Topic: Decision Making in the Removal of Advanced Rectal Neoplasms

The management of advanced rectal neoplasms poses a complex challenge for clinicians and surgeons due to the array of available treatment options. This Special Issue delves into the intricate decision-making processes surrounding the removal of advanced rectal lesions, exploring a spectrum of surgical techniques and their implications. With options ranging from traditional procedures, such as Low Anterior Resection (LAR) and Abdominoperineal Resection (APR), to more contemporary approaches, such as Transanal Minimally Invasive Surgery (TAMIS), Transanal Endoscopic Microsurgery (TEM), Endoscopic Submucosal Dissection (ESD), and Endoscopic Mucosal Resection (EMR), the Special Issue aims to unravel the complexities inherent in choosing the most suitable intervention.

A focal point of discussion within this Special Issue is the inherent staging uncertainties associated with advanced lesions. Addressing the challenges in accurately staging these lesions is crucial for optimizing treatment strategies and ensuring favorable outcomes. Moreover, the Special Issue encourages an exploration of the concept of "diagnostic" minimally invasive radical resection — a paradigm that necessitates a nuanced understanding of the balance between diagnostic precision and therapeutic intervention.

Through insightful articles, case studies, and expert opinions, this Special Issue aspires to foster a comprehensive dialogue on the decision-making nuances involved in the removal of advanced rectal neoplasms. By examining the intricacies of each surgical option, considering their respective merits and limitations, and exploring emerging trends, the Special Issue endeavors to provide a platform for advancing our understanding and refining the approaches to this clinically challenging scenario.

15 Jun 2024