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• Current surgical challenges in surgical oncology include the refinement of the techniques that involve the resection of colorectal cancers. The objective is to achieve a negative resection margin as well as minimising the impact on functional outcome and morbidity. • Laparoscopic colorectal surgery is now standard practice at specialist centres with the emergence of novel techniques to reduce the number of incisions and ports. • Although total mesorectal excision is the gold standard for rectal cancers, it is associated with considerable morbidity. Early low-risk rectal cancers may be considered for transanal endoscopic microsurgery, particularly in the elderly. • Metastatic disease is no longer considered a death sentence and improvements in techniques for resection of secondary deposits in the liver and lungs will further increase the group of patients that are suitable for surgery.

Type

Chapter

Book title

ABC of colorectal cancer

Publisher

Wiley, John & Sons

Publication Date

12/2011