Application of multi-technology integrated total mesorectal excision in mid to low rectal cancer

VernacularTitle:多技术整合在中低位直肠癌全直肠系膜切除手术中的应用
Author: Yueming SUN ¹ ; Yifei FENG
Author Information

1. 南京医科大学第一附属医院普通外科，南京　210006
Keywords: Rectal neoplasms, middle and low; Multi-technology integration; Total mesorectal excision; Anastomotic leakage
From: Chinese Journal of Gastrointestinal Surgery 2024;27(6):579-582
CountryChina
Language:Chinese
Abstract: Total mesorectal excision is the standard procedure for the treatment of low and medium rectal cancer. Anastomotic leakage has always been one of the serious complications in these patients. Blood supply, tension and intestinal condition are important factors affecting anastomotic quality. How to optimize the surgical technique and reduce the occurrence of anastomotic leakage is the goal of surgeons. Based on traditional total mesorectal excision, we integrated several surgical techniques, including (1) Preserving the left colic artery; (2) High ligation of the inferior mesenteric vein; (3) Patterned mobilization of the spleen flexure and left transverse colon; (4) Multi-plane mesocolic tailoring; (5) Selective anastomosis suturing, and proposed the concept of multi-technique integrated total mesorectal resection (MTI-TME). The application of MTI-TME in clinical practice and significance was discussed.