Tailoring rectal cancer surgery: Surgical approaches and anatomical insights during deep pelvic dissection for optimal outcomes in low‐lying rectal cancer

Bibliographic Details
Title: Tailoring rectal cancer surgery: Surgical approaches and anatomical insights during deep pelvic dissection for optimal outcomes in low‐lying rectal cancer
Authors: Youn Young Park, Nam Kyu Kim
Source: Annals of Gastroenterological Surgery, Vol 8, Iss 5, Pp 761-773 (2024)
Publisher Information: Wiley, 2024.
Publication Year: 2024
Collection: LCC:Surgery
LCC:Diseases of the digestive system. Gastroenterology
Subject Terms: anatomy, rectal neoplasm, surgery, Surgery, RD1-811, Diseases of the digestive system. Gastroenterology, RC799-869
More Details: Abstract This review article explores advanced surgical approaches and anatomical insights for tailoring rectal cancer surgery, particularly focusing on low‐lying rectal cancer. With the evolution of imaging technologies, precise preoperative planning has become possible, enhancing the visualization of anatomy surrounding the rectum and enabling more accurate assessments of circumferential resection margin (CRM) involvement. The article emphasizes the dynamic nature of rectal cancer treatment, advocating for individualized surgical planning based on comprehensive preoperative imaging and intraoperative assessment. This approach aims to optimize patient care by integrating recent advancements and anatomical insights into clinical practice for the management of low‐lying rectal cancer. Particularly, the article discusses the importance of customizing the excision of Denonvilliers' fascia (DVF) based on tumor characteristics for optimal oncologic and functional outcomes, especially for anteriorly located tumors. It highlights the need for precise dissection techniques to ensure a negative CRM while preserving critical anatomical structures. Additionally, the review addresses the surgical management of tumors at the anorectal ring and introduces the Gate Approach for deep anterolateral pelvic dissection. Special attention is given to tumors impacting the membranous and prostate urethra, emphasizing tailored surgical approaches to balance complete tumor resection with the preservation of urogenital functions.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2475-0328
Relation: https://doaj.org/toc/2475-0328
DOI: 10.1002/ags3.12824
Access URL: https://doaj.org/article/535a6b642a4e40a9afb76cb419e3e359
Accession Number: edsdoj.535a6b642a4e40a9afb76cb419e3e359
Database: Directory of Open Access Journals
More Details
ISSN:24750328
DOI:10.1002/ags3.12824
Published in:Annals of Gastroenterological Surgery
Language:English