Full Description
This book presents an Asian perspective on how the treatment of colorectal cancer can be optimized and standardized in ways that take into account technological advances and the trend towards individually tailored therapy. Readers will find careful, well-illustrated descriptions of the standard surgical techniques for rectal cancer and colon cancer that have contributed to recent improvements in 5-year survival rates in the Asia-Pacific region, where the incidence of colorectal cancer has been rising alarmingly due to lifestyle changes. The vital role now being played by minimally invasive laparoscopic and robotic options receives detailed scrutiny. Extent and timing of surgery, patient safety, risk of complications, and unresolved issues are all discussed. Furthermore, the use of surgery within the context of multimodal management including chemotherapy and radiotherapy is explained and an integrated approach for stage IV and recurrent disease is described. The book will serve asa valuable reference for young surgeons who are in training, experienced practitioners who want to enhance their knowledge and skills, and all others who wish to learn about this field.
Contents
1. Epidermiology.- 2. Molecular basis of Colorectal Cancer.- 3. Revised Roadmap for Tailored based on Molecular Subtype.- 4. Preoperative Staging of Colorectal Cancer.- 5.Rectal Cancer: Anatomy Considerations in Rectal Cancer Surgery.- A. Anatomical basis of Rectal cancer Surgery with emphasis on Anatomical layers.- B. Anatomical basis of Total Mesorectal Excision and preservation of the pelvic autonomic nerves.- C. The lymphatic spread of the Rectal Cancer and Effect of dissection.- D. Anal sphincter preservation: functional anatomy, how can we do?.- 6. Multimodality Treatment in Locally Advanced Rectal Cancer.- A. Neoadjuvant Therapy for Locally Advanced Rectal Cancer.- B. Response Evaluation after Neoadjuvant Therapy.- C. Pathologic assessment of tumor response after neoadjuvant th
erapy.- D. Tailored Surgical Treatment based on Response to Neoadjuvant Therapy.- E. Pathologic assessment of the specimen and quality of surgery.- 7. Rectal Cancer Surgery: Techniques.- A. Total Mesorectal Excision : History and Surgical outcomes.- B. Extralevator APR.- C. Sphincter saving procedures.- D. Lateral pelvic lymph node dissection.- E. Laparoscopic TME.- F. Robotic TME.- G. Transanal TME.- H. Local Excision: TEO and TEM.- I. Technical Tips for Safe Anastomosis.- J. Functional Outcomes.- 8. Colon Cancer.- A. Anatomical basis based on Embryologic plane and Vascular variation.- B. The lymphatic spread of Colon cancer.- C. Pathologic assessment of specimen and quality of surgery.- 9. Colon Cancer Surgery: Techniques.- A. Complete Mesocolic Excision and Central Vessel Ligation : History and Outcomes.- B. Japanese D3 Dissection.- C. Laparoscopic Surgery.- D. Robotic Surgery.- 10. The Role of Systemic Chemotherapy for Colorectal Cancer.- 11. Integrated Approach for Optimal Treatment of stage IV and recurrent Colorectal Cancer.- A. Peritoneal metastasis.- B. Hepatic metastasis.- C. Extraregional lymph node metastasis.- D. Lung metastasis.- E. Salvage Surgery.- F. Palliative Care.
