Related Experiment Videos
[Total meso-rectal excision in low anterior resection with double stapling technique]
1Institute of Digestive Surgery, Affiliated Ruijin Hospital, Shanghai Second Medical University, Shanghai 200025, China.
Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|February 8, 2002
Summary
Total meso-rectal excision (TME) significantly lowers local recurrence rates in low anterior resection (LAR) with double stapling. Early disease detection and treatment are crucial for better outcomes in rectal cancer surgery.
Area of Science:
- Colorectal Surgery
- Surgical Oncology
- Gastrointestinal Oncology
Context:
- Rectal cancer treatment often involves low anterior resection (LAR) with double stapling technique.
- Total meso-rectal excision (TME) is a surgical approach aiming to improve oncological outcomes.
- Evaluating the efficacy of TME in conjunction with LAR and double stapling is essential for optimizing rectal cancer management.
Purpose:
- To assess the effectiveness of total meso-rectal excision (TME) in reducing local recurrence rates following low anterior resection (LAR) using the double stapling technique.
- To analyze the complication rates and oncological outcomes associated with TME in LAR.
- To determine the relationship between disease stage and local recurrence after TME and LAR.
Summary:
- A study of 306 rectal lesion cases treated with TME in LAR using double stapling from 1993-1998.
- Low rates of operative death (0%) and anastomotic leakage (2.94%) were observed.
- Local recurrence rates varied by Dukes' stage, with higher rates in advanced stages (Dukes' D: 53.85%), highlighting the importance of early intervention.
Impact:
- TME can effectively decrease local recurrence rates in patients undergoing LAR with double stapling.
- The findings underscore the critical role of early diagnosis, detection, and treatment in managing rectal cancer.
- This study contributes to the understanding of TME's value in improving surgical outcomes for rectal cancer.