Clinical Challenges in Colorectal Surgery: Colorectal Cancer with Synchronous Colorectal Cancer Liver Metastasis

Behind The Knife: The Surgery Podcast

Medicine, Health & Fitness, Education, Science

4.8 • 1.4K Ratings

🗓️ 13 September 2021

⏱️ 46 minutes

🔗️ Recording | iTunes | RSS

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Summary

You’re faced with a challenging case of a patient with rectal cancer and synchronous liver lesion. Where do you start: chemotherapy, chemoradiotherapy, upfront surgery, liver first, rectum first?
Join Drs. Carole Richard, François Dagbert and Maher Al Khaldi as they discuss the management of a patient with rectal cancer with a synchronous hepatic metastasis.

Learning objectives

In this episode, we discuss the workup of a rectal tumour associated with synchronous liver metastases, indications for resection of the hepatic lesion, neoadjuvant and adjuvant treatment modalities, survival benefit of resection and patient follow-up.

Reference list:

Moulton C-A, Gu C-S, Law CH, Tandan VR, Hart R, Quan D, et al. Effect of PET Before Liver Resection on Surgical Management for Colorectal Adenocarcinoma Metastases: A Randomized Clinical Trial. JAMA. 2014;311(18):1863–9.

Bahadoer RR, Dijkstra EA, Etten B van, Marijnen CAM, Putter H, Kranenbarg EM-K, et al. Short-course radiotherapy followed by chemotherapy before total mesorectal excision (TME) versus preoperative chemoradiotherapy, TME, and optional adjuvant chemotherapy in locally advanced rectal cancer (RAPIDO): a randomised, open-label, phase 3 trial. Lancet Oncol. 2021;22(1):29–42.

Transcript

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0:00.0	Behind the knife, the Surgery Podcast, where we take a behind the scenes intimate look at surgery from leaders in the field.
0:21.2	Hello everyone from the Colo Rectal Surgery team from the University of Montreal.
0:28.3	Today, we're kicking off our first episode with a very important topic and even a challenging topic.
0:36.3	In fact, it's in the management of Rectal Cancer associated with synchronous liver metastases.
0:44.2	So, a few words on our team. We're a Canadian team.
0:48.4	Yeah.
0:50.7	Canada is just north of the US for those that are not too familiar.
0:55.5	And actually, we're located in the province of Quebec and we're in the city of Montreal.
1:01.1	And Montreal is a great city.
1:03.1	The most diverse and multicultural city we know.
1:06.0	Yeah.
1:07.2	And there's a lot of French culture.
1:09.7	And it's a great mix between North America and Europe.
1:14.7	Exactly.
1:15.2	So, for those who are looking for a great experience, how about you come over here and visit us?
1:19.8	Exactly.
1:20.4	It would be great hosts, we promise that.
1:22.0	And we always have a lot of fun in Montreal.
1:25.5	And we hope that you'll have fun listening to our great case.
1:30.7	And a special shout out to Leahy for their very instructive episode on the management of complex
1:35.3	school rectal polyps.
1:36.9	If you haven't listened to it yet, go back and do so. Trust me, it's worth it.
	...

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