Concepedia

Concept

colorectal surgery

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Margin-Driven Colorectal Oncology

1951 - 1957

The period emphasized margin-driven strategies and radical resections to minimize local recurrence, guided by mechanistic insights into tumor implantation at suture lines and the value of planned distal and proximal margins. A transition toward sphincter-sparing rectal cancer surgery sought functional preservation, accompanied by standardized dissection extents across pelvic resections. Growing attention to polyps as precursors and their malignant potential informed pathologic characterization, screening concepts, and management considerations.

Recurrence suppression and mechanistic understanding of local recurrence after colorectal cancer surgery, emphasizing possible tumor implantation at suture lines and the importance of margins and radical resections to reduce recurrence [2], [5], [6], [1], [20], [19].

Polyps as critical cancer precursors: historical studies unify observations on adenomatous polyps, polyps’ malignant potential, and implications for screening, pathologic characterization, and management [4], [3], [14], [15], [16], [17], [11].

Sphincter-preserving rectal cancer surgery and standardization: a shift from permanent colostomy to sphincter-sparing operations with planned dissection extent, contributing to functional outcomes and technique standardization [1], [10], [13], [18].

Margins and dissection planning in pelvic colon and rectal cancer: analysis of distal/proximal margins and proximal extent standardization to minimize residual disease and recurrences across multiple surgical approaches [20], [19], [18], [13].

Adenoma-Carcinoma Paradigm

1958 - 1964

Primary Anastomosis Paradigm

1965 - 1973

Screening-Driven Oncologic Resection

1974 - 1980

Total Mesorectal Excision Paradigm

1981 - 1987

Total Mesorectal Excision Standardization

1988 - 1995

Laparoscopic Colorectal Era

1996 - 2002

Laparoscopic Colorectal Surgery Paradigm

2003 - 2009

Minimally Invasive Colorectal Paradigm

2010 - 2016

Perfusion-Guided Colorectal Surgery

2017 - 2023