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https://hdl.handle.net/2440/140890
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Type: | Journal article |
Title: | Evolution of surgical approach to rectal cancer resection: A multinational registry assessment |
Author: | Sijmons, J.M.L. Dekker, J.W.T. Tuynman, J.B. Mohan, H.M. Smart, P. Heriot, A.G. Walker, K. Kuryba, A. Matthiessen, P. Tanis, P.J. Sammour, T. Kroon, H. Peng, S.-L. Rawson, N. Philpot, S. Hayes, I. Iversen, L.H. Bjerregaard, J.K. Qvortrup, C. Gögenür, I. et al. |
Citation: | International Journal of Colorectal Disease: clinical and molecular gastroenterology and surgery, 2024; 39(1):15-1-15-12 |
Publisher: | Springer Science and Business Media LLC |
Issue Date: | 2024 |
ISSN: | 0179-1958 1432-1262 |
Statement of Responsibility: | International Colorectal Cancer Registry Collaboration (ICORC) Collaborators: Hidde Kroon ... Tarik Sammour ... et al. and Julie M L Sijmons, Jan Willem T Dekker, Jurriaan B Tuynman, Helen M Mohan, Philip Smart, Alexander G Heriot, Kate Walker, Angela Kuryba, Peter Matthiessen, Pieter J Tanis |
Abstract: | Purpose: Surgical approach to rectal cancer has evolved in recent decades, with introduction of minimally invasive surgery (MIS) techniques and local excision. Since implementation might differ internationally, this study is aimed at evaluating trends in surgical approach to rectal cancer across different countries over the last 10 years and to gain insight into patient, tumour and treatment characteristics. Methods: Pseudo-anonymised data of patients undergoing resection for rectal cancer between 2010 and 2019 were extracted from clinical audits in the Netherlands (NL), Sweden (SE), England-Wales (EW) and Australia-New Zealand (AZ). Results: Ninety-nine thousand five hundred ninety-seven patients were included (38,413 open, 55,155 MIS and 5416 local excision). An overall increase in MIS was observed from 29.9% in 2010 to 72.1% in 2019, with decreasing conversion rates (17.5–9.0%). The MIS proportion was highly variable between countries in the period 2010–2014 (54.4% NL, 45.3% EW, 39.8% AZ, 14.1% SE, P<0.001), but variation reduced over time (2015–2019 78.8% NL, 66.3% EW, 64.3% AZ, 53.2% SE, P<0.001). The proportion of local excision for the two periods was highly variable between countries: 4.7% and 11.8% in NL, 3.9% and 7.4% in EW, 4.7% and 4.6% in AZ, 6.0% and 2.9% in SE. Conclusions: Application and speed of implementation of MIS were highly variable between countries, but each registry demonstrated a significant increase over time. Local excision revealed inconsistent trends over time. |
Keywords: | Registry; Audit; Rectal cancer; Minimally invasive; Open surgery; Local excision |
Rights: | © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024, corrected publication 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
DOI: | 10.1007/s00384-023-04578-4 |
Published version: | http://dx.doi.org/10.1007/s00384-023-04578-4 |
Appears in Collections: | Research Outputs |
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