Use of Image-Guided Surgical Navigation during Resection of Locally Recurrent Rectal Cancer
Surgery for locally recurrent rectal cancer (LRRC) presents several challenges, which is why the percentage of inadequate resections of these tumors is high. In this exploratory study, we evaluate the use of image-guided surgical navigation during resection of LRRC. Patients who were scheduled to un...
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| Format: | Article |
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MDPI AG
2022-04-01
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| Online Access: | https://www.mdpi.com/2075-1729/12/5/645 |
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| author | Harald C. Groen Anne G. den Hartog Wouter J. Heerink Koert F. D. Kuhlmann Niels F. M. Kok Ruben van Veen Marijn A. J. Hiep Petur Snaebjornsson Brechtje A. Grotenhuis Geerard L. Beets Arend G. J. Aalbers Theo J. M. Ruers |
| author_facet | Harald C. Groen Anne G. den Hartog Wouter J. Heerink Koert F. D. Kuhlmann Niels F. M. Kok Ruben van Veen Marijn A. J. Hiep Petur Snaebjornsson Brechtje A. Grotenhuis Geerard L. Beets Arend G. J. Aalbers Theo J. M. Ruers |
| author_sort | Harald C. Groen |
| collection | DOAJ |
| description | Surgery for locally recurrent rectal cancer (LRRC) presents several challenges, which is why the percentage of inadequate resections of these tumors is high. In this exploratory study, we evaluate the use of image-guided surgical navigation during resection of LRRC. Patients who were scheduled to undergo surgical resection of LRRC who were deemed by the multidisciplinary team to be at a high risk of inadequate tumor resection were selected to undergo surgical navigation. The risk of inadequate surgery was further determined by the proximity of the tumor to critical anatomical structures. Workflow characteristics of the surgical navigation procedure were evaluated, while the surgical outcome was determined by the status of the resection margin. In total, 20 patients were analyzed. For all procedures, surgical navigation was completed successfully and demonstrated to be accurate, while no complications related to the surgical navigation were discerned. Radical resection was achieved in 14 cases (70%). In five cases (25%), a tumor-positive resection margin (R1) was anticipated during surgery, as extensive radical resection was determined to be compromised. These patients all received intraoperative brachytherapy. In one case (5%), an unexpected R1 resection was performed. Surgical navigation during resection of LRRC is thus safe and feasible and enables accurate surgical guidance. |
| first_indexed | 2024-03-10T03:33:31Z |
| format | Article |
| id | doaj.art-27d61ae63e044fb19a61c5359cb1843b |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-10T03:33:31Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-27d61ae63e044fb19a61c5359cb1843b2023-11-23T11:49:18ZengMDPI AGLife2075-17292022-04-0112564510.3390/life12050645Use of Image-Guided Surgical Navigation during Resection of Locally Recurrent Rectal CancerHarald C. Groen0Anne G. den Hartog1Wouter J. Heerink2Koert F. D. Kuhlmann3Niels F. M. Kok4Ruben van Veen5Marijn A. J. Hiep6Petur Snaebjornsson7Brechtje A. Grotenhuis8Geerard L. Beets9Arend G. J. Aalbers10Theo J. M. Ruers11Department of Surgical Oncology, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsDepartment of Surgical Oncology, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsDepartment of Surgical Oncology, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsDepartment of Surgical Oncology, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsDepartment of Surgical Oncology, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsDepartment of Surgical Oncology, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsDepartment of Surgical Oncology, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsDepartment of Pathology, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsDepartment of Surgical Oncology, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsDepartment of Surgical Oncology, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsDepartment of Surgical Oncology, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsDepartment of Surgical Oncology, Netherlands Cancer Institute, 1066 CX Amsterdam, The NetherlandsSurgery for locally recurrent rectal cancer (LRRC) presents several challenges, which is why the percentage of inadequate resections of these tumors is high. In this exploratory study, we evaluate the use of image-guided surgical navigation during resection of LRRC. Patients who were scheduled to undergo surgical resection of LRRC who were deemed by the multidisciplinary team to be at a high risk of inadequate tumor resection were selected to undergo surgical navigation. The risk of inadequate surgery was further determined by the proximity of the tumor to critical anatomical structures. Workflow characteristics of the surgical navigation procedure were evaluated, while the surgical outcome was determined by the status of the resection margin. In total, 20 patients were analyzed. For all procedures, surgical navigation was completed successfully and demonstrated to be accurate, while no complications related to the surgical navigation were discerned. Radical resection was achieved in 14 cases (70%). In five cases (25%), a tumor-positive resection margin (R1) was anticipated during surgery, as extensive radical resection was determined to be compromised. These patients all received intraoperative brachytherapy. In one case (5%), an unexpected R1 resection was performed. Surgical navigation during resection of LRRC is thus safe and feasible and enables accurate surgical guidance.https://www.mdpi.com/2075-1729/12/5/645image-guided surgical navigationlocally recurrent rectal cancer |
| spellingShingle | Harald C. Groen Anne G. den Hartog Wouter J. Heerink Koert F. D. Kuhlmann Niels F. M. Kok Ruben van Veen Marijn A. J. Hiep Petur Snaebjornsson Brechtje A. Grotenhuis Geerard L. Beets Arend G. J. Aalbers Theo J. M. Ruers Use of Image-Guided Surgical Navigation during Resection of Locally Recurrent Rectal Cancer Life image-guided surgical navigation locally recurrent rectal cancer |
| title | Use of Image-Guided Surgical Navigation during Resection of Locally Recurrent Rectal Cancer |
| title_full | Use of Image-Guided Surgical Navigation during Resection of Locally Recurrent Rectal Cancer |
| title_fullStr | Use of Image-Guided Surgical Navigation during Resection of Locally Recurrent Rectal Cancer |
| title_full_unstemmed | Use of Image-Guided Surgical Navigation during Resection of Locally Recurrent Rectal Cancer |
| title_short | Use of Image-Guided Surgical Navigation during Resection of Locally Recurrent Rectal Cancer |
| title_sort | use of image guided surgical navigation during resection of locally recurrent rectal cancer |
| topic | image-guided surgical navigation locally recurrent rectal cancer |
| url | https://www.mdpi.com/2075-1729/12/5/645 |
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