Abstract:
:Nodal dissemination in locally advanced rectal cancer occurs mainly in two directions: upward and lateral. Lateral node involvement has been demonstrated; however, lateral lymph node dissection (LLND) is not routinely performed in Western countries and the focus is more on neoadjuvant treatment regimens. The main reasons for this are the high morbidity associated with the operation and the uncertain oncological benefit. There is, however, recent evidence that in selected cases, neoadjuvant treatment combined with total mesorectal excision only might not be sufficient. In this article, the historical developments in the East and the West, the current evidence regarding lateral nodal disease, and the surgical steps in the LLND are discussed.
journal_name
Clin Colon Rectal Surgjournal_title
Clinics in colon and rectal surgeryauthors
Kusters M,Uehara K,Velde CJHV,Moriya Ydoi
10.1055/s-0037-1606112subject
Has Abstractpub_date
2017-11-01 00:00:00pages
346-356issue
5eissn
1531-0043issn
1530-9681pii
00844journal_volume
30pub_type
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
pub_type: 杂志文章,评审
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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abstract::A dynamic evolution is occurring in transanal surgery. Transanal techniques began with intraluminal surgical removal of rectal masses and have progressed to transanal total mesorectal excision (taTME) for rectal cancer. TaTME was first performed in 2009 by Sylla, Rattner, Delgado, and Lacy. This article documents the ...
journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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journal_title:Clinics in colon and rectal surgery
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abstract::Transanal total mesorectal excision (taTME) is a novel technique that has evolved over the years to address the challenges of low rectal cancer surgery by applying the principles and benefits of laparoscopic surgery to more historic transanal techniques. It has been popularized through its use in rectal cancer, but th...
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