The quality of total mesorectal excision specimen: A review of its macroscopic assessment and prognostic significance

As a surgical procedure which could significantly lower the recurrence rate of cancers, total mesorectal excision (TME) has been the gold standard for middle and lower rectal cancer treatment. However, previous studies have shown that the procedure did not achieve the ideal theoretical local recurre...

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Autores principales:	Shi-Bo Song, Guo-Ju Wu, Hong-Da Pan, Hua Yang, Mao-Lin Hu, Qiang Li, Qiu-Xia Yan, Gang Xiao
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2018
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/c03036bbe10a4362bfc6f0f435e3371c
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spelling	oai:doaj.org-article:c03036bbe10a4362bfc6f0f435e3371c2021-12-02T13:58:45ZThe quality of total mesorectal excision specimen: A review of its macroscopic assessment and prognostic significance2095-882X10.1016/j.cdtm.2018.02.002https://doaj.org/article/c03036bbe10a4362bfc6f0f435e3371c2018-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095882X17300919https://doaj.org/toc/2095-882XAs a surgical procedure which could significantly lower the recurrence rate of cancers, total mesorectal excision (TME) has been the gold standard for middle and lower rectal cancer treatment. However, previous studies have shown that the procedure did not achieve the ideal theoretical local recurrence rates of rectal cancers. Some researchers pointed out it was very likely that not all so-called TME treatments completely removed the mesorectum, implying that some of these TME surgical treatments failed to meet oncological quality standards. Therefore, a suitable assessment tool for the surgical quality of TME is necessary. The notion of “macroscopic assessment of mesorectal excision (MAME)” was put forward by some researchers as a better assessment tool for the surgical quality of TME and has been confirmed by a series of studies. Besides providing rapid and accurate surgical quality feedbacks for surgeons, MAME also effectively assesses the prognosis of patients with rectal cancer. However, as a new assessment tool used for TME surgical quality, MAME has an only limited influence on the current guidelines and is yet to be widely applied in most countries. The aims of this review are to provide a detailed introduction to MAME for clinical practice and to summarize the current prognostic significance of MAME. Keywords: Macroscopic assessment of mesorectal excision (MAME), Quality control, Total mesorectal excision (TME), ConingShi-Bo SongGuo-Ju WuHong-Da PanHua YangMao-Lin HuQiang LiQiu-Xia YanGang XiaoKeAi Communications Co., Ltd.articleMedicine (General)R5-920ENChronic Diseases and Translational Medicine, Vol 4, Iss 1, Pp 51-58 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Shi-Bo Song Guo-Ju Wu Hong-Da Pan Hua Yang Mao-Lin Hu Qiang Li Qiu-Xia Yan Gang Xiao The quality of total mesorectal excision specimen: A review of its macroscopic assessment and prognostic significance
description	As a surgical procedure which could significantly lower the recurrence rate of cancers, total mesorectal excision (TME) has been the gold standard for middle and lower rectal cancer treatment. However, previous studies have shown that the procedure did not achieve the ideal theoretical local recurrence rates of rectal cancers. Some researchers pointed out it was very likely that not all so-called TME treatments completely removed the mesorectum, implying that some of these TME surgical treatments failed to meet oncological quality standards. Therefore, a suitable assessment tool for the surgical quality of TME is necessary. The notion of “macroscopic assessment of mesorectal excision (MAME)” was put forward by some researchers as a better assessment tool for the surgical quality of TME and has been confirmed by a series of studies. Besides providing rapid and accurate surgical quality feedbacks for surgeons, MAME also effectively assesses the prognosis of patients with rectal cancer. However, as a new assessment tool used for TME surgical quality, MAME has an only limited influence on the current guidelines and is yet to be widely applied in most countries. The aims of this review are to provide a detailed introduction to MAME for clinical practice and to summarize the current prognostic significance of MAME. Keywords: Macroscopic assessment of mesorectal excision (MAME), Quality control, Total mesorectal excision (TME), Coning
format	article
author	Shi-Bo Song Guo-Ju Wu Hong-Da Pan Hua Yang Mao-Lin Hu Qiang Li Qiu-Xia Yan Gang Xiao
author_facet	Shi-Bo Song Guo-Ju Wu Hong-Da Pan Hua Yang Mao-Lin Hu Qiang Li Qiu-Xia Yan Gang Xiao
author_sort	Shi-Bo Song
title	The quality of total mesorectal excision specimen: A review of its macroscopic assessment and prognostic significance
title_short	The quality of total mesorectal excision specimen: A review of its macroscopic assessment and prognostic significance
title_full	The quality of total mesorectal excision specimen: A review of its macroscopic assessment and prognostic significance
title_fullStr	The quality of total mesorectal excision specimen: A review of its macroscopic assessment and prognostic significance
title_full_unstemmed	The quality of total mesorectal excision specimen: A review of its macroscopic assessment and prognostic significance
title_sort	quality of total mesorectal excision specimen: a review of its macroscopic assessment and prognostic significance
publisher	KeAi Communications Co., Ltd.
publishDate	2018
url	https://doaj.org/article/c03036bbe10a4362bfc6f0f435e3371c
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The quality of total mesorectal excision specimen: A review of its macroscopic assessment and prognostic significance

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