Re-Do Plastic Reconstruction for Locally Advanced and Recurrent Colorectal Cancer Following a beyond Total Mesorectal Excision (TME) Operation—Key Considerations
Innovation in surgery and pelvic oncology have redefined the boundaries of pelvic exenteration for CRC. However, surgical approaches and outcomes following repeat exenteration and reconstruction are not well described. The resulting defect from a second beyond Total Mesorectal Excision (TME) present...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/13/5/1228 |
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| author | Emmanuel Giannas Konstantinos Kavallieros Theodoros Nanidis John Giannas Paris Tekkis Christos Kontovounisios |
| author_facet | Emmanuel Giannas Konstantinos Kavallieros Theodoros Nanidis John Giannas Paris Tekkis Christos Kontovounisios |
| author_sort | Emmanuel Giannas |
| collection | DOAJ |
| description | Innovation in surgery and pelvic oncology have redefined the boundaries of pelvic exenteration for CRC. However, surgical approaches and outcomes following repeat exenteration and reconstruction are not well described. The resulting defect from a second beyond Total Mesorectal Excision (TME) presents a challenge to the reconstructive surgeon. The aim of this study was to explore reconstructive options for patients undergoing repeat beyond TME for recurrent CRC following previous beyond TME and regional reconstruction. MEDLINE and Embase were searched for relevant articles, yielding 2353 studies. However, following full text review and the application of the inclusion criteria, all the studies were excluded. This study demonstrated the lack of reporting on re-do reconstruction techniques following repeat exenteration for recurrent CRC. Based on this finding, we conducted a point-by-point discussion of certain key aspects that should be taken into consideration when approaching this patient cohort. |
| first_indexed | 2024-04-25T00:26:56Z |
| format | Article |
| id | doaj.art-b14455246ebb4298b722b147f98beba6 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-25T00:26:56Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-b14455246ebb4298b722b147f98beba62024-03-12T16:47:38ZengMDPI AGJournal of Clinical Medicine2077-03832024-02-01135122810.3390/jcm13051228Re-Do Plastic Reconstruction for Locally Advanced and Recurrent Colorectal Cancer Following a beyond Total Mesorectal Excision (TME) Operation—Key ConsiderationsEmmanuel Giannas0Konstantinos Kavallieros1Theodoros Nanidis2John Giannas3Paris Tekkis4Christos Kontovounisios5Department of Surgery and Cancer, Imperial College London, London SW7 2BX, UKDepartment of Surgery and Cancer, Imperial College London, London SW7 2BX, UKDepartment of Plastic Surgery, The Royal Marsden Hospital, London SW3 6JJ, UKDepartment of Plastic and Reconstructive Surgery, Euroclinic, 115 21 Athens, GreeceDepartment of Surgery and Cancer, Imperial College London, London SW7 2BX, UKDepartment of Surgery and Cancer, Imperial College London, London SW7 2BX, UKInnovation in surgery and pelvic oncology have redefined the boundaries of pelvic exenteration for CRC. However, surgical approaches and outcomes following repeat exenteration and reconstruction are not well described. The resulting defect from a second beyond Total Mesorectal Excision (TME) presents a challenge to the reconstructive surgeon. The aim of this study was to explore reconstructive options for patients undergoing repeat beyond TME for recurrent CRC following previous beyond TME and regional reconstruction. MEDLINE and Embase were searched for relevant articles, yielding 2353 studies. However, following full text review and the application of the inclusion criteria, all the studies were excluded. This study demonstrated the lack of reporting on re-do reconstruction techniques following repeat exenteration for recurrent CRC. Based on this finding, we conducted a point-by-point discussion of certain key aspects that should be taken into consideration when approaching this patient cohort.https://www.mdpi.com/2077-0383/13/5/1228reconstructionpelvic exenterationcolorectal cancerrecurrentbeyond TME |
| spellingShingle | Emmanuel Giannas Konstantinos Kavallieros Theodoros Nanidis John Giannas Paris Tekkis Christos Kontovounisios Re-Do Plastic Reconstruction for Locally Advanced and Recurrent Colorectal Cancer Following a beyond Total Mesorectal Excision (TME) Operation—Key Considerations Journal of Clinical Medicine reconstruction pelvic exenteration colorectal cancer recurrent beyond TME |
| title | Re-Do Plastic Reconstruction for Locally Advanced and Recurrent Colorectal Cancer Following a beyond Total Mesorectal Excision (TME) Operation—Key Considerations |
| title_full | Re-Do Plastic Reconstruction for Locally Advanced and Recurrent Colorectal Cancer Following a beyond Total Mesorectal Excision (TME) Operation—Key Considerations |
| title_fullStr | Re-Do Plastic Reconstruction for Locally Advanced and Recurrent Colorectal Cancer Following a beyond Total Mesorectal Excision (TME) Operation—Key Considerations |
| title_full_unstemmed | Re-Do Plastic Reconstruction for Locally Advanced and Recurrent Colorectal Cancer Following a beyond Total Mesorectal Excision (TME) Operation—Key Considerations |
| title_short | Re-Do Plastic Reconstruction for Locally Advanced and Recurrent Colorectal Cancer Following a beyond Total Mesorectal Excision (TME) Operation—Key Considerations |
| title_sort | re do plastic reconstruction for locally advanced and recurrent colorectal cancer following a beyond total mesorectal excision tme operation key considerations |
| topic | reconstruction pelvic exenteration colorectal cancer recurrent beyond TME |
| url | https://www.mdpi.com/2077-0383/13/5/1228 |
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