1INTRODUCTIONMultiple systematic reviews and meta‐analyses of randomized trials comparing laparoscopic and open rectal cancer resections have shown similar short‐ and long‐term outcomes between the two procedures. There remains a dearth of information, however, with respect to the role laparoscopic surgery plays in the routine surgical management of rectal cancer, particularly with respect to its ability to provide a safe pathological surgical outcome.The description of the perirectal fascia by Thomas Jonnesco has contributed significantly to the understanding of the surgical anatomy of the rectum, as has the work of Mike and Kano regarding laparoscopic anatomy. These contributions, together with the promotion of total mesorectal excision (TME) of the rectum by R.J. Heald, explain why rectal resection is regarded as a highly “specimen‐orientated” procedure. The identification of the correct anatomical plane to mobilize the extraperitoneal rectum with preservation of the perirectal fascia, avoiding injury to strategic neurovascular structures and ensuring adequate circumferential resection margin (CRM), produces a unique operative specimen. A detailed examination of the specimen by the pathologist provides not only important prognostic information but also may be used to evaluate the quality of surgery according to the key criteria of integrity of the perirectal fascial envelope, CRM clearance, lymph
Asia-Pacific Journal of Clinical Oncology – Wiley
Published: Jan 1, 2018
Keywords: ; ; ;
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera