The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Treatment of Colon Cancer

Abstract

The American Society of Colon and Rectal Surgeons is dedicated to ensuring high-quality patient care by advancing the science, prevention, and management of disorders and diseases of the colon, rectum, and anus. The Clinical Practice Guidelines Committee is composed of society members who are chosen because they have demonstrated expertise in the specialty of colon and rectal surgery. This committee was created to lead international efforts in defining quality care for conditions related to the colon, rectum, and anus. This is accompanied by developing Clinical Practice Guidelines based on the best available evidence. These guidelines are inclusive and not prescriptive. Their purpose is to provide information on which decisions can be made, rather than to dictate a specific form of treatment. These guidelines are intended for the use of all practitioners, health care workers, and patients who desire information about the management of the conditions addressed by the topics covered in these guidelines. It should be recognized that these guidelines should not be deemed inclusive of all proper methods of care or exclusive of methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding the propriety of any specific procedure must be made by the physician in light of all the circumstances presented by the individual patient.

Perceptions in the management of colorectal peritoneal metastases: A bi-national survey of colorectal surgeons

“…While a number of international consensus guidelines support the role of CRS and HIPEC in the treatment of isolated CRPM [19,20], it must be noted that most of the data supportive of CRS and HIPEC is in the form of cohort studies that report a median survival of 30-58 months [7][8][9][10] with a paucity of randomised data [4]. Furthermore, CRS and HIPEC are offered to selected cases, while systemic chemotherapy is offered to a more unselected cohort.…”

Fast-tract: Therapist's role

“…Интраоперационная стратегия включала использование минимально травматизирующих хирургических методик по принятым стандартам [5]. Оптими- Непосредственное участие госпитальной службы в интраоперационных мероприятиях минимально, однако каждый ее член ознакомлен с деталями работы хирургической команды в операционной.…”

Efficacy and safety of self-expanding metallic stent placement followed by neoadjuvant chemotherapy and scheduled surgery for treatment of obstructing left-sided colonic cancer

“…the need for stoma creation is lower with SEMS plus elective surgery than with emergency surgery. 6,7 Initial endoscopic SEMS decompression has been recommended by several bodies such as the American Society of Colon and Rectal Surgeons, 8 National Comprehensive Cancer Network, 9 World Society of Emergency Surgery, 10 and Eastern Association for the Surgery of Trauma. 11 A retrospective study reported worse overall survival with SEMS and elective surgery than with emergency surgery in patients with left-sided malignant colon obstruction.…”