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Team-Based Integrative Care for Recurrent and Locally Advanced Rectal Cancer Surgery

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Abstract

Pelvic exenteration (PE) surgery is a procedure usually offered for advanced primary (APC) and locally recurrent rectal cancers (LRC). There has been improvement in outcomes and survival rates over the years, and this has largely been due to a combined effort of a team-based interdisciplinary pelvic oncology team comprising a colorectal surgeon, urologist, gyne-oncology surgeon, plastic surgeon, and vascular and orthopedic surgeons. Preoperative workup using appropriate imaging with CT, MRI, and PET scanning provides important decisions, algorithms, and surgical expertise required. The associated risks of the surgery discussed with the patient need to be balanced against the benefits of symptoms control, survival outcomes as well as quality-of-life issues. Trained nurse clinicians may best coordinate psychological preparation of the patient as well as coordinate rehabilitation and care of wounds, flaps, and stomas. Success can thus be raised in such demanding surgeries.

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Authors and Affiliations

  1. Department of Colorectal Surgery, Singapore General Hospital, Singapore, Singapore

    Min-Hoe Chew

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  1. Min-Hoe Chew
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Correspondence to Min-Hoe Chew .

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Editors and Affiliations

  1. Department of Surgery, Khoo Teck Puat Hospital, Singapore, Singapore

    Kok-Yang Tan

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Chew, MH. (2015). Team-Based Integrative Care for Recurrent and Locally Advanced Rectal Cancer Surgery. In: Tan, KY. (eds) Transdisciplinary Perioperative Care in Colorectal Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44020-9_9

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  • DOI: https://doi.org/10.1007/978-3-662-44020-9_9

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-44019-3

  • Online ISBN: 978-3-662-44020-9

  • eBook Packages: MedicineMedicine (R0)

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