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Advances in the surgical treatment of rectal cancer
[Abstract] With the development of our economy and people’s living standards, changes in lifestyle and diet, the incidence of colorectal cancer showed a rising trend year by year, and gradually younger age of onset. At present, the treatment of rectal cancer is still with surgical combined therapy, the majority of rectal cancer by radical surgery is the premise. This paper briefly describes the surgical treatment of rectal cancer development trend in recent years, and the future direction of development for the treatment of a prospect.
[Keywords:] rectal cancer, TME, TEM, surgery
Colorectal cancer is one of the most common malignant tumor, is now the fourth of the high incidence of cancer. In China, the incidence of colorectal cancer common in the general study: 70% to 75% of colorectal cancer in rectum cancer occurred in 70% less than 8cm from the anal margin, anal that you can check out with 50% of colorectal cancer [1]. but because of its deep pelvic surgery more difficult, as easy to get completely cure colon cancer, local recurrence rate is high, the lower rectal and anal sphincter close, easy to keep the anus [2], but the current treatment of rectal cancer surgery is still the most important and most effective means goal of surgery is radical and it is necessary to To retain its function. now cancer surgery reviewed the advances in recent years.
1 mesorectal excision
Mesorectal excision (Total Mesorectal Excision, TME is a section for middle and lower rectal cancer surgery operation specification, which was first used by the British Heald et al [3] first reported in 1982 and stressed. As cancer in the absence of regional lymphatic metastasis or local circumstances, existing cancer cells mesorectum nest or nodules, which mesangial cells in the sow, whether abdominal perineal resection, anal sphincter preserving surgery or extended radical mastectomy cancer cells are l
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