000			03044cam a2200349 a 4500
003			EG-GiCUC
005			20250223032051.0
008			180927s2018 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.14.M.Sc.2018.Es.C
100	0		_aEslam Ahmed Abdelrasoul
245	1	0	_aComparative study between high and low iInferior mesenteric artery ligation in laparoscopic total mesorectal excision in rectal cancer patients / _cEslam Ahmed Abdelrasoul ; Supervised Amr Mahmoud Elshayeb , Haitham Soliman Elsayed , Mohamed Yehia Ahmed Elbarmelgi
246	1	5	_aدراسة مقارنة بين الربط العلوى و السفلى للشريان المسراقى السفلى خلال الاستئصال الكلى المسراق المستقيم بواسطة المنظار الجراحى فى حالات سرطان المستقيم
260			_aCairo : _bEslam Ahmed Abdelrasoul , _c2018
300			_a94 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery
520			_aSurgery is the main choice of treatment for patients with rectