Sher-i-kashmir institute of Medical sciences, India
Title: Low rectal cancer: Still a challenge for surgeons
Nisar Ahmad Chowdri is Professor & Head ,Colorectal Division; Department of General and Min Access Surgery at Sheri Kashmir Institute of Medical Sciences, Srinagar. India. He is the Founder Chairman of J&K State Chapter of Association of Surgeons of India, Governing Council member, Association of Surgeons of India, Jt Academic Convenor: Association of Colon & Rectal Surgeons of India (ACRSI),Vice President: Association of Colon & Rectal Surgeons of India (ACRSI), 2010-11,Vice President: International College of Surgeons (Indian Section), 2012-13. After getting his Postgraduation he has been working as a Faculty in Sheri- Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India on different posts since 1991. He has been honoured with fellowships from Asso. of Indian Surgeons, International College of Surgeons (IS), Asso. of Colon & Rectal Surgeons of India, Association of Min Access Surgeons of India and American College of Surgeons and some prestigious travelling Fellowships/Professorship in colorectal surgery. He has published about 80 research articles in various national and international journals, authored/co-authored books/chapters and presented about 60 guest lectures/orations in various national and international forums.
The lecture will discuss the various options for management of low rectal cancers and highlight the advantages and drawbacks with these procedures in accordance with the evidence available in the world literature. Inspite of advances made in various surgical fi elds, low rectal cancers continue to pose challenge for a surgeon. No doubt now the rate of permanent stoma has come down and more and more patients with low rectal cancers are treated with sphincter conserving procedures. Apart from psychological set back, stoma itself is associated with various complications. Low and ultra low anterior resections are not without problems. Anterior resection syndrome is a complex of symtoms which has been reported with various degree of severity upto 50% of patients undergoing sphincter preserving operations. Infact sometimes these can be so distressing that both surgeon and patient repent on their decision and in certain circumstances one is compelled to convert to permanent stoma. Th erefor the author will try to explain the delegates the importance of proper decision making and discussion with the patient in detail about prones and cons of both these procedures before selecting the type of operation keeping in view the various risk factors for tumor recurrence and anterior resection syndrome.