Pathologic Processing of the Total Mesorectal Excision

Abstract Total mesorectal excision (TME) is the current optimal surgical treatment for patients with rectal carcinoma. A complete TME is related to lower local recurrence rates and increased patient survival. Many confounding factors in the patient's anatomy and prior therapy can make it diffic...

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Bibliographic Details
Published in:Clinics in colon and rectal surgery 2015-03, Vol.28 (1), p.043-052
Main Authors: Campa-Thompson, Molly, Weir, Robert, Calcetera, Natalie, Quirke, Philip, Carmack, Susanne
Format: Article
Language:English
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Summary:Abstract Total mesorectal excision (TME) is the current optimal surgical treatment for patients with rectal carcinoma. A complete TME is related to lower local recurrence rates and increased patient survival. Many confounding factors in the patient's anatomy and prior therapy can make it difficult to obtain a perfect plane, and thus a complete TME. The resection specimen can be thoroughly evaluated, grossly and microscopically, to identify substandard surgical outcomes and increased risk of local recurrence. Complete and accurate data reporting is critical for patient care and helps surgeons improve their technique.
ISSN:1531-0043
1530-9681
DOI:10.1055/s-0035-1545069