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直肠癌根治术的切除范围 被引量:5

'Resection range for radical resection of rectal cancer
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摘要 随着居民生活方式及饮食结构的改变,我国结直肠癌的发病率逐年上升[1],尤其在大城市结直肠癌的发病率已超过胃癌及肝癌,成为发病率第二位的恶性肿瘤[2],其中直肠癌占结直肠癌的比例达30%~60%[3]。随着全直肠系膜切除(total mesorectal excision,TME)及新辅助治疗策略的广泛应用,直肠癌的局部复发率从既往的14%~45%下降至4%~7%[4]。
作者 毕亮 王自强
出处 《中国医刊》 CAS 2019年第1期4-9,共6页 Chinese Journal of Medicine
基金 四川大学华西医院135项目 四川省科技厅科技支撑项目(2016SZ0043)
作者简介 通信作者:王自强,Email:wangzqzyh@163.com.
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  • 1Quirke P, Steele R, Monson J, et al. Effect of the plane of surgery achieved on local recurrence in patients with operable rectal cancer: a prospective study using data from the MRC CR07 and NCIC-CTG CO16 randomised clinical trial. Lancet, 2009,373 : 821-828.
  • 2Greco P, Magro G. Pathologic examination and staging of rectal carcinoma: a critical review. Pathologica, 2010, 102:12-27.
  • 3Quinn MJ, Slack MC. Anatomy of Denonvilliers' fascia and pelvic nerves, impotence, and implications for the colorectal surgeon. BrJ Surg, 2001,88 : 888.
  • 4Lindsey I, Guy R J, Warren BF, et al. Anatomy of Denonvilliers' fascia and pelvic nerves, impotence, and implications for the colorectal surgeon. Br J Surg, 2000,87: 1288-1299.
  • 5BJA TCE. Anatomical and surgical restudy of Denovilliers' fascia. Surg Gynecol, 1945,80:373-378.
  • 6Lindsey I, Warren B, Mortensen N. Optimal total mesorectal excision for rectal cancer is by dissection in front of Denonvilliers' fascia (Br J Surg 2004; 91 : 121-123). Br J Surg, 2004,91 : 897.
  • 7van Ophoven A, Roth S. The anatomy and embryological origins of the fascia of Denonvilliers: a medico-historical debate. J Urol, 1997,157 : 3-9.
  • 8Kinugasa Y, Murakami G, Uchimoto K, et al. Operating behind Denonvilliers' fascia for reliable preservation ofurogenital autonomic nerves in total mesorectal excision: a histologic study using cadaveric specimens, including a surgical experiment using fresh cadaveric models. Dis Colon Rectum, 2006,49 : 1024-1032.
  • 9Walz J, Burnett AL, Costello A J, et al. A critical analysis of the current knowledge of surgical anatomy related to optimization of cancer control and preservation of continence and erection in candidates for radical prostatectomy. Eur Urol, 2010,57 : 179-192.
  • 10Taguchi K, Tsukamoto T, Murakami G. Anatomical studies of the autonomic nervous system in the human pelvis by the whole-mount staining method: left-right communicating nerves between bilateral pelvic plexuses. J Urol, 1999,161:320-325.

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