rectal cancer lymph node metastasis

colon cancer and rectal cancer best surgical treatment method. dr. anton titov, md: rectal cancer treatment for a long time included apr, abdominal perineal resection. but the best standards for rectal cancer surgery changed. you have a very large experience with the the nerve-sparing method of rectal cancer treatment, total mesorectal excision (tme). could you please talk about total mesorectal excision (tme) method of rectal cancer treatment. how beneficial is tme for rectal cancer surgical treatment? dr. martin schilling, md (esophageal cancer, gastric cancer, pancreatic cancer, liver cancer and colon cancer surgeon, switzerland): description of the mesorectal planes, the shealths covering the rectum, has been described by dr. w.e. miles over a hundred years ago (in 1908). then concept of mesorectal surgical planes was applied to rectal dissection by german surgeon working in bonn. then it was rediscovered by dr. r.j. heald from the uk. dr. heald applied mesorectal planes concept to rectal cancer surgery around the world. dr. heald also made this total mesorectal excision technique to treat rectal cancer popular in the united states. tme technique include resection of all tissues surrounding the rectum, including lymph nodes and small lymphatic vessels. total mesorectal excision treatment for rectal cancer preserves all vital pelvic nerves going down to the pelvic organs. by applying total mesorectal excision technique to rectal cancer surgery the local recurrence rate after 5 years for rectal cancer decreased from 30% to 5% or 7%

dr. martin schilling, md (esophageal cancer, gastric cancer, pancreatic cancer, liver cancer and colon cancer surgeon, switzerland): so following anatomical planes in tme surgery technique has had tremendous success in rectal cancer treatment. since mid-1990s i have used similar technique in colon cancer treatment. we follow the same mesocolic anatomical planes along the colon to dissect colon cancer tumor. mesocolic anatomic planes are clearly described just like mesorectal anatomical planes. using mesocolic excision in colon cancer surgery treatment has given us tremendous success in local control in colon cancer. local recurrence rates for colon cancer has decreased dramatically. dr. anton titov, md: so the surgeon's experience and knowledge of the best modern surgical techniques is a major prognostic factor in cancer treatment. including colorectal cancer treatment. dr. martin schilling, md (esophageal cancer, gastric cancer, pancreatic cancer, liver cancer and colon cancer surgeon, switzerland): that's correct. that's the first and one of the most important steps in successful colorectal cancer treatment - the primary operation to remove colorectal cancer tumor and define well the primary surgical strategy.

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