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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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
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container_title Clinics in colon and rectal surgery
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creator Campa-Thompson, Molly
Weir, Robert
Calcetera, Natalie
Quirke, Philip
Carmack, Susanne
description 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.
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title Pathologic Processing of the Total Mesorectal Excision
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