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Quality of Surgery

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Multidisciplinary Treatment of Colorectal Cancer

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Abstract

Pathologists closely interact with all members of the colorectal multidisciplinary team in order to improve patient outcomes. Consistent high-quality reporting is essential to communicate all relevant macroscopic and microscopic prognostic information so that the patient undergoes optimal management. Feedback on the quality of the interpretation of preoperative imaging, effectiveness of preoperative treatment and quality of surgery is now integral to the colorectal cancer pathology report. For rectal cancer, the status of the circumferential resection margin and quality of the mesorectal dissection is already widely reported. There is also good evidence for the benefit of additional pathological feedback on the quality of the sphincter dissection in abdominoperineal excision (APE) specimens. Finally, evidence continues to accumulate for reporting the quality and extent of the mesocolic dissection for colon cancer. This chapter will address current best practice for the pathological approach to TME, APE and colon cancer specimens.

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  1. Pathology, Leeds Institute of Medical Research at St. James’s, School of Medicine, University of Leeds, Leeds, UK

    A. C. Westwood, Philip Quirke & N. P. West

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  1. Department of Surgery, Odense University Hospital, Svendborg, Denmark

    Gunnar Baatrup

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Westwood, A.C., Quirke, P., West, N.P. (2021). Quality of Surgery. In: Baatrup, G. (eds) Multidisciplinary Treatment of Colorectal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-58846-5_29

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