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Table of Contents 1
Cover
5
Preface
6
1 From Early Pioneers to the PelvEx Collaborative
Background
The Pioneers
Future Directions
References
7
2 The Role of the Multidisciplinary Team in the Management of Locally Advanced and Recurrent Rectal Cancer
Background
Complex Pelvic Cancer MDTM
Staging, Restaging, and Pathological Assessment
Complex Cancer MDTM Outcomes
References
8
3 Preoperative Assessment of Tumor Anatomy and Surgical Resectability
Background
Cancer Anatomy and Resectability
Radiological Assessment of Cancer Anatomy by MRI
Case Study
Radiological Assessment of Metastatic Disease
References
9
4 Neoadjuvant Therapy Options for Advanced Rectal Cancer
Background
Potential Advantages of TNT
Potential Disadvantages of TNT
Short‐Term Outcomes
Long‐Term Oncological Outcomes
Organ Preservation
Chemotherapy and Compliance
Novel Chemotherapeutic Agents
Immunotherapeutics
Locally Recurrent Rectal Cancer
Future Developments
References
10
5 Preoperative Optimization Prior to Exenteration
Background
Clinical Examination
Laboratory Tests
Risk Assessment of Morbidity and Mortality
Preoperative Optimization
Mechanical Bowel Preparation and Oral Antibiotic Prophylaxis
Thromboprophylaxis
Stoma Education
References
11
6 Patient Positioning and Surgical Technology
Background
Operating Room Setup
Patient Positioning
Surgical Equipment and Energy Devices
References
12
7 Intraoperative Assessment of Resectability and Operative Strategy
Background
The Preoperative Phase
The Intraoperative Stage
References
13
8 Anterior Pelvic Exenteration
Background
Diagnostics Specific to Anterior Pelvic Exenteration
Surgical Procedure
Morbidity and Mortality
References
14
9 Posterior Pelvic Exenteration
Background
Preoperative Assessment
Intraoperative Decision‐Making
References
15
10 Total Pelvic Exenteration
Background
Indications
Who Should Be Performing these Procedures? Selecting the Right Team and Plan