Ramírez Sánchez C, Lomelí Martínez SM. Minimally invasive multivisceral resection in rectal cancer: Preparation or Precipitation? World J Gastrointest Surg 2024; 16(11): 3385-3390 [DOI: 10.4240/wjgs.v16.i11.3385]
Corresponding Author of This Article
Sarah Monserrat Lomelí Martínez, Doctor, PhD, Academic Research, Associate Research Scientist, Doctor, Department of Medical and Life Sciences, Centro Universitario de la Ciénega, Universidad de Guadalajara, Av. Universidad 1115, Col. Lindavista, Ocotlán 47810, Mexico. sarah.lomeli@academicos.udg.mx
Research Domain of This Article
Surgery
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Nov 27, 2024; 16(11): 3385-3390 Published online Nov 27, 2024. doi: 10.4240/wjgs.v16.i11.3385
Minimally invasive multivisceral resection in rectal cancer: Preparation or Precipitation?
Christian Ramírez Sánchez, Sarah Monserrat Lomelí Martínez
Christian Ramírez Sánchez, Department of Cardiovascular and Thoracic Surgery, Hospital General de Occidente, Zapopan 45170, Mexico
Christian Ramírez Sánchez, Sarah Monserrat Lomelí Martínez, Department of Medical and Life Sciences, Centro Universitario de la Ciénega, Universidad de Guadalajara, Ocotlán 47810, Mexico
Sarah Monserrat Lomelí Martínez, Master of Public Health, Department of Well-being and Sustainable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Mexico
Author contributions: All authors contributed equally to the preparation of this manuscript. Lomelí Martínez SM and Ramírez Sánchez C put forward the idea, did literature search, wrote the preliminary draft, critically reviewed and approved the manuscript.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sarah Monserrat Lomelí Martínez, Doctor, PhD, Academic Research, Associate Research Scientist, Doctor, Department of Medical and Life Sciences, Centro Universitario de la Ciénega, Universidad de Guadalajara, Av. Universidad 1115, Col. Lindavista, Ocotlán 47810, Mexico. sarah.lomeli@academicos.udg.mx
Received: April 3, 2024 Revised: July 20, 2024 Accepted: August 1, 2024 Published online: November 27, 2024 Processing time: 210 Days and 5.1 Hours
Abstract
Rectal cancer is a malignant neoplasm that constitutes a significant public health challenge due to its high incidence and associated mortality. In this editorial, we comment on the article by Chan et al. In recent years, there has been progress in the development of new treatments for initial and metastatic rectal cancer due to introduction of techniques of innovative and minimally-invasive surgery (MIS) such as laparoscopy and robotic surgery. However, only a few studies have analyzed the feasibility, safety, and results of MIS in relation to open surgery, thereby highlighting the promising and superior results of MIS in functional and oncological terms. The findings were corroborated by the comparative study of Chan et al which evaluated the feasibility and safety of minimally invasive multivisceral resection (miMVR). A comparison of postoperative outcomes between open MVR and miMVR showed that miMVR presented less blood loss, fewer postoperative complications, and less morbidity. This editorial article is focused specifically on analysis of the characteristics of new minimally-invasive surgical techniques in rectal cancer, particularly in advanced stages. The importance of future research is emphasized by progress in knowledge, training, and clinical practice in the application of these surgical procedures for the treatment of advanced colorectal cancer.
Core Tip: In this editorial, we commented on the observational study by Chan et al. The study analyzed the feasibility and safety of minimally invasive multivisceral resection (miMVR) for stage T4b rectal cancer by comparing postoperative outcomes between miMVR and open MVR, and it also compared postoperative outcomes between robotic and laparoscopic approaches. We complemented this by discussing some of the most notable studies, with emphasis on the development of new treatments for initial and metastatic rectal cancer, and introduction of innovative and minimally-invasive surgery techniques such as laparoscopy and robotic surgery. The importance of future research is emphasized by progress in knowledge, training, and clinical practice in the application of these surgical procedures for the treatment of advanced colorectal cancer.
