TOTAL MESORECTAL EXCISION FOR RECTAL CANCER_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Chao

Department of General Surgery, Sichuan Cancer Hospital, Chengdu 610041;

Corresponding author：

Keywords：

Rectal cancer Total mesorectal excision Local recurrence

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Objective To introduce the surgical technique and results of total mesorectal excision (TME) for rectal cancer. Methods Reviews.
Results As a result of TME, local recurrence rates have declined from 20%-30% to 3%-8%, 5-year survival rate have risen to 75%, and the rates of sphincter preservation have risen too.
Conclusion Total mesorectal excision reduces the local recurrence rates and raise the survival figures after excision of rectal cancer. Patients have a high quality of life.

Citation： LIU Chao,LIU Baosan.. TOTAL MESORECTAL EXCISION FOR RECTAL CANCER. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2001, 8(1): 54-55. doi: Copy

1.	Heald RJ, Husband EM, Ryall RD. The mesorectum in rectal cancer surgery——the clue to pelvic recurrence [J]? Br J Surg, 1982; 69(6)∶613.
2.	Heald RJ, Karanjia ND. Results of radical surgery of rectal cancer [J]. W J Surg,1992; 16(4)∶848.
3.	Soreide O, Norstein J. Local recurrence after operative treatment of rectal carcinoma: a strategy for change [J]. J Am Coll Surg, 1997; 184(1)∶84.
4.	Enker WE. Total mesorectal excision——the new golden standard of surgery for rectal cancer [J]. Ann Med, 1997; 29(1)∶127.
5.	Havenge K, DeRuiter MC, Enker WE, et al.Anatomical basis of autonomic nervepreserving total mesorectal excision for rectal cancer [J]. Br J Surg, 1996; 83(3)∶384.
6.	Quirke P, Durdey P, Dixon MF, et al.Local recurrence of rectal adenocarcinoma due to inadequate surgical resection. Histopathological study of lateral tumour spread and surgical excision [J]. Lancet, 1986; 334(8)∶996.
7.	Hida J, Mori N, Kubo R, et al.Metastasis from carcinoma of the colon and rectum detected in small lymph nodes by the clearing method [J]. J Am Coll Surg, 1994; 178(2)∶223.
8.	MacFarlane JK, Ryall RD, Heald RJ. Mesorectal excision for rectal cancer [J]. Lancet, 1993; 341(4)∶457.
9.	Hohenberger P, Schlag P, Kretzschmar U, et al.Regional mesenteric recurrence of colorectal cancer after anterior resection of left hemicolectomy:inadequate primary resection demonstrate by angiography of the remaining arterial supply [J]. Int J Colorectal Dis, 1991; 6(1)∶17.
10.	Reynolds JV, Joyce WP, Dolan J, et al.Pathological evidence in support of total mesorectal excision in the management of rectal cancer [J]. Br J Surg, 1996; 83(8)∶1112.
11.	Hermanek P, Wiebelt H, Staimer D, et al.Prognostic factors of rectum carcinoma: experience of the German Muleicentre study SGCRC [J]. Tumori, 1995; 81(1)∶60.
12.	Enker WE, Thaler HT, Cranor M, et al.Total mesorectal excision in the operative treatment of rectal cancer [J]. J Am Coll Surg,1995; 181(4)∶335.
13.	Dixon AR, Maxwell WA, Hlmes JT. Carcinoma of the rectum:a 10year experience [J]. Br J Surg, 1991; 78(3)∶308.
14.	Aitken RJ. Mesorectal excision for rectal cancer [J].Br J Surg, 1996; 83(2)∶214.
15.	McCall JL, Cox MR, Wattchow DA. Analysis of local recurrence rates after surgery alone for rectal cancer [J]. Int J Colorectal Dis, 1995; 10(3)∶126.
16.	Krook JE, Moertel CG, Gunderson LL, et al.Effective surgical adjuvant therapy for highrisk rectal carcinoma [J]. N Engl J Med, 1985; 312(10)∶1465.
17.	Heald RJ, Smedh RK, Kald A, et al.Abdominoperineal excision of the rectum:an endangered operation Norman Nigro Lectureship [J]. Dis Colon Rectum, 1997; 10(7)∶747.
18.	Enker WE, Harenge K, Polyak J, et al.Abdominoperineal resection via total mesorectal excision and autonomic nerve preservation for low rectal cancer [J]. W J Surg, 1997; 21(7)∶715.
19.	Havenge K, Enker WE, McDermott K, et al.Male and female sexual and urinary function after total mesorectal excision with autonomic nerve preservation for carcinoma of the rectum [J]. J Am Coll Surg,1996; 182(6)∶495.
20.	Fielding LP. Optimizing surgical treatment of rectal cancer [J]. Lancet, 1995; 346(1)∶113.

