[Surgery for Rectal Cancer]
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During the last decade surgical treatment of rectal cancer has seen various improvements. Partial or total mesorectal excision (TME) became standard procedure. The surgical quality of the TME has a high effect on prognosis. Besides metastases, the circumferential resection margin receives the most attention. As recent studies established a distal resection margin of 1 cm, the rate of continence-preserving resections has grown, especially after neoadjuvant radiochemotherapy. In the hands of an expert, laparoscopic rectal resection is a technically safe procedure. Its oncological efficacy cannot yet be decided. Modern therapy for rectal cancer comprises multilateral considerations and therefore needs a multimodal orientation.
Garlipp B, Ptok H, Schmidt U, Meyer F, Gastinger I, Lippert H Langenbecks Arch Surg. 2010; 395(8):1031-8.
PMID: 20711786 DOI: 10.1007/s00423-010-0708-0.