Contemporary Management of Locally Advanced and Recurrent Rectal Cancer: Views from the PelvEx Collaborative

PelvEx Collaborative

doi:10.3390/cancers14051161

Contemporary Management of Locally Advanced and Recurrent Rectal Cancer: Views from the PelvEx Collaborative

Cancers (Basel). 2022 Feb 24;14(5):1161. doi: 10.3390/cancers14051161.

Author

PelvEx Collaborative

Collaborators

PelvEx Collaborative:
M E Kelly, N J O’Sullivan, M R Fahy, A G J Aalbers, N Abdul Aziz, N Abecasis, M Abraham-Nordling, F Abu Saadeh, T Akiyoshi, W Alberda, M Albert, M Andric, M A Angeles, E Angenete, A Antoniou, R Auer, K K Austin, E Aytac, O Aziz, N Bacalbasa, R P Baker, M Bali, S Baransi, G Baseckas, B Bebington, M Bedford, B K Bednarski, G L Beets, P L Berg, C Bergzoll, J Beynon, S Biondo, K Boyle, L Bordeianou, E Brecelj, A B Bremers, P Buchwald, A Bui, A Burgess, J W A Burger, D Burling, E Burns, N Campain, S Carvalhal, L Castro, A Caycedo-Marulanda, W Ceelen, K K L Chan, G J Chang, M Chang, M H Chew, A Y Chok, P Chong, H Clouston, M Codd, D Collins, A J Colquhoun, J Constantinides, A Corr, M Coscia, M Cosimelli, C Cotsoglou, P E Coyne, R S Croner, L Damjanovich, I R Daniels, M Davies, C P Delaney, J H W de Wilt, Q Denost, C Deutsch, D Dietz, S Domingo, E J Dozois, E Drozdov, M Duff, T Eglinton, J M Enriquez-Navascues, E Espín-Basany, M D Evans, B Eyjólfsdóttir, N S Fearnhead, G Ferron, S Fichtner-Feigl, K Flatmark, F J Fleming, B Flor, J Folkesson, F A Frizelle, J Funder, M A Gallego, M Gargiulo, E García-Granero, J L García-Sabrido, M Gargiulo, V G Gava, L Gentilini, M L George, V George, P Georgiou, A Ghosh, L Ghouti, A Gil-Moreno, F Giner, D N Ginther, T Glyn, R Glynn, T Golda, B Griffiths, D A Harris, V Hanchanale, D P Harji, C Harris, R M Helewa, G Hellawell, A G Heriot, D Hochman, W Hohenberger, T Holm, R Hompes, B Hornung, S Hurton, E Hyun, M Ito, L H Iversen, J T Jenkins, K Jourand, S Kaffenberger, G V Kandaswamy, S Kapur, Y Kanemitsu, M Kazi, S R Kelley, D S Keller, S H J Ketelaers, M S Khan, R P Kiran, H Kim, H J Kim, C E Koh, N F M Kok, R Kokelaar, C Kontovounisios, F Kose, M Koutra, H Ø Kristensen, H M Kroon, S Kumar, M Kusters, V Lago, B Lampe, Z Lakkis, J T Larach, J O Larkin, S G Larsen, D W Larson, W L Law, P J Lee, M Limbert, A Loria, M L Lydrup, A Lyons, A C Lynch, J Maciel, S Manfredelli, C Mann, C Mantyh, K L Mathis, C F S Marques, A Martinez, A Martling, B J Mehigan, W J H J Meijerink, A Merchea, S Merkel, A M Mehta, S Mikalauskas, D R McArthur, J J McCormick, P McCormick, F D McDermott, J S McGrath, S Malde, A Mirnezami, J R T Monson, A S Navarro, H Neeff, I Negoi, J W M Neto, J L Ng, B Nguyen, M B Nielsen, G A P Nieuwenhuijzen, P J Nilsson, S Nordkamp, T Nugent, A Oliver, S T O’Dwyer, K Paarnio, G Palmer, E Pappou, J Park, D Patsouras, O Peacock, G Pellino, A C Peterson, F Pfeffer, J Pinson, G Poggioli, D Proud, M Quinn, A Quyn, N Rajendran, R W Radwan, N Rajendran, C Rao, S Rasheed, E Rausa, S E Regenbogen, H M Reims, A Renehan, J Rintala, R Rocha, M Rochester, J Rohila, J Rothbarth, M Rottoli, C Roxburgh, H J T Rutten, B Safar, P M Sagar, A Sahai, A Saklani, T Sammour, R Sayyed, A M P Schizas, E Schwarzkopf, D Scripcariu, V Scripcariu, C Selvasekar, I Shaikh, A Simpson, T Skeie-Jensen, N J Smart, P Smart, J J Smith, A M Solbakken, M J Solomon, M M Sørensen, L Sorrentino, S R Steele, D Steffens, K Stitzenberg, L Stocchi, N A Stylianides, T Swartling, M Spasojevic, H Sumrien, P A Sutton, T Swartking, H Takala, E J Tan, C Taylor, D Taylor, A Tekin, P P Tekkis, J Teras, H V Thaysen, R Thurairaja, E B Thorgersen, J Tiernan, E L Toh, J Tolenaar, P Tsarkov, Y Tsukada, S Tsukamoto, J J Tuech, W H Turner, J B Tuynman, M Valente, G H van Ramshorst, J van Rees, D van Zoggel, W Vasquez-Jimenez, R Vather, C Verhoef, M Vierimaa, G Vizzielli, E L K Voogt, K Uehara, G Urrejola, C Wakeman, S K Warrier, H H Wasmuth, P S Waters, K Weber, M R Weiser, J M D Wheeler, J Wild, A Williams, M Wilson, A Wolthuis, H Yano, B Yip, R N Yoo, M A Zappa, D C Winter

Abstract

Pelvic exenteration is a complex operation performed for locally advanced and recurrent pelvic cancers. The goal of surgery is to achieve clear margins, therefore identifying adjacent or involved organs, bone, muscle, nerves and/or vascular structures that may need resection. While these extensive resections are potentially curative, they can be associated with substantial morbidity. Recently, there has been a move to centralize care to specialized units, as this facilitates better multidisciplinary care input. Advancements in pelvic oncology and surgical innovation have redefined the boundaries of pelvic exenterative surgery. Combined with improved neoadjuvant therapies, advances in diagnostics, and better reconstructive techniques have provided quicker recovery and better quality of life outcomes, with improved survival This article provides highlights of the current management of advanced pelvic cancers in terms of surgical strategy and potential future developments.

Keywords: diagnostics; locally advanced rectal cancer; perioperative care; quality of life; rectal cancer; recurrent rectal cancer; surgical management; surgical outcomes.

Publication types

Review