Pathologic Processing of the Total Mesorectal Excision
Pathologic Processing of the Total Mesorectal Excision
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DOI：
10.1055/s-0035-1545069
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发表时间：
2015-03-01
影响因子：
1.4
通讯作者：
Carmack, Susanne
中科院分区：
文献类型：
--
作者：
Campa-Thompson, Molly;Weir, Robert;Carmack, Susanne
全直肠系膜切除术（TME）是目前治疗直肠癌的最佳手术方式。完整的TME与较低的局部复发率和增加的患者生存率有关。患者的解剖结构和先前治疗中的许多混杂因素可能使得难以获得完美的平面，从而难以获得完整的TME。切除标本可以通过肉眼和显微镜进行全面评估，以确定不合格的手术结果和局部复发的风险增加。完整和准确的数据报告对于患者护理至关重要，并有助于外科医生提高他们的技术。
Total mesorectal excision (TME) is the current optimal surgical treatment for patients with rectal carcinoma. A complete TME is related to lower local recurrence rates and increased patient survival. Many confounding factors in the patient's anatomy and prior therapy can make it difficult to obtain a perfect plane, and thus a complete TME. The resection specimen can be thoroughly evaluated, grossly and microscopically, to identify substandard surgical outcomes and increased risk of local recurrence. Complete and accurate data reporting is critical for patient care and helps surgeons improve their technique.