T2 rectal cancer local excision and sphincter preservation treatment

Local excision and anal preservation treatment for T2 rectal cancer is possible, but it requires detailed evaluation based on the specific situation. T2 rectal cancer means that the tumor has invaded the rectal muscle layer but has not spread to surrounding tissues or distant organs. Surgery to preserve anal function is usually called local excision and is suitable for some specific early-stage cancer patients, and follow-up observation is required after surgery.

For patients with T2 rectal cancer, local excision is a possible anal-preserving surgical method. When choosing this option, the location and size of the tumor and the patient's overall health are all considerations. Typically, surgeons complete local excision through rectal endoscopic surgery or transanal minimally invasive surgery. In addition to surgery, adjuvant radiotherapy and chemotherapy are sometimes recommended to reduce the risk of postoperative recurrence. Studies have shown that for some T2 patients, local excision combined with preoperative radiotherapy can effectively reduce the local recurrence rate and maintain anal function. However, the true applicability must be evaluated and determined by a professional physician after discussion with a multidisciplinary team (MDT).

For patients with T2 rectal cancer, local excision is a possible anal-preserving surgical method. When choosing this option, the location and size of the tumor and the patient's overall health are all considerations. Typically, surgeons complete local excision through rectal endoscopic surgery or transanal minimally invasive surgery. In addition to surgery, adjuvant radiotherapy and chemotherapy are sometimes recommended to reduce the risk of postoperative recurrence. Studies have shown that for some T2 patients, local excision combined with preoperative radiotherapy can effectively reduce the local recurrence rate and maintain anal function. However, the true applicability must be evaluated and determined by a professional physician after discussion with a multidisciplinary team (MDT).

After patients undergo anal preservation surgery, postoperative care and observation are crucial. Possible complications after surgery, such as anastomotic leakage, infection, and prolonged discomfort during defecation, need to be dealt with in a timely manner. To promote recovery, patients are advised to follow the doctor's dietary advice and consume more fiber-rich foods to promote intestinal peristalsis. Moderate physical activity aids recovery and enhances immune system function. Regular follow-up examinations, including rectal digital examinations and imaging studies, are important for early detection of recurrence. If there are any abnormal symptoms such as persistent pain or bleeding, seek medical attention immediately. After comprehensive evaluation and good postoperative management, local resection surgery for T2 rectal cancer can achieve anal preservation function to a certain extent while controlling the progression of the disease.