Role of Total Mesorectal Excision in Multimodal Treatment of Rectal Cancer
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/1764 |
Resumo: | Treatment of rectal cancer has undergone numerous advances in recent decades. High local recurrence rates were formerly associated with poor survival. After acquisition of sphincter-sparing techniques, Heald published a new method called total mesorectal excision (TME). This surgical modification allowed an important reduction in local recurrence, from more than 20% to less than 10%. In this literature review, we evaluate the principles, results, and complications of TME in a context where neoadjuvant chemoradiotherapy for stage II and III tumors plays has an important role in local control and patient survival. |
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Role of Total Mesorectal Excision in Multimodal Treatment of Rectal CancerPapel da Excisão Total do Mesorreto no Tratamento Multimodal do Câncer de RetoNeoplasias retaisCirurgia colorretalRecidivaRectal neoplasmsColorectal surgeryRecurrenceTreatment of rectal cancer has undergone numerous advances in recent decades. High local recurrence rates were formerly associated with poor survival. After acquisition of sphincter-sparing techniques, Heald published a new method called total mesorectal excision (TME). This surgical modification allowed an important reduction in local recurrence, from more than 20% to less than 10%. In this literature review, we evaluate the principles, results, and complications of TME in a context where neoadjuvant chemoradiotherapy for stage II and III tumors plays has an important role in local control and patient survival.O tratamento do câncer de reto vem apresentando inúmeros avanços nas últimas décadas. Os altos índices de recidiva local estavam associados a uma sobrevida inadequada. Após a aquisição de uma série de recursos técnicos que aumentaram a preservação esfincteriana, uma modificação técnica proposta por Heald, em 1982, denominada de excisão total do mesorreto (ETM) proporcionou uma redução da recorrência local de 20% a 40% para menos de 10%. Nesta revisão, foram avaliados os princípios, resultados e complicações da ETM num cenário em que a quimioirradiação neo-adjuvante para tumores nos estádios II e III também tem papel fundamental no controle local e na sobrevida destes pacientes.INCA2008-03-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRevisão de literaturaapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/176410.32635/2176-9745.RBC.2008v54n1.1764Revista Brasileira de Cancerologia; Vol. 54 No. 1 (2008): Jan./Feb./Mar.; 87-96Revista Brasileira de Cancerologia; Vol. 54 Núm. 1 (2008): ene./feb./mar.; 87-96Revista Brasileira de Cancerologia; v. 54 n. 1 (2008): jan./fev./mar.; 87-962176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/1764/1052Sarmento, Bruno José de Queiroz Campoli, Paulo Moacir de Oliveira Brito, Alexandre Menezes de Silva, Osterno Queiroz Santana Filho, Jales BenevidesBarreto, Paulo Adriano Queiroz Rocha, Eliane Duarte da Mota, Orlando Milhomem da info:eu-repo/semantics/openAccess2021-11-29T20:23:51Zoai:rbc.inca.gov.br:article/1764Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:23:51Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Role of Total Mesorectal Excision in Multimodal Treatment of Rectal Cancer Papel da Excisão Total do Mesorreto no Tratamento Multimodal do Câncer de Reto |
title |
Role of Total Mesorectal Excision in Multimodal Treatment of Rectal Cancer |
spellingShingle |
Role of Total Mesorectal Excision in Multimodal Treatment of Rectal Cancer Sarmento, Bruno José de Queiroz Neoplasias retais Cirurgia colorretal Recidiva Rectal neoplasms Colorectal surgery Recurrence |
title_short |
Role of Total Mesorectal Excision in Multimodal Treatment of Rectal Cancer |
title_full |
Role of Total Mesorectal Excision in Multimodal Treatment of Rectal Cancer |
title_fullStr |
Role of Total Mesorectal Excision in Multimodal Treatment of Rectal Cancer |
title_full_unstemmed |
Role of Total Mesorectal Excision in Multimodal Treatment of Rectal Cancer |
title_sort |
Role of Total Mesorectal Excision in Multimodal Treatment of Rectal Cancer |
author |
Sarmento, Bruno José de Queiroz |
author_facet |
Sarmento, Bruno José de Queiroz Campoli, Paulo Moacir de Oliveira Brito, Alexandre Menezes de Silva, Osterno Queiroz Santana Filho, Jales Benevides Barreto, Paulo Adriano Queiroz Rocha, Eliane Duarte da Mota, Orlando Milhomem da |
author_role |
author |
author2 |
Campoli, Paulo Moacir de Oliveira Brito, Alexandre Menezes de Silva, Osterno Queiroz Santana Filho, Jales Benevides Barreto, Paulo Adriano Queiroz Rocha, Eliane Duarte da Mota, Orlando Milhomem da |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Sarmento, Bruno José de Queiroz Campoli, Paulo Moacir de Oliveira Brito, Alexandre Menezes de Silva, Osterno Queiroz Santana Filho, Jales Benevides Barreto, Paulo Adriano Queiroz Rocha, Eliane Duarte da Mota, Orlando Milhomem da |
dc.subject.por.fl_str_mv |
Neoplasias retais Cirurgia colorretal Recidiva Rectal neoplasms Colorectal surgery Recurrence |
topic |
Neoplasias retais Cirurgia colorretal Recidiva Rectal neoplasms Colorectal surgery Recurrence |
description |
Treatment of rectal cancer has undergone numerous advances in recent decades. High local recurrence rates were formerly associated with poor survival. After acquisition of sphincter-sparing techniques, Heald published a new method called total mesorectal excision (TME). This surgical modification allowed an important reduction in local recurrence, from more than 20% to less than 10%. In this literature review, we evaluate the principles, results, and complications of TME in a context where neoadjuvant chemoradiotherapy for stage II and III tumors plays has an important role in local control and patient survival. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-03-31 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Revisão de literatura |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1764 10.32635/2176-9745.RBC.2008v54n1.1764 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/1764 |
identifier_str_mv |
10.32635/2176-9745.RBC.2008v54n1.1764 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/1764/1052 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 54 No. 1 (2008): Jan./Feb./Mar.; 87-96 Revista Brasileira de Cancerologia; Vol. 54 Núm. 1 (2008): ene./feb./mar.; 87-96 Revista Brasileira de Cancerologia; v. 54 n. 1 (2008): jan./fev./mar.; 87-96 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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1797042248077017088 |