지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 395 - 424 (30page)
- DOI
- 10.3393/ac.2021.00927.0132
이용수
초록· 키워드
오류제보하기
Despite innovative advancements, distally located rectal cancer remains a critical disease of challenging management. The crucial location of the tumor predisposes it to a circumferential resection margin (CRM) that tends to involve the anal sphincter complex and surrounding organs, with a high incidence of delayed anastomotic complications and the risk of the pelvic sidewall or rarely inguinal lymph node metastases. In this regard, colorectal surgeons should be aware of other issues beyond total mesorectal excision (TME) performance. For decades, the concept of extralevator abdominoperineal resection to avoid compromised CRM has been introduced. However, the complexity of deep pelvic dissection with poor visualization in low-lying rectal cancer has led to transanal TME. In contrast, neoadjuvant chemoradiotherapy (NCRT) has allowed for the execution of more sphincter-saving procedures without oncologic compromise. Significant tumor regression after NCRT and complete pathologic response also permit applying the watch-and-wait protocol in some cases, now with more solid evidence. This review article will introduce the current surgical treatment options, their indication and technical details, and recent oncologic and functional outcomes. Lastly, the novel characteristics of distal rectal cancer, such as pelvic sidewall and inguinal lymph node metastases, will be discussed along with its tailored and individualized treatment approach.
목차
등록된 정보가 없습니다.
참고문헌 (182)
참고문헌 신청
김남규 / 2021 / Optimal Complete Rectum Mobilization Focused on the Anatomy of the Pelvic Fascia and Autonomic Nerves: 30 Years of Experience at Severance Hospital / Yonsei Medical Journal 62(3):187~199
Church JM / 1987 / The surgical anatomy of the rectum: a review with particular relevance to the hazards of rectal mobilisation / Int J Colorectal Dis 2:158~166
김남규 / 2005 / Anatomic Basis of Sharp Pelvic Dissection for Curative Resection of Rectal Cancer / Yonsei Medical Journal 46(6):737~749
Bogach J / 2018 / Quality of preoperative pelvic computed tomography (CT) and magnetic resonance imaging (MRI) for rectal cancer in a region in Ontario: a retrospective population-based study / J Surg Oncol 117:1038~1042
Zhou Y / 2014 / Diagnostic value of endorectal ultrasonography for rectal carcinoma: a meta-analysis / J Cancer Res Ther 10:319~322
Church JM / 1987 / The surgical anatomy of the rectum: a review with particular relevance to the hazards of rectal mobilisation / Int J Colorectal Dis 2:158~166
김남규 / 2005 / Anatomic Basis of Sharp Pelvic Dissection for Curative Resection of Rectal Cancer / Yonsei Medical Journal 46(6):737~749
Bogach J / 2018 / Quality of preoperative pelvic computed tomography (CT) and magnetic resonance imaging (MRI) for rectal cancer in a region in Ontario: a retrospective population-based study / J Surg Oncol 117:1038~1042
Zhou Y / 2014 / Diagnostic value of endorectal ultrasonography for rectal carcinoma: a meta-analysis / J Cancer Res Ther 10:319~322
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Critical and Challenging Issues in the Surgical Management of Low-Lying Rectal Cancer
Yonsei Medical Journal
2018 .01
-
Local Recurrence after Neoadjuvant Chemoradiotherapy And Rectal Excision in Rectal Cancer Patients When The Distal Resection Margin Is Compromised
대한외과학회 학술대회 초록집
2020 .11
-
Impact of Extended Lymph Node Dissection for Rectal Cancer : Its Safety and Long Term Oncologic Outcomes
대한임상종양학회 학술대회지
2016 .02
-
Essential knowledge and technical tips for total mesorectal excision and related procedures for rectal cancer
Annals of Coloproctology
2024 .08
-
Feasibility of transanal endoscopic total mesorectal excision for rectal cancer : results of a pilot study
Annals of Surgical Treatment and Research
2016 .10
-
Is pathologic regression level of metastatic lymph node after preoperative chemoradiotherapy for rectal cancer associated with oncologic outcomes?
대한외과학회 학술대회 초록집
2016 .05
-
Are We Predicting Disease Progress of the Rectal Cancer Patients without Surgery after Neoadjuvant Chemoradiotherapy?
Cancer Research and Treatment
2018 .01
-
Prognostic significance of lymph node yield on oncologic outcomes according to tumor response after preoperative chemoradiotherapy in rectal cancer patients
대한임상종양학회 학술대회지
2022 .02
-
Effect of lateral lymph node dissection on the quality of life and genitourinary function after neoadjuvant chemoradiotherapy for rectal cancer
Annals of Surgical Treatment and Research
2021 .02
-
Optimal Complete Rectum Mobilization Focused on the Anatomy of the Pelvic Fascia and Autonomic Nerves: 30 Years of Experience at Severance Hospital
Yonsei Medical Journal
2021 .01
-
Bottom-up vs. Top-down TME for Rectal Cancer: Systemic Review and My Own Perspective
대한임상종양학회 학술대회지
2018 .02
-
ERRATUM: Difference in prognostic impact of lateral pelvic lymph node metastasis between pre- and post-neoadjuvant chemoradiotherapy in rectal cancer patients
Annals of Surgical Treatment and Research
2024 .09
-
Rectal: Fluorescence-guided Lateral Pelvic Lymphadenectomy in Rectal Cancer
대한임상종양학회 학술대회지
2018 .02
-
Treatment of recurrence after local excision of rectal cancer
대한외과학회 학술대회 초록집
2019 .10
-
Omission of neoadjuvant radiotherapy for clinical T2/N1 and T3N0/1 middle and low rectal cancers with safe circumferential resection margins
Annals of Surgical Treatment and Research
2022 .05
-
Impact of circumferential tumor location of mid to low rectal cancer on oncologic outcomes after preoperative chemoradiotherapy
Annals of Surgical Treatment and Research
2022 .08
-
Lateral Pelvic Node Dissection for Locally Advanced Rectal Cancer in Korea
대한외과학회 학술대회 초록집
2019 .10
-
The validity of pelvic cross-sectional area as a predicting parameter for surgical outcome after low anterior resection for rectal cancer
대한외과학회 학술대회 초록집
2017 .11
-
Scrutinizing Techniques in detail for Surgical treatment of low- lying Rectal cancer
대한임상종양학회 학술대회지
2022 .02
-
Neoadjuvant chemoradiotherapy determines the prognostic impact of anastomotic leakage in advanced rectal cancer
Annals of Surgical Treatment and Research
2022 .10
이 논문의 저자 정보
최근 본 자료
댓글(0)
0