Research progress in predicting the difficulty of surgery for middle and low rectal cancer based on pelvic measurement
10.3760/cma.j.cn115610-20230403-00147
- VernacularTitle:基于骨盆测量预测中低位直肠癌手术难度的研究进展
- Author:
Shunhua TIAN
1
;
Baoxiang CHEN
;
Hang HU
;
Heng HU
;
Xianghai REN
;
Congqing JIANG
Author Information
1. 武汉大学中南医院结直肠肛门外科 武汉大学中南医院低位直肠癌诊治中心，武汉 430071
- Keywords:
Rectal neoplasms;
Middle and low;
Surgical difficulty;
Pelvic measure-ment;
Total mesorectal excision
- From:
Chinese Journal of Digestive Surgery
2023;22(6):788-795
- CountryChina
- Language:Chinese
-
Abstract:
Total mesorectal excision (TME) has become the basic principle of surgical treat-ment for middle and low rectal cancer. Some of patients with ultra-low rectal cancer require under-going intersphincteric resection (ISR). Due to the limitation of the narrow pelvis, TME and ISR put forward higher requirements for the precise separation of the anatomical level and the protection of neurological function during the operation. At present, evaluation of the difficulty of surgery for middle and low rectal cancer is mainly based on the subjective judgment of chief surgeon, and there is no unified and objective scoring system or prediction model that can classify the difficulty of surgery for middle and low rectal cancer before surgery. The authors review relevant literatures and summarize the existing studies related to pelvic measurement for predicting the difficulty of surgery for middle and low rectal cancer, in order to provide significant guidance for the selection of surgical approach for patients with middle and low rectal cancer.
