Midwest Surgical AssociationInternational trends in surgical treatment of rectal cancer
Section snippets
The study group
The International Rectal Cancer Study Group (IRCSG) is an independent group without financial support from any company or organization, with representatives from Australasia, Europe, and North America, established to evaluate current international treatment practices of rectal cancer. A group of 6 surgeons from the United States, Australia, and Europe constituted the working members of IRCSG. All surgeons in the working group had more than 10 years' experience with rectal cancer management.
Demographic background and surgical experience
Of the 173 invited participants, 123 (71%) responded. The surgeons come from 28 countries, mainly located in Europe, North America, and Australasia (Table 1). Seventy-eight percent are affiliated with a university hospital, 93% have more than 5 years' experience with rectal cancer surgery, and 70% work in departments that manage more than 50 rectal cancers per year. Seventy-three percent perform more than 20 rectal surgeries annually, and 20% perform more than 50 surgeries annually.
Terms of localization and anatomic description
A majority
Comments
This survey analyzed international practice trends among experienced colorectal surgeons regarding surgical technique and practice for surgical treatment of rectal cancer. The survey shows a wide variety of anatomic definitions of a rectal tumor, surgical techniques, indications for TEM, and use of drains and diverting stomas.
Heald et al4 have standardized the anatomic approach to rectal cancer by performing a total mesorectal excision (TME) with sharp dissection in the avascular plane
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