Rectal cancers can be treated based on the spread and malignancy. In the initial stages designated as stage zero rectal cancer, the spread is limited to the inner lining of the rectum. In such cases, removing the cancer polyp with a polypectomy is the relevant surgical oncology procedure. In the next stage, the cancer is limited to the rectum only but is spread to the deeper muscle layers. In this stage, transanal resection is carried out via a rectal approach without involving the abdomen. A low anterior resection or an abdominoperineal resection may be employed based on the location. In the later stage, the cancer cells have spread to the nearby tissues and the lymph nodes are involved. Hence a combination of chemotherapy is usually done along with rectal surgery. Proctectomy with colo-anal anastomosis is most often used. In the last two stages of rectal cancer, bigger portions of the organs involved are removed and higher doess or chemotherapy and radiotherapy are utilized.
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MS, MRCS, MCh ( Surg Gastro)
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Manasa Sarovar, Indra Nagar
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National Highway 65
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