Surgical workforce
The topic of surgical workforce has been of particular personal interest for me since the earliest part of my career as a clinician and researcher. As a topic of discussion, questions regarding the appropriate sizing of the surgical workforce (and the physician workforce in general) are generally addressed based on bias and perspective, rather than objectivity and data. This tendency is compounded by the difficulties in trying to look into an uncertain health care future in order to make projections regarding the use of surgical care and the numbers/types of surgeons needed to provide it. (Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - December 1, 2013 Category: Gastroenterology Authors: David A. Etzioni Tags: Surgical Workforce Source Type: research

Important imaging considerations in the pre-operative assessment of rectal cancer
(Source: Seminars in Colon and Rectal Surgery)
Source: Seminars in Colon and Rectal Surgery - November 11, 2013 Category: Gastroenterology Authors: Manish Chand, Gina Brown Tags: Innovative Radiotherapy Options for the Patient with Colon and Rectal Cancer Source Type: research

Important imaging considerations in the pre-operative assessment of rectal cancer
Abstract: The role of imaging has become central in the pre-operative decision-making process for patients with rectal cancer. The detailed information that is available from high-resolution imaging studies not only provides prognostic information but also allows the surgeon to anticipate potential pitfalls during the operation. The greater the amount of detail known about the tumour, the more selective one can be in the use of pre-operative radiotherapy, which can reduce unnecessary morbidity for minimal gain. Magnetic resonance imaging (MRI) is the most useful modality for the local staging of rectal cancer as it provide...
Source: Seminars in Colon and Rectal Surgery - November 11, 2013 Category: Gastroenterology Authors: Manish Chand, Gina Brown Tags: Innovative Radiotherapy Options for the Patient with Colon and Rectal Cancer Source Type: research

Current controversies and trends in stage IV rectal cancer
Abstract: Almost one-third of patients with rectal cancer present with stage IV disease, with the liver being the most common site of distant metastasis. Long-term survival depends on the ability to safely resect all disease (primary and secondary) with negative margins in a multidisciplinary management setting. Unlike stage IV colon cancer where chemotherapy and surgery are the only two options for management, patients with stage IV rectal cancer are candidates for chemoradiotherapy for optimum local control of the primary, in addition to surgery and chemotherapy. There are no standard guidelines for the exact sequence of...
Source: Seminars in Colon and Rectal Surgery - September 1, 2013 Category: Gastroenterology Authors: Osama Hamed, Neil H. Bhayani, Niraj J. Gusani, Eric T. Kimchi Tags: Current Treatment of Rectal Cancer: Optimizing Surgery and Individualizing Chemoradiation Source Type: research

Sexual function after radical surgery for rectal cancer
Abstract: Advances and innovations in the multimodality therapy for rectal cancer have significantly improved oncologic outcomes with regard to overall and disease-specific survival. Accordingly, quality of life and functional outcomes are becoming increasingly important. Sexual dysfunction after treatment for rectal cancer has been reported in up to 69% of patients. However, the specific factors leading to sexual dysfunction are poorly understood with limited relevant data. This review aims to clarify the incidence of sexual dysfunction after radical rectal cancer resection and identify surgical contributing factors in an...
Source: Seminars in Colon and Rectal Surgery - September 1, 2013 Category: Gastroenterology Authors: Michelle L. Cowan, Mukta K. Krane Tags: Current Treatment of Rectal Cancer: Optimizing Surgery and Individualizing Chemoradiation Source Type: research

Ultra-low anterior resection following neoadjuvant chemoradiation for rectal cancer: The end of the 1-cm rule?
Abstract: The surgical management of rectal cancer has evolved as techniques have improved and the use of preoperative multimodality therapy has gained acceptance as the standard of care. One of the most dynamic areas regarding surgical resection of rectal cancer has been the issue of an oncologically safe distal resection margin. Despite recommendations for the minimum acceptable distal margin shrinking from 5cm to 2cm and now to 1cm over the past several decades, this question remains a topic of intense debate. Such discussion centering on the impact distal margins of resection can critically affect the ability to preser...
Source: Seminars in Colon and Rectal Surgery - September 1, 2013 Category: Gastroenterology Authors: Brian K. Bednarski, George J. Chang Tags: Current Treatment of Rectal Cancer: Optimizing Surgery and Individualizing Chemoradiation Source Type: research