Importance of Surgical Margins in Rectal Cancer

被引：50
作者：
Krishnamurty, Devi Mukkai [1 ]
Wise, Paul E. [1 ]
机构：
[1] Washington Univ, Sch Med, Sect Colon & Rectal Surg, 660 S Euclid Ave,Campus Box 8109, St Louis, MO 63110 USA
来源：
JOURNAL OF SURGICAL ONCOLOGY | 2016年 / 113卷 / 03期
关键词：
rectal cancer; total mesorectal excision; distal resection margin; circumferential resection margin; TOTAL MESORECTAL EXCISION; CIRCUMFERENTIAL RESECTION MARGIN; LOW ANTERIOR RESECTION; QUALITY-OF-LIFE; INTRAOPERATIVE RADIATION-THERAPY; LAPAROSCOPIC-ASSISTED RESECTION; SHORT-COURSE RADIOTHERAPY; DISTAL INTRAMURAL SPREAD; WHOLE-MOUNT SECTIONS; LOCAL RECURRENCE;
D O I：
10.1002/jso.24136
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Distal resection margin (DRM) and circumferential resection margin (CRM) are two important considerations in rectal cancer management. Although guidelines recommend a 2 cm DRM, studies have shown that a shorter DRM is adequate, especially in patients receiving neoadjuvant chemoradiation. Standardization of total mesorectal excision has greatly improved quality of CRM. Although more patients are undergoing sphincter-saving procedures, abdominoperineal resection is indicated for very distal tumors, and pelvic exenteration is often necessary for tumors involving pelvic organs. (c) 2016 Wiley Periodicals, Inc.
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收藏
页码：323 / 332
页数：10
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