Treatment strategies for advanced or recurrent rectal cancer have evolved such that the ultimate surgical goal to achieve a cure is complete pathological clearance. To achieve this where the sacrum is involved, en bloc sacrectomy is the current standard of care. Sacral resection is technically challenging and has been described; however, the technique has yet to be streamlined across units. This comprehensive review aims to outline the surgical approach to en bloc sacrectomy for locally advanced or recurrent rectal cancer, with standardisation of the operative steps of the procedure and to discuss options that enhance the technique.
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| http://dx.doi.org/10.3390/jcm10214921 | DOI Listing |
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Exceptionally giant neglected sacral chordoma in a post-poliotic residual paralysis patient - a rare case scenario.
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Department of Orthopaedics Surgery, All India Institute of Medical Sciences Jodhpur, Rajasthan, India.
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Division of Neurosurgery, Department of Clinical Neurosciences, Geneva University Hospitals and University of Geneva, Faculty of Medicine, 4 Rue Gabrielle-Perret-Gentil, Geneva, 1205, Switzerland.
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Center for Endoscopic, Surgical and Clinical Anatomy (CESKA), Second Faculty of Medicine, Charles University, Prague, Czech Republic.
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