Importance of surgical margins in rectal cancer
| Autor: | Devi Mukkai Krishnamurty, Paul E. Wise |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Pelvic organ
medicine.medical_specialty Pelvic exenteration Colorectal cancer Abdominoperineal resection business.industry medicine.medical_treatment General Medicine 030230 surgery medicine.disease Total mesorectal excision Surgery 03 medical and health sciences 0302 clinical medicine Oncology 030220 oncology & carcinogenesis medicine Resection margin Circumferential resection margin In patient business |
| Zdroj: | Journal of Surgical Oncology. 113:323-332 |
| ISSN: | 0022-4790 |
| Popis: | Distal resection margin (DRM) and circumferential resection margin (CRM) are two important considerations in rectal cancer management. Although guidelines recommend a 2 cm DRM, studies have shown that a shorter DRM is adequate, especially in patients receiving neoadjuvant chemoradiation. Standardization of total mesorectal excision has greatly improved quality of CRM. Although more patients are undergoing sphincter-saving procedures, abdominoperineal resection is indicated for very distal tumors, and pelvic exenteration is often necessary for tumors involving pelvic organs. J. Surg. Oncol. 2016;113:323–332. © 2016 Wiley Periodicals, Inc. |
| Databáze: | OpenAIRE |
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