Quality control in the surgery of rectal cancer
YE Ying-jiang
SHEN Zhan-long
WANG Shan
Abstract:TME (total mesorectal excision) procedure making the anatomical landmark and plane definitive has become the mile stone in the quality-controlled surgery of rectal cancer. The system of quality-controlled surgery is being established and cleared based on the accumulating evidences. It includes following aspects: a. preoperative evaluation by MDT (Multidisciplinary team). Precise preoperative imaging staging for tumors makes the surgical options tailored and quality-controlled; b. quality-controlled surgical procedures, such as TME and extralevator APE approaches, show the common characteristics, which bring the dissecting plane and landmark clear, make the injury of vessels and nervous decreased and the organic function protected;c. postoperative pathological assessment. CRM (circumferential resection margin) and specimen quality score are the critical parameters to evaluate the surgical quality after operation.
Keywords:rectal cancersurgeryquality controllmultidisciplinary team
Publication Date:2016-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:3( 25-27 )
