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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2016, Vol. 05 ›› Issue (06): 463-467. doi: 10.3877/cma.j.issn.2095-3224.2016.06.002

Special Issue:

• Editorial • Previous Articles     Next Articles

Surgical quality control of TME and ELAPE procedure for rectal cancer

Shan Wang1,(), Zhanlong Shen1, Kewei Jiang1, Yingjiang Ye1   

  1. 1. Department of Gastroenterological Surgery, Laboratory of Surgical Oncology, Peking University People′s Hospital, Beijing 100044, China
  • Received:2016-09-16 Online:2016-12-25 Published:2016-12-25
  • Contact: Shan Wang
  • About author:
    Corresponding author: Wang Shan, Email:

Abstract:

Clear anatomical plane and surgical quality control are crucial points of operation development. In the history of rectal cancer surgery, total mesorectal excision (TME) and extralevator abodminoperineal excision (ELAPE) are two milestone style operations. TME has become the standard procedure of middle-low rectal cancer, ELAPE play an important role in decreasing the ″surgical waist″ (it might lead to circumferential resection margin positive) produced in conventional abdominoperienal excision procedure. The surgical quality control should include three aspects as followed: sufficient preoperative evaluation by multidisciplinary team (MDT), surgical technique quality control, postoperative pathological evaluation. The surgical quality control of two procedures was discoursed based on above three aspects

Key words: Rectal neoplasms, Surgical procedures, operative, Total mesorectal excision, Extralevator abodminoperineal excision

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