Surgical issues in locally advanced rectal cancer treated by preoperative chemoradiotherapy

被引：2

作者：

Lim, Seok-Byung ^{[1
]}

Kim, Jin Cheon ^{[1
]}

机构：

[1] Univ Ulsan, Coll Med, Asan Med Ctr, Inst Innovat Canc Res,Dept Surg, Seoul 138736, South Korea

来源：

JOURNAL OF THE KOREAN SURGICAL SOCIETY | 2013年 / 84卷 / 01期

关键词：

Rectal cancer; Chemoradiotherapy; Surgical procedures; TOTAL MESORECTAL EXCISION; PATHOLOGICAL COMPLETE RESPONSE; COMBINED-MODALITY THERAPY; CIRCUMFERENTIAL RESECTION MARGIN; SPHINCTER-PRESERVING SURGERY; RANDOMIZED CONTROLLED-TRIAL; SHORT-TERM OUTCOMES; MRC CLASICC TRIAL; NEOADJUVANT CHEMORADIOTHERAPY; ANTERIOR RESECTION;

D O I：

10.4174/jkss.2013.84.1.1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The standard treatment for patients with locally advanced rectal cancer is preoperative chemoradiotherapy followed by total mesorectal excision. This approach is supported by randomized trials, but there are still many unanswered questions about the multimodal management of rectal cancer. In surgical terms, these include the optimal time interval between completion of chemoradiotherapy and surgery; adequate distal resection margin and circumferential radial margin; sphincter preservation; laparoscopic surgery; and conservative management, including a 'wait and see' policy and local excision. This review considers these controversial issues in preoperative chemoradiotherapy.

引用

页码：1 / 8

页数：8

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