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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 187 - 199 (13page)
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초록· 키워드
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The primary goal of surgery for rectal cancer is to achieve an oncologically safe resection, i.e., a radical resection with a sufficient safe margin. Total mesorectal excision has been introduced for radical surgery of rectal cancer and has yielded greatly improved oncologic outcomes in terms of local recurrence and cancer-specific survival. Along with oncologic outcomes, functional outcomes, such as voiding and sexual function, have also been emphasized in patients undergoing rectal cancer surgery to improve quality of life. Intraoperative nerve damage or combined excision is the primary reason for sexual and urinary dysfunction. In the past, these forms of damage could be attributed to the lack of anatomical knowledge and poor visualization of the pelvic autonomic nerve. With the adoption of minimally invasive surgery, visualization of nerve structure and meticulous dissection for the mesorectum are now possible. As the leading hospital employing this technique, we have adopted minimally invasive platforms (laparoscopy, robot-assisted surgery) in the field of rectal cancer surgery and standardized this technique globally. Here, we review a standardized technique for rectal cancer surgery based on our experience at Severance Hospital, suggest some practical technical tips, and discuss a couple of debatable issues in this field.
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등록된 정보가 없습니다.
참고문헌 (61)
참고문헌 신청
Chew MH / 2016 / Pelvic autonomic nerve preservation in radical rectal cancer surgery: changes in the past 3 decades / Gastroenterol Rep(Oxf) 4:173~185
Bokey EL / 1999 / Local recurrence after curative excision of the rectum for cancer without adjuvant therapy : role of total anatomical dissection / Br J Surg 86:1164~1170
김남규 / 2005 / Anatomic Basis of Sharp Pelvic Dissection for Curative Resection of Rectal Cancer / Yonsei Medical Journal 46(6):737~749
Heald RJ / 1979 / A new approach to rectal cancer / Br J Hosp Med 22:277~281
Piso P / 2004 / Total mesorectal excision for middle and lower rectal cancer : a single institution experience with 337 consecutive patients / J Surg Oncol 86:115~121
Bokey EL / 1999 / Local recurrence after curative excision of the rectum for cancer without adjuvant therapy : role of total anatomical dissection / Br J Surg 86:1164~1170
김남규 / 2005 / Anatomic Basis of Sharp Pelvic Dissection for Curative Resection of Rectal Cancer / Yonsei Medical Journal 46(6):737~749
Heald RJ / 1979 / A new approach to rectal cancer / Br J Hosp Med 22:277~281
Piso P / 2004 / Total mesorectal excision for middle and lower rectal cancer : a single institution experience with 337 consecutive patients / J Surg Oncol 86:115~121
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