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Dr. Carl Brown (https://twitter.com/drcarl_vancouvr?s=20) is a colorectal surgeon at St. Paul’s Hospital in Vancouver, British Columbia. He gave us a masterclass on rectal cancer, starting really with the history of rectal cancer surgery to the evidence around neodjuvant therapy and then giving us a peek at the future of rectal cancer treatment. We then discuss how we should best adopt new technology such a TEM or taTME. A reminder to listeners that we know have the transcripts for all our episodes available on the CJS website – this is a handy written resource to go over, especially for detailed masterclasses like this one. As always, we welcome your feedback on twitter @canjsurg or via email at podcast.cjs@gmail.com.
Dr. Brown on Twitter: @drcarl_vancouvr
Links:
1. Techniques and technology evolution of rectal cancer surgery: a history of more than a hundred years. https://www.tandfonline.com/doi/full/10.1080/13645706.2016.1198381
2. Swedish Rectal Cancer trial in NEJM on preop radiotherapy- https://www.nejm.org/doi/full/10.1056/nejm199704033361402.
3. German Rectal cancer trail on preop vs post op radiotherapy - https://www.nejm.org/doi/full/10.1056/nejmoa040694
4. Dutch rectal cancer trail on preoperative radiotherapy plus TME (published in NEJM) - https://www.nejm.org/doi/full/10.1056/nejmoa010580
5. The "Holy" Plane of Rectal Cancer surgery by Healds - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1291757/
6. Rates of Circumferential Resection Margin Involvement Vary Between Surgeons and Predict Outcomes in Rectal Cancer Surgery (Phil Quirke) - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1422458/
7. CCTG CO.28 primary endpoint analysis: Neoadjuvant chemotherapy, excision and observation for early rectal cancer, the NEO trial. https://ascopubs.org/doi/abs/10.1200/JCO.2021.39.15_suppl.3508
8. Transanal endoscopic microsurgery: a review (by Dr. Brown in CJS) - http://canjsurg.ca/vol57-issue2/57-2-127/
9. Hey, I just did a new operation!: Introducing innovative procedures and devices within an academic health center. https://pubmed.ncbi.nlm.nih.gov/24866545/
10. IDEAL Collaboration: https://www.ideal-collaboration.net/
Dr. Brown on Twitter: @drcarl_vancouvr
Links:
1. Techniques and technology evolution of rectal cancer surgery: a history of more than a hundred years. https://www.tandfonline.com/doi/full/10.1080/13645706.2016.1198381
2. Swedish Rectal Cancer trial in NEJM on preop radiotherapy- https://www.nejm.org/doi/full/10.1056/nejm199704033361402.
3. German Rectal cancer trail on preop vs post op radiotherapy - https://www.nejm.org/doi/full/10.1056/nejmoa040694
4. Dutch rectal cancer trail on preoperative radiotherapy plus TME (published in NEJM) - https://www.nejm.org/doi/full/10.1056/nejmoa010580
5. The "Holy" Plane of Rectal Cancer surgery by Healds - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1291757/
6. Rates of Circumferential Resection Margin Involvement Vary Between Surgeons and Predict Outcomes in Rectal Cancer Surgery (Phil Quirke) - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1422458/
7. CCTG CO.28 primary endpoint analysis: Neoadjuvant chemotherapy, excision and observation for early rectal cancer, the NEO trial. https://ascopubs.org/doi/abs/10.1200/JCO.2021.39.15_suppl.3508
8. Transanal endoscopic microsurgery: a review (by Dr. Brown in CJS) - http://canjsurg.ca/vol57-issue2/57-2-127/
9. Hey, I just did a new operation!: Introducing innovative procedures and devices within an academic health center. https://pubmed.ncbi.nlm.nih.gov/24866545/
10. IDEAL Collaboration: https://www.ideal-collaboration.net/
Creators and Guests
Host
Dr. Ameer Farooq
What is Cold Steel: Canadian Journal of Surgery Podcast?
The podcast dedicated to discussing how surgeons can be the best versions of themselves, inside and outside the operating room. Hosted by surgeons Chad Ball and Ameer Farooq, Cold Steel explores the many facets of surgical life with guests at the cutting edge of surgical science. The official podcast of the Canadian Journal of Surgery.