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International Journal of Colorectal Disease

Published in:

01-12-2024 | Minimally Invasive Surgery | RESEARCH

Evolution of surgical approach to rectal cancer resection: A multinational registry assessment

Authors: Julie M L Sijmons, Jan Willem T Dekker, Jurriaan B Tuynman, Helen M Mohan, Philip Smart, Alexander G Heriot, Kate Walker, Angela Kuryba, Peter Matthiessen, Pieter J Tanis, International Colorectal Cancer Registry Collaboration (ICORC) Collaborators

Published in: International Journal of Colorectal Disease | Issue 1/2024

Abstract

Purpose

Surgical approach to rectal cancer has evolved in recent decades, with introduction of minimally invasive surgery (MIS) techniques and local excision. Since implementation might differ internationally, this study is aimed at evaluating trends in surgical approach to rectal cancer across different countries over the last 10 years and to gain insight into patient, tumour and treatment characteristics.

Methods

Pseudo-anonymised data of patients undergoing resection for rectal cancer between 2010 and 2019 were extracted from clinical audits in the Netherlands (NL), Sweden (SE), England-Wales (EW) and Australia-New Zealand (AZ).

Results

Ninety-nine thousand five hundred ninety-seven patients were included (38,413 open, 55,155 MIS and 5416 local excision). An overall increase in MIS was observed from 29.9% in 2010 to 72.1% in 2019, with decreasing conversion rates (17.5–9.0%). The MIS proportion was highly variable between countries in the period 2010–2014 (54.4% NL, 45.3% EW, 39.8% AZ, 14.1% SE, P < 0.001), but variation reduced over time (2015–2019 78.8% NL, 66.3% EW, 64.3% AZ, 53.2% SE, P < 0.001). The proportion of local excision for the two periods was highly variable between countries: 4.7% and 11.8% in NL, 3.9% and 7.4% in EW, 4.7% and 4.6% in AZ, 6.0% and 2.9% in SE.

Conclusions

Application and speed of implementation of MIS were highly variable between countries, but each registry demonstrated a significant increase over time. Local excision revealed inconsistent trends over time.

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Title: Evolution of surgical approach to rectal cancer resection: A multinational registry assessment
Authors: Julie M L Sijmons
Jan Willem T Dekker
Jurriaan B Tuynman
Helen M Mohan
Philip Smart
Alexander G Heriot
Kate Walker
Angela Kuryba
Peter Matthiessen
Pieter J Tanis
International Colorectal Cancer Registry Collaboration (ICORC) Collaborators
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Keywords: Minimally Invasive Surgery
Rectal Cancer
Rectal Cancer
Published in: International Journal of Colorectal Disease / Issue 1/2024
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-023-04578-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Evolution of surgical approach to rectal cancer resection: A multinational registry assessment

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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