TY - JOUR
T1 - Total mesorectal excision and sphincter preservation - The early steps of rectal cancer surgery
AU - Perez, Rodrigo O.
AU - Julião, Guilherme P.São
AU - Proscurshim, Igor
AU - Sabbagh, Charles
AU - Grzona, Esteban
AU - Lynn, Patricio B.
AU - Gama-Rodrigues, Joaqim
PY - 2014
Y1 - 2014
N2 - The treatment of rectal cancer has evolved significantly over the last 100 years. Standardization of total mesorectal excision and the development of techniques for sphincter preservation have resulted in significant improvements in the management of this disease. Still, local disease control and functional outcomes of sphincter preserving procedures remain a relevant issue. In this historical paper, the oncological and functional outcomes of patients with rectal cancer treated between 1960 and 1971 by a pioneer woman surgeon using a sphincter preserving approach and a technique resembling total mesorectal excision performed at that time are reported. The results reflect one of the earliest steps of partial intersphincteric resection and total mesorectal excision with good oncological outcomes (2% local recurrence) and acceptable functional outcomes in a highly selected group of patients.
AB - The treatment of rectal cancer has evolved significantly over the last 100 years. Standardization of total mesorectal excision and the development of techniques for sphincter preservation have resulted in significant improvements in the management of this disease. Still, local disease control and functional outcomes of sphincter preserving procedures remain a relevant issue. In this historical paper, the oncological and functional outcomes of patients with rectal cancer treated between 1960 and 1971 by a pioneer woman surgeon using a sphincter preserving approach and a technique resembling total mesorectal excision performed at that time are reported. The results reflect one of the earliest steps of partial intersphincteric resection and total mesorectal excision with good oncological outcomes (2% local recurrence) and acceptable functional outcomes in a highly selected group of patients.
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U2 - 10.1016/j.jcol.2013.12.007
DO - 10.1016/j.jcol.2013.12.007
M3 - Article
AN - SCOPUS:84898909629
SN - 2237-9363
VL - 34
SP - 41
EP - 47
JO - Journal of Coloproctology
JF - Journal of Coloproctology
IS - 1
ER -