直肠癌的全直肠系膜切除术及盆腔淋巴结清扫术：一项评估
Total mesorectal excision and pelvic node dissection for rectal cancer: an appraisal.
作者信息
Mortenson Melinda M, Khatri Vijay P, Bennett Joseph J, Petrelli Nicholas J
机构信息
Department of Surgery, Division of Surgical Oncology, University of California, Davis Cancer Center, 4501 X Street, Suite 3010, Sacramento, CA 95817, USA.
出版信息
Surg Oncol Clin N Am. 2007 Jan;16(1):177-97. doi: 10.1016/j.soc.2006.10.007.
Total mesorectal excision has revolutionized the surgical treatment of rectal cancer since its introduction in the 1980s. The rationale, technique, and outcomes of total mesorectal excision in rectal cancer are explored. Lateral pelvic lymph node dissection is used by the Japanese in selected patients and has remained a controversial approach in the management of rectal cancer. The technique, controversies, and outcomes are summarized.
自20世纪80年代引入以来，全直肠系膜切除术彻底改变了直肠癌的外科治疗方式。本文探讨了直肠癌全直肠系膜切除术的理论基础、技术及疗效。日本在部分患者中采用侧方盆腔淋巴结清扫术，该术式在直肠癌治疗中一直存在争议。本文总结了其技术、争议及疗效。
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