Advances in surgery of rectal cancer
- VernacularTitle:直肠癌的外科治疗进展
- Author:
Sanjun CAI
- Publication Type:Journal Article
- Keywords:
rectal cancer;
surgery;
TME;
lymphonodectomy
- From:China Oncology
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
To introduce the advances in surgery of rectal cancer and to discuss some of its critical issues. Preserving the anus, diminishing the damage of urinary and sexual function and reducing recurrence are the three major difficulties in surgery of rectal cancer. The surgical margin, the concept of TME, the indication of local surgery, the necessity of pelvic lymphonodectomy and the reconstruction of the colonic sack are important problems in the surgery of rectal cancer.The surgery for preserving the anal function should not go against the fundamental principle of radical surgery. The distal and circumferential margin must be enough. The impairment of urinary and sexual function can be reduced by protecting the pelvic autonomic nerves. There are many factors contributing to the relapse of rectal cancer. TME can reduce markedly recurrence of rectal cancer. The trend of either over-expanding or over-shrinking the indication of local surgery of rectal cancer should be avoided. The extensive dissection of pelvic lymph nodes should be selective. The reconstruction of the colonic sack is valuable to some extent.[
