دورية أكاديمية
New classification system for radical rectal cancer surgery based on membrane anatomy.
| العنوان: | New classification system for radical rectal cancer surgery based on membrane anatomy. |
|---|---|
| المؤلفون: | Jiang HH; Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China.; Institute of Gastrointestinal Surgery and Translational Medicine, Tongji University School of Medicine, Shanghai 200090, China., Ni ZZ; Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China., Chang Y; Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China.; Institute of Gastrointestinal Surgery and Translational Medicine, Tongji University School of Medicine, Shanghai 200090, China., Li AJ; Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China., Wang WC; Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China., Lv L; Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China., Peng J; Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China., Pan ZH; Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China., Liu HL; Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China.; Institute of Gastrointestinal Surgery and Translational Medicine, Tongji University School of Medicine, Shanghai 200090, China., Lin MB; Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China.; Institute of Gastrointestinal Surgery and Translational Medicine, Tongji University School of Medicine, Shanghai 200090, China. 1500142@tongji.edu.cn. |
| المصدر: | World journal of gastrointestinal surgery [World J Gastrointest Surg] 2023 Jul 27; Vol. 15 (7), pp. 1465-1473. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 101532473 Publication Model: Print Cited Medium: Print ISSN: 1948-9366 (Print) NLM ISO Abbreviation: World J Gastrointest Surg Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2014- : Pleasanton, CA : Baishideng Publishing Group Original Publication: Beijing, China : Baishideng |
| مستخلص: | Background: Total mesorectal excision along the "holy plane" is the only radical surgery for rectal cancer, regardless of tumor size, localization or even tumor stage. However, according to the concept of membrane anatomy, multiple fascial spaces around the rectum could be used as the surgical plane to achieve radical resection. Aim: To propose a new membrane anatomical and staging-oriented classification system for tailoring the radicality during rectal cancer surgery. Methods: A three-dimensional template of the member anatomy of the pelvis was established, and the existing anatomical nomenclatures were clarified by cadaveric dissection study and laparoscopic surgical observation. Then, we suggested a new and simple classification system for rectal cancer surgery. For simplification, the classification was based only on the lateral extent of resection. Results: The fascia propria of the rectum, urogenital fascia, vesicohypogastric fascia and parietal fascia lie side by side around the rectum and form three spaces (medial, middle and lateral), and blood vessels and nerves are precisely positioned in the fascia or space. Three types of radical surgery for rectal cancer are described, as are a few subtypes that consider nerve preservation. The surgical planes of the proposed radical surgeries (types A, B and C) correspond exactly to the medial, middle, and lateral spaces, respectively. Conclusion: Three types of radical surgery can be precisely defined based on membrane anatomy, including nerve-sparing procedures. Our classification system may offer an optimal tool for tailoring rectal cancer surgery. Competing Interests: Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article. (©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.) |
| References: | World J Surg. 2010 Mar;34(3):594-8. (PMID: 20052469) Gynecol Oncol. 2007 Jan;104(1):186-91. (PMID: 16996115) Sci Rep. 2015 Nov 06;5:16287. (PMID: 26542081) Gynecol Oncol. 2011 Aug;122(2):264-8. (PMID: 21592548) Tech Coloproctol. 2022 Apr;26(4):311-313. (PMID: 34652559) Anat Sci Int. 2021 Jan;96(1):20-29. (PMID: 32529339) Gynecol Oncol. 2000 Apr;77(1):155-63. (PMID: 10739705) World J Surg Oncol. 2020 Nov 23;18(1):304. (PMID: 33228677) Int J Surg. 2022 Mar;99:106263. (PMID: 35176497) J Anus Rectum Colon. 2019 Oct 30;3(4):175-195. (PMID: 31768468) Br J Surg. 1982 Oct;69(10):613-6. (PMID: 6751457) Dig Surg. 2015;32(4):291-300. (PMID: 26138509) World J Gastroenterol. 2021 Jun 28;27(24):3654-3667. (PMID: 34239276) Br J Surg. 2007 May;94(5):620-6. (PMID: 17330242) Int J Colorectal Dis. 2014 Nov;29(11):1417-26. (PMID: 25060217) Ann Surg Oncol. 2015 Feb;22(2):550-1. (PMID: 25331006) Surg Endosc. 2017 Feb;31(2):945-948. (PMID: 27324330) Zhonghua Wei Chang Wai Ke Za Zhi. 2020 Jul 25;23(7):634-642. (PMID: 32683822) Surg Endosc. 2018 Nov;32(11):4698-4705. (PMID: 30054740) Ann Gastroenterol Surg. 2020 Jul 25;4(4):314-315. (PMID: 32724873) Ann Surg. 2021 Dec 1;274(6):e473-e480. (PMID: 33234798) Semin Surg Oncol. 1998 Sep;15(2):66-71. (PMID: 9730411) Gynecol Oncol. 2008 Nov;111(2 Suppl):S33-41. (PMID: 18752840) Bull Tokyo Med Dent Univ. 1984 Mar;31(1):21-32. (PMID: 6589090) J Am Coll Dent. 2014 Summer;81(3):14-8. (PMID: 25951678) Surg Gynecol Obstet. 1948 Jan;86(1):9-28. (PMID: 18920874) J R Soc Med. 1988 Sep;81(9):503-8. (PMID: 3184105) Ann Surg Oncol. 2017 Oct;24(11):3406-3412. (PMID: 28785898) Surg Today. 2015 Feb;45(2):129-39. (PMID: 24515451) Dis Colon Rectum. 2020 Apr;63(4):562. (PMID: 32132465) Int J Gynecol Cancer. 2019 Sep;29(7):1203-1208. (PMID: 31326949) J Laparoendosc Adv Surg Tech A. 2021 Jun;31(6):705-709. (PMID: 33085929) Ann Oncol. 2017 Jul 1;28(suppl_4):iv22-iv40. (PMID: 28881920) Surgeon. 2013 Aug;11(4):177-82. (PMID: 23597667) Gynecol Oncol Rep. 2020 Aug 19;34:100623. (PMID: 32984492) |
| فهرسة مساهمة: | Keywords: Classification system; Lateral lymph node dissection; Membrane anatomy; Radical rectal cancer surgery; Total mesorectal excision |
| تواريخ الأحداث: | Date Created: 20230809 Latest Revision: 20230810 |
| رمز التحديث: | 20230810 |
| مُعرف محوري في PubMed: | PMC10405107 |
| DOI: | 10.4240/wjgs.v15.i7.1465 |
| PMID: | 37555102 |
| قاعدة البيانات: | MEDLINE |
كن أول من يترك تعليقا!