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Proctectomy

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The ASCRS Textbook of Colon and Rectal Surgery

Abstract

The use of improved surgical techniques, neoadjuvant therapy, and more precise imaging modalities has transformed rectal cancer treatment, improved oncologic outcomes, reduced morbidity and mortality, and enhanced patients’ quality of life. In the current era, the majority of patients are now candidates for a sphincter-saving procedure, with less than a 10 % risk of local recurrence and acceptable maintenance of sexual and bladder function postoperatively. Proctectomy has remained the cornerstone of rectal cancer treatment. In this chapter, we will review the evolution of proctectomy technique and discuss the technical details of proctectomy and histologic assessment of a rectal cancer specimen.

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Authors and Affiliations

  1. Department of Surgery, Colorectal Service, Memorial Sloan Kettering Cancer Center, 1233 York Avenue, New York, NY, 10065, USA

    Emmanouil P. Pappou M.D., Ph.D. & Martin R. Weiser M.D.

Authors
  1. Emmanouil P. Pappou M.D., Ph.D.
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  2. Martin R. Weiser M.D.
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Correspondence to Martin R. Weiser M.D. .

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Editors and Affiliations

  1. Division of Colorectal Surgery, University Hospitals Case Medical Center Case Western Reserve University, Cleveland, OH, USA

    Scott R. Steele

  2. Cleveland Clinic, Cleveland, OH, USA

    Tracy L. Hull

  3. Tufts University School of Medicine, Lahey Hospital & Medical Center, Burlington, MA, USA

    Thomas E. Read

  4. Ambrose and Gladys Bowyer, Loyola University, Chicago, IL, USA

    Theodore J. Saclarides

  5. University of Texas Medical Branch at Galveston, Galveston, TX, USA

    Anthony J. Senagore

  6. Ochsner Medical Center, New Orleans, LA, USA

    Charles B. Whitlow

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Pappou, E.P., Weiser, M.R. (2016). Proctectomy. In: Steele, S.R., Hull, T.L., Read, T.E., Saclarides, T.J., Senagore, A.J., Whitlow, C.B. (eds) The ASCRS Textbook of Colon and Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-25970-3_31

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