1. Heald RJ, Husband EM, Ryall RD. The mesorectum in rectal cancer surgery——the clue to pelvic recurrence [J]? Br J Surg, 1982; 69(6)∶613.
2. Heald RJ, Karanjia ND. Results of radical surgery of rectal cancer [J]. W J Surg,1992; 16(4)∶848.
3. Soreide O, Norstein J. Local recurrence after operative treatment of rectal carcinoma: a strategy for change [J]. J Am Coll Surg, 1997; 184(1)∶84.
4. Enker WE. Total mesorectal excision——the new golden standard of surgery for rectal cancer [J]. Ann Med, 1997; 29(1)∶127.
5. Havenge K, DeRuiter MC, Enker WE, et al.Anatomical basis of autonomic nervepreserving total mesorectal excision for rectal cancer [J]. Br J Surg, 1996; 83(3)∶384.
6. Quirke P, Durdey P, Dixon MF, et al.Local recurrence of rectal adenocarcinoma due to inadequate surgical resection. Histopathological study of lateral tumour spread and surgical excision [J]. Lancet, 1986; 334(8)∶996.
7. Hida J, Mori N, Kubo R, et al.Metastasis from carcinoma of the colon and rectum detected in small lymph nodes by the clearing method [J]. J Am Coll Surg, 1994; 178(2)∶223.
8. MacFarlane JK, Ryall RD, Heald RJ. Mesorectal excision for rectal cancer [J]. Lancet, 1993; 341(4)∶457.
9. Hohenberger P, Schlag P, Kretzschmar U, et al.Regional mesenteric recurrence of colorectal cancer after anterior resection of left hemicolectomy:inadequate primary resection demonstrate by angiography of the remaining arterial supply [J]. Int J Colorectal Dis, 1991; 6(1)∶17.
10. Reynolds JV, Joyce WP, Dolan J, et al.Pathological evidence in support of total mesorectal excision in the management of rectal cancer [J]. Br J Surg, 1996; 83(8)∶1112.
11. Hermanek P, Wiebelt H, Staimer D, et al.Prognostic factors of rectum carcinoma: experience of the German Muleicentre study SGCRC [J]. Tumori, 1995; 81(1)∶60.
12. Enker WE, Thaler HT, Cranor M, et al.Total mesorectal excision in the operative treatment of rectal cancer [J]. J Am Coll Surg,1995; 181(4)∶335.
13. Dixon AR, Maxwell WA, Hlmes JT. Carcinoma of the rectum:a 10year experience [J]. Br J Surg, 1991; 78(3)∶308.
14. Aitken RJ. Mesorectal excision for rectal cancer [J].Br J Surg, 1996; 83(2)∶214.
15. McCall JL, Cox MR, Wattchow DA. Analysis of local recurrence rates after surgery alone for rectal cancer [J]. Int J Colorectal Dis, 1995; 10(3)∶126.
16. Krook JE, Moertel CG, Gunderson LL, et al.Effective surgical adjuvant therapy for highrisk rectal carcinoma [J]. N Engl J Med, 1985; 312(10)∶1465.
17. Heald RJ, Smedh RK, Kald A, et al.Abdominoperineal excision of the rectum:an endangered operation Norman Nigro Lectureship [J]. Dis Colon Rectum, 1997; 10(7)∶747.
18. Enker WE, Harenge K, Polyak J, et al.Abdominoperineal resection via total mesorectal excision and autonomic nerve preservation for low rectal cancer [J]. W J Surg, 1997; 21(7)∶715.
19. Havenge K, Enker WE, McDermott K, et al.Male and female sexual and urinary function after total mesorectal excision with autonomic nerve preservation for carcinoma of the rectum [J]. J Am Coll Surg,1996; 182(6)∶495.
20. Fielding LP. Optimizing surgical treatment of rectal cancer [J]. Lancet, 1995; 346(1)∶113.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

TOTAL MESORECTAL EXCISION FOR RECTAL CANCER

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