Approach of Colorectal Surgeons to Lower Rectal Adenocarcinomas: Results from the Turkish Society of Colon and Rectal Surgery Database.
Aim This study aimed to analyze surgical preferences and outcomes among patients with lower rectal tumors in Türkiye using data from the national Colorectal Cancer Database of the Turkish Society of Colon and Rectal Surgery (TSCRS). Method A retrospective analysis was conducted on 158 patients with...
| Published in: | Turkish Journal of Colorectal Disease Vol. 35; no. 1; pp. 1 - 8 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
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Galenos Yayinevi Tic. LTD. STI
Mar2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=183956603&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 183956603 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 25364898 KYKD jtl: Turkish Journal of Colorectal Disease issn: 25364898 maglogo: N pubinfo: dt: Mar2025 vid: 35 iid: 1 pid: 28155 pub: Galenos Yayinevi Tic. LTD. STI artinfo: ui: 183956603 183956603 183956603 10.4274/tjcd.galenos.2025.2024-12-1 183956603 ppf: 1 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Approach of Colorectal Surgeons to Lower Rectal Adenocarcinomas: Results from the Turkish Society of Colon and Rectal Surgery Database. aug: au: Sünter, Kaan Koç, Mehmet Ali Aytaç, Erman Group, Turkish Colorectal Cancer Database Study sug: subj: Rectal Neoplasms Surgery Adenocarcinoma Surgery Surgery, Operative Methods Neoadjuvant Therapy Minimally Invasive Procedures Postoperative Period Surgeons Decision Making, Clinical Treatment Outcomes Human Turkiye Retrospective Design Rectal Neoplasms Organizations Databases, Health Turkiye Middle Age Male Female Neoplasm Staging Surgery, Laparoscopic Anastomosis, Surgical Multidisciplinary Care Team Individualized Medicine Postoperative Complications Middle Aged: 45-64 years Male Female ab: Aim This study aimed to analyze surgical preferences and outcomes among patients with lower rectal tumors in Türkiye using data from the national Colorectal Cancer Database of the Turkish Society of Colon and Rectal Surgery (TSCRS). Method A retrospective analysis was conducted on 158 patients with lower rectal tumors who underwent surgery between July 2018 and March 2022, with data prospectively collected from the TSCRS database. Variables included demographic characteristics, neoadjuvant therapy administration, surgical techniques, and postoperative outcomes. Results Among the 158 patients (mean age: 57.8 years; 58.2% men), 95.6% received neoadjuvant therapy. Approximately half the patients underwent open surgery, and the other half underwent minimally invasive surgery (MIS). The T-stage distribution differed significantly (p=0.009); early-stage cancers (stages I-II) were more frequently treated with MIS, whereas advanced stages (stages III-IV) were predominantly managed with open surgery. Conversion from laparoscopic to open surgery occurred in five patients (5.9%). Abdominoperineal resection was more common in patients who underwent open surgery. Hand-sewn anastomosis was performed more frequently in patients undergoing MIS. The operative time was longer for MIS than for open surgery (249±85 min vs. 169±52 min). The circumferential resection margin positivity rate was 3.2%, and tumor perforation occurred in 4.5% of cases. Conclusion The treatment of lower rectal cancer increasingly relies on a multidisciplinary approach integrating neoadjuvant therapies and diverse surgical techniques. Turkish surgeons adopt a tailored approach based on patient characteristics, leading to similar adoption rates for both surgical techniques. These findings highlight the dynamic and evolving nature of lower rectal cancer management, particularly in the context of neoadjuvant treatment strategies. Keywords:Low anterior resection, lower rectal cancer, minimally invasive surgery, multidisciplinary approach, neoadjuvant therapy: pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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