Selection of anal preservation surgery of low rectal cancer
10.19538/j.cjps.issn1005-2208.2019.07.08
- Author:
Jia-gang HAN
1
;
Zhen-jun WANG
1
Author Information
1. Department of General Surgery, Beijing Chaoyang Hosptial, Capital Medical University Beijing 100020,China
- Publication Type:Journal Article
- Keywords:
low rectal cancer;
intersphincteric resection;
transanal local excision;
anterior perineal plane for ultra-low anterior resection of the rectum;
transanal total mesorectal excision
- From:
Chinese Journal of Practical Surgery
2019;39(07):676-680
- CountryChina
- Language:Chinese
-
Abstract:
With the promotion of neoadjuvant therapy,the development of minimally invasive techniques and new surgical techniques,the anal preservation rate of low rectalcancer is increasing year by year. To improve postoperative quality of life is an important goal in the treatment of low rectal cancer. At present,the main important low anal preservation surgery is as follows: Intersphincteric resection(ISR),including complete ISR,subtotal ISR,partial ISR and modified partial ISR; Transanal local resection,including transanal endoscopic microsurgery(TEM) and transanal minimally invasive surgery(TAMIS); Anterior perineal planefor ultra-low anterior resection of the rectum(APPEAR),which is performed through a separate perineal incision,israrely used at present; Transanal total mesorectal excision(TaTME) proposed in recent years. Preliminary studies have proven safe and effective for low advanced rectal cancer.TaTME require a learning curve. It is now making expertcon sensus and operation specification,operation training and conducting multi-center prospective study. TaTME isexpected to become the important operation for low rectalcancer.
