Total Mesenteric Excision in the Surgical Treatment of Rectal Cancer
Open Access
- 1 June 1998
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Surgery
- Vol. 133 (6) , 608-612
- https://doi.org/10.1001/archsurg.133.6.608
Abstract
DURING THE past 2 decades, the ratio of sphincter ablating procedures (SAP) to sphincter preserving procedures (SSP) has been reversed in the treatment of rectal adenocarcinoma. The widespread availability and use of modern stapling devices, the recognition that a shorter distal margin is adequate, and newer "ultra-low" anastomotic and endoluminal techniques have all contributed to this progress. Yet, certain perioperative anatomic factors still limit the choice of surgical treatment to SAP.Keywords
This publication has 5 references indexed in Scilit:
- Rate and treatment of pelvic recurrence after abdominoperineal resection and low anterior resection for rectal cancerDiseases of the Colon & Rectum, 1995
- Analysis of local recurrence rates after surgery alone for rectal cancerInternational Journal of Colorectal Disease, 1995
- Role of circumferential margin involvement in the local recurrence of rectal cancerThe Lancet, 1994
- Results of radical surgery for rectal cancerWorld Journal of Surgery, 1992
- The mesorectum in rectal cancer surgery—the clue to pelvic recurrence?British Journal of Surgery, 1982