The fine print

This study did not separate different types of localized surgery. Further studies are needed.

Published By :

Annals of Surgical Oncology

Date :

Apr 25, 2019

Original Title :

For Patients with Early Rectal Cancer, Does Local Excision Have an Impact on Recurrence, Survival, and Quality of Life Relative to Radical Resection?

click here to get personalized updates