Multivisceral resection for locally advanced rectal cancer: adequate length of distal resection margin

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Multivisceral resection for locally advanced rectal cancer: adequate length of distal resection margin

PURPOSE Locally advanced rectal cancer may require an intraoperative decision regarding curative multivisceral resection (MVR) of adjacent organs. In bulky tumor cases, ensuring sufficient distal resection margin (DRM) for achievement of oncologic safety is very difficult. This study is designed to evaluate the adequate length of DRM in multiviscerally resected rectal cancer. METHODS A total ...

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The treatment of locally advanced rectal cancer (T3/4 or N1/2) is challenging and requires a multidisciplinary approach including diagnostic radiology, medical oncology, pathology, radiation therapy, and surgery. Unlike many solid tumors, locally advanced or locally invasive rectal cancer is not necessarily unresectable (Lopez 2001). Indeed, over the past 30 years, it has been shown that a sign...

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Safe distal margin resection in patients with low rectal cancer undergoing neoadjuvant chemoradiation

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Adequate length of the surgical distal resection margin in rectal cancer: from the viewpoint of pathological findings.

BACKGROUND Previous studies have not identified how to determine the optimal distal margin in rectal cancer based on histopathological diagnosis. We examined the surgical distal resection margin from a histopathological viewpoint. METHODS We enrolled 629 patients. The type of distal spread was evaluated, and the maximum length of distal spread was measured using a micrometer. RESULTS The fr...

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ژورنال

عنوان ژورنال: Journal of the Korean Surgical Society

سال: 2012

ISSN: 2233-7903,2093-0488

DOI: 10.4174/jkss.2012.82.2.87