Observational Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2023; 15(7): 1465-1473
Published online Jul 27, 2023. doi: 10.4240/wjgs.v15.i7.1465
New classification system for radical rectal cancer surgery based on membrane anatomy
Hui-Hong Jiang, Zhi-Zhan Ni, Yi Chang, A-Jian Li, Wen-Chao Wang, Liang Lv, Jian Peng, Zhi-Hui Pan, Hai-Long Liu, Mou-Bin Lin
Hui-Hong Jiang, Zhi-Zhan Ni, Yi Chang, A-Jian Li, Wen-Chao Wang, Liang Lv, Jian Peng, Zhi-Hui Pan, Hai-Long Liu, Mou-Bin Lin, Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai 200090, China
Hui-Hong Jiang, Yi Chang, Hai-Long Liu, Mou-Bin Lin, Institute of Gastrointestinal Surgery and Translational Medicine, Tongji University School of Medicine, Shanghai 200090, China
Author contributions: Lin MB conceived the study; Jiang HH, Li AJ, Wang WC and Lin MB performed the study; Lv L, Peng J and Pan ZH helped collect the data; Chang Y and Liu HL analyzed and interpreted the data; Jiang HH and Ni ZZ drafted the manuscript and shared first co-authorship; and all authors have read and approved the final manuscript.
Supported by the National Natural Science Foundation of China, No. 81874201; Technology Plan Project, No. 20Y11908300; Shanghai Medical Key Specialty Construction Plan, No. ZK2019A19; Shanghai Municipal Commission of Health and Family Planning, No. 202040122; and Shanghai Pujiang Program, No. 21PJD066.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Yangpu Hospital, Tongji University (LL-2020-SCI-001).
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE statement, and the manuscript was prepared and revised according to the STROBE statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mou-Bin Lin, MD, Surgical Oncologist, Department of General Surgery, Yangpu Hospital, Tongji University School of Medicine, No. 450 Tengyue Road, Shanghai 200090, China. 1500142@tongji.edu.cn
Received: February 1, 2023
Peer-review started: February 1, 2023
First decision: April 3, 2023
Revised: April 24, 2023
Accepted: May 25, 2023
Article in press: May 25, 2023
Published online: July 27, 2023
Core Tip

Core Tip: Total mesorectal excision (TME) is the only surgical option for rectal cancer. It is necessary to establish a variety of surgical procedures apart from Heald’s TME to tailor radical surgery for rectal cancer patients. In this study, we clarified the three-dimensional membrane anatomy of the pelvis and proposed a new anatomical and staging-oriented classification system comprising three types of radical rectal cancer surgery (types A to C). This classification may provide a useful tool for uniting terminology and tailoring rectal cancer surgery.