Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | smbt, 23 martie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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LOW ANTERIOR RESECTION OF THE RECTUM WITH TOTAL MESORECTAL EXCISION. SURGICAL - TECHNIQUE
I. Radu (*), Maria Gabriela Aniţei, V. Scripcariu, Cr. Dragomir
(*) PhD student, “Gr.T.Popa” University of Medicine and Pharmacy Iaşi
Third Surgical Clinic, University Hospital St Spiridon
“Gr.T.Popa” University of Medicine and Pharmacy Iaşi
Jurnalul de chirurgie 2011; 7 (4): 692-697
Full text:
Format PDF (Română/Romanian)

Abstract:

Local recurrence after surgery for rectal cancer remains a major issue for all surgeons who treat these disorders. RJ Heald has shown that there are lymph nodes metastasis in mesorectum, distal to rectal tumor. This is the reason why, for inferior and middle rectal tumour, total mesorectal excision should be performed as a routine. The key to this  intervention consists in a sharp and meticulous dissection around the fatty mesorectum, without breaking the mesorectal fascia. Special attention should be paid on colorectal  anastomosis, this could be performed stapled or handsewn. Defunctioning ileostomy must be accepted by the patient and the surgeon, considering the potential septic risk in the event of a fistula.

KEY WORDS: TOTAL MESORECTAL EXCISION, RECTAL CANCER, SURGICAL TECHNIQUE

Correspondence to: Iulian Radu, MD, Third Surgical Clinic, University Hospital St Spiridon, “Gr.T.Popa” University of Medicine and Pharmacy Iaşi, str. Universităţii, nr. 16, e-mail:



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.