ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2024
Tailored resection for persistent extramural vascular invasion in locally advanced rectal cancers.
Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Primary Neoplasms of the Seminal Vesicles: A Narrative Review of Carcinoma and the Rarer Non-Epithelial and Biphasic Tumours.Diagnostics (Basel, Switzerland) · 2026Review
- Single-incision laparoscopic surgery with transabdominal retroperitoneal approach (SILS-TRPA): a novel surgical strategy for sigmoid colon/upper rectal cancer.International journal of surgery (London, England) · 2026Article
- Tailored resection for persistent extramural vascular invasion in locally advanced rectal cancers.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Article
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Authors and funding
7 authors.
Funding
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Abstract
backgroundExtramural vascular invasion (EMVI) is a bad prognostic feature in rectal cancer and cancers that remain EMVI positive after neoadjuvant therapy are at high risk for having involved circumferential resection margins. Conventional total mesorectal excision (TME) resections are inadequate in such cases and often lead to positive margins.
methodsWe propose a technique for the surgical management of locally advanced tumours with persistent EMVI after neoadjuvant therapy. Ten such tumours were resected using a "beyond TME" (b-TME) approach with or without lateral pelvic lymph node dissection or seminal vesical excision.
resultsA b-TME approach, customized to the anatomy of the tumour allowed for an R0 resection with a negative circumferential resection margin (CRM) in all 10 cases.
conclusionA tailored b-TME approach can achieve good results in cases at high risk for CRM involvement.
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