Enhancing R0 Resection in Anorectal Cancers: A Posterior-First, 2-Stage Approach

Using a posterior-first, 2-stage approach, researchers achieved consistent R0 resection of locally advanced primary and recurrent anorectal cancers involving the deep pelvic sidewall. All 10 patients in the study achieved R0 resection, although nine experienced complications, including gluteal wound issues. Four patients developed metastatic disease during follow-up, highlighting the importance of close monitoring. Overall, the new approach shows promise for improving R0 resection rates, but careful management of wound healing is crucial.