Effect of transanal excision in the treatment of rectal cancer
10.3760/cma.j.issn.1671-0274.2014.06.006
- VernacularTitle:经肛门局部切除手术在直肠癌治疗中的作用
- Author:
Xishan WANG
1
;
Zheng LIU
;
Dazhuang MIAO
Author Information
1. 150086,哈尔滨医科大学附属第二医院结直肠肿瘤外科 哈尔滨医科大学大肠癌研究所
- Keywords:
Rectal neoplams;
Surgical treatment;
Transanal excision
- From:
Chinese Journal of Gastrointestinal Surgery
2014;(6):544-546
- CountryChina
- Language:Chinese
-
Abstract:
The surgical approach for rectal cancer includes trans-abdominal and transanal excision. Total mesorectal excision (TME) is the golden standard for surgical treatment. In the functional surgery era, more and more evidence shows that under strict indications , traditional abdominal radical surgery and transanal excision can achieve similar survival in patients with early stage cancer. However , the local recurrence rate of local resection was significantly higher compared to TME, suggesting strict patients selection for transanal excision. Preoperative accurate evaluation is critical in clinical practice.