Erschienen in:
01.01.2011 | Letter
Standards, advances and challenges in laparoscopic total mesorectal excision
verfasst von:
Dimitrios H. Roukos, Christos Katsios
Erschienen in:
Surgical Endoscopy
|
Ausgabe 1/2011
Einloggen, um Zugang zu erhalten
Excerpt
Total mesorectal excision (TME) has been an integral and crucial part of surgical treatment of rectal cancer. This surgical procedure, together with appropriate adjuvant treatment strategy, can improve outcomes of patients with rectal cancer. For the vast majority of patients, a sphincter-preserving treatment strategy is of fundamental importance. As a result of intensive research endeavour, low anterior resection (LAR) has been developed, and many patients benefit from this surgical approach. However, in many cases, decision-making between LAR and total rectal excision is currently too difficult, as criteria for surgical decisions have not been standardized and there is debate among surgeons about the optimal surgery for patients with low-lying rectal cancer. …