REVIEW  RECTAL CANCER TREATMENT IN THE 21ST CENTURY 

Minerva Chirurgica 2018 December;73(6):528-33

DOI: 10.23736/S0026-4733.18.07775-1

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

The evolution of pelvic dissection for rectal cancer from blunt dissection to total mesorectal excision

Dimitri KRIZZUK, Aaron S. RICKLES, Steven D. WEXNER ✉

Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA

“Modern” rectal cancer treatment began in the 18th century. However, initial results of the pioneer surgeons were very poor. During the next several decades, significant progress was made towards the cure of rectal cancer. Improvements have included lowering mortality, reducing recurrence, and optimizing functional outcomes. This article reviews the individuals and their advancements in rectal cancer treatment. It describes the changes in the surgical approach for tumor resection, the study of the lymphatic spread of rectal cancer and the advances in sphincter preservation procedures from the era of blunt dissection until the paradigm changing revolution of total mesorectal excision.

KEY WORDS: Rectal neoplasms - Dissection - Margins of excision