台灣外科醫學會雜誌

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篇名	Optimal surgical techniques for curative resection of the rectal cancer
作者	Hyeon Woo Bae, Nam Kyu Kim
卷期/出版年月	56卷6期 (2023/11)
頁次	171-182
摘要	The aimof rectal cancer surgery is to achieve a curative resection by completely removing the rectuminvolved with cancer surrounding the mesorectum, obtaining a safe adequate resection margin, and preserving important structures crucial for the patient's quality of life. Optimal dissection along the avascular embryological fusion line and among deep invisible structures is essential. Whereas a minimally invasive surgical approach allows for better visibility of deep pelvic structures compared with the open surgery period, the sequence of dissection and anatomical knowledge about pelvic fascia and relevant nerve structures are crucial for safe pelvic dissection in terms of oncologic and functional outcomes. In this review, we represent practical technical tips based on personal experience and previous studies to achieve the mentioned goals.
關鍵詞	Rectal cancer; Optimal surgical technique; Total mesorectal excision
分類	REVIEW ARTICLE