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Behind The Knife: The Surgery Podcast

cT2N0 Middle Rectal CA: Neoadjuvant Therapy or Resect?

Behind The Knife: The Surgery Podcast

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.81.4K Ratings

🗓️ 18 November 2021

⏱️ 18 minutes

🧾️ Download transcript

Summary

Join Behind the Knife's very own Dr. Scott Steele, Chairman of the Department of Colorectal Surgery at Cleveland Clinic, for a high-level talk on the treatment of T2N0 rectal cancer.

There is an associated video that goes along with this episode. Check it out at behindtheknife.org or YouTube.

Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

Transcript

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0:00.0

behind the knife, the surgery podcast,

0:03.2

where we take a behind-the-scenes intimate look

0:05.4

at surgery from leaders in the field.

0:07.6

Hi, everybody, and so great to have another session of the ACE ECTS meeting.

0:26.2

I'm going to talk a little bit about how to deal with a clinically staged T2-N0 mid-rectal

0:31.0

cancer lesion.

0:32.0

And these lesions are sometimes tough.

0:33.3

I don't have any disclosures.

0:35.4

So in order to think about any rectal cancer, I like to think about

0:37.5

this kind of paradigm.

0:39.5

On one hand, we want to make sure that we have optimal cure rate, but we're also thinking

0:42.6

about morbidity, function, and overall mortality.

0:46.8

And so when you look at the results of rectal cancer, it's really important to kind of consider

0:50.6

all of these different metrics and endpoints on the left hand side of the screen.

0:55.4

It's a function like, you know, are they going to wind up with a permanent stoma?

0:59.6

Are we going to talk about local recurrence?

1:01.2

And then what is everything that is in our tool bag in order to address these lesions?

1:07.8

So the question is, do we have a neo-adjuvant radiation therapy or do we resect?

1:12.1

You have to first ask yourself, what type of resection are we talking about?

1:15.0

Is it local?

1:16.4

Excision?

1:17.4

Is it a tannis?

...

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