Controversies and prospects of rectum preserving surgery after neoadjuvant therapy for rectal cancer
10.3760/cma.j.issn.1673-9752.2020.03.011
- VernacularTitle:直肠癌新辅助治疗后行保直肠手术的争议和前景
- Author:
Pan CHI
1
;
Ying HUANG
;
Shenghui HUANG
Author Information
1. 福建医科大学附属协和医院结直肠外科，福州 350001
- From:
Chinese Journal of Digestive Surgery
2020;19(3):267-274
- CountryChina
- Language:Chinese
-
Abstract:
There are three goals of the treatments for rectal cancer, including risk reduction of local recurrence in the pelvic cavity through treatment to the most extent (better down to less than 5%), reduction of acute or chronic complications as soon as possible, and preservation of good sphincter function as well as life quality. As a new concept, rectum preserving surgery following neoadjuvant therapy, remains controversial in its implementation process. There are controversies in the selection criteria, regimens of neoadjuvant therapy, therapy procedures, complications, and evaluation of oncological prognosis and life quality. The authors discuss the above issues in this article based on literatures and our own practical experience, in order to provide references for the promotion of rectum preserving surgery.
