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Publication Name World Journal of Gastrointestinal Oncology
Manuscript ID 115507
Country India
Category Surgery
Manuscript Type Editorial
Article Title Total neoadjuvant therapy in rectal cancer: Challenging traditions without compromising surgical safety
Manuscript Source Invited Manuscript
All Author List Riya Karmakar, Aditya Kandalkar and Arvind Mukundan
Funding Agency and Grant Number
Corresponding Author Arvind Mukundan, Assistant Professor, PhD, Postdoctoral Fellow, School of Engineering and Technology, Sanjivani University, Sanjivani Factory, Singnapur, Kopargaon, Maharashtra 423603, India, Mumbai 621, Mahārāshtra, India. arvindmukund96@gmail.com
Key Words Total neoadjuvant therapy; Rectal cancer; Chemoradiotherapy; Total mesorectal excision; Rectal Cancer and Preoperative Induction therapy followed by Dedicated Operation trial; FOLFIRINOX; Organ preservation; Surgical safety; Multimodal therapy; Oncology
Core Tip Total neoadjuvant therapy (TNT) signifies an advancing standard in the treatment of locally advanced rectal cancer, incorporating systemic chemotherapy prior to surgery and radiotherapy. Recent research, including the Rectal Cancer and Preoperative Induction therapy followed by Dedicated Operation based TNT regimen evaluated by Jabbar et al, indicates comparable oncologic safety, comparable oncologic safety and promising postoperative quality-of-life improvements. This editorial synthesizes known data on TNT’s effectiveness, tolerability, and promise for organ preservation, while highlighting ongoing discussions about treatment sequencing, fibrosis risk, and long-term results. The discussion highlights the significance of meticulous patient selection and multidisciplinary supervision in enhancing rectal cancer treatment via personalized, patient-focused multimodal therapy.
Citation

Karmakar R, Kandalkar A, Mukundan A. Total neoadjuvant therapy in rectal cancer: Challenging traditions without compromising surgical safety. World J Gastrointest Oncol 2026; 18(2): 115507

Received
2025-10-20 00:36
Peer-Review Started
2025-10-20 00:36
First Decision by Editorial Office Director
2025-11-06 08:50
Return for Revision
2025-11-06 08:50
Revised
2025-11-12 06:07
Publication Fee Transferred
Second Decision by Editor
2025-12-05 02:34
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-05 06:09
Articles in Press
2025-12-05 06:09
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-01-26 15:39
ISSN 1948-5204 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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