Pathologic Processing of the Total Mesorectal Excision

被引：26

作者：

Campa-Thompson, Molly ^{[1
]}

Weir, Robert ^{[1
]}

Calcetera, Natalie ^{[2
]}

Quirke, Philip ^{[3
]}

Carmack, Susanne ^{[1
]}

机构：

[1] Baylor Univ, Med Ctr Dallas, Dept Pathol, Dallas, TX 75246 USA

[2] Baylor Univ, Med Ctr Dallas, Dept Surg, Dallas, TX 75246 USA

[3] Univ Leeds, Sch Med, Leeds Inst Canc & Pathol, Dept Pathol & Tumor Biol, Leeds, W Yorkshire, England

来源：

CLINICS IN COLON AND RECTAL SURGERY | 2015年 / 28卷 / 01期

基金：

英国医学研究理事会;

关键词：

abdominoperineal resection; circumferential resection margin; rectal carcinoma; total mesorectal excision; RECTAL-CANCER PATIENTS; LYMPH-NODE RATIO; EXTRAMURAL VASCULAR INVASION; PROGNOSTIC-SIGNIFICANCE; COLORECTAL-CANCER; PREOPERATIVE CHEMORADIOTHERAPY; CIRCUMFERENTIAL MARGIN; NEOADJUVANT THERAPY; COLON-CANCER; VENOUS INVASION;

D O I：

10.1055/s-0035-1545069

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Total mesorectal excision (TME) is the current optimal surgical treatment for patients with rectal carcinoma. A complete TME is related to lower local recurrence rates and increased patient survival. Many confounding factors in the patient's anatomy and prior therapy can make it difficult to obtain a perfect plane, and thus a complete TME. The resection specimen can be thoroughly evaluated, grossly and microscopically, to identify substandard surgical outcomes and increased risk of local recurrence. Complete and accurate data reporting is critical for patient care and helps surgeons improve their technique.

引用

页码：43 / 52

页数：10

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