Rectal cancer is a type of cancer that affects the rectum, which is the last part of the colon. It is the third most common cancer in the United States, with an estimated 43,340 new cases diagnosed in 2020.

For many years, the standard treatment for rectal cancer has been surgery followed by chemotherapy and/or radiation therapy. In some cases, surgery may require the removal of part or all of the rectum, which can result in the need for a colostomy bag.

However, two breakthrough techniques are now available that offer new hope for patients with rectal cancer.

1. Transanal Total Mesorectal Excision (taTME)

Transanal Total Mesorectal Excision (taTME) is a new surgical technique that allows surgeons to perform rectal cancer surgery more precisely and with less damage to surrounding tissue.

This technique uses a laparoscope and a special surgical instrument called a transanal access device to remove the rectal cancer.

The procedure is performed entirely through the anus, without the need for a large abdominal incision. This means that patients experience less pain and discomfort after the surgery and can return to their daily activities more quickly.

In addition to reducing the risk of complications associated with traditional surgery, taTME may also reduce the need for a colostomy bag.

According to a study published in the Annals of Surgery, only 5% of patients who underwent taTME required a colostomy bag, compared to 20% of patients who underwent traditional surgery.

2. Watch-and-Wait Approach

The Watch-and-Wait approach is a new treatment strategy that allows some patients with rectal cancer to avoid surgery altogether. This approach involves close monitoring of the tumor with imaging tests, rather than immediate surgery.

The Watch-and-Wait approach is only suitable for patients with certain types of rectal cancer that are localized and have not spread beyond the rectum.

Patients who undergo the Watch-and-Wait approach may receive chemotherapy and/or radiation therapy to help shrink the tumor before monitoring begins.

The benefits of the Watch-and-Wait approach include a reduced risk of complications associated with surgery, including the need for a colostomy bag, as well as a better quality of life for patients who may not require surgery.

Conclusion

Rectal cancer is a serious condition that requires prompt diagnosis and treatment. With the development of new techniques like taTME and the Watch-and-Wait approach, patients with rectal cancer now have more options than ever before.

These breakthrough techniques offer hope for patients who want to avoid the risks and complications associated with traditional surgery, including the need for a colostomy bag.

If you have been diagnosed with rectal cancer, talk to your doctor about your treatment options, including these new breakthrough techniques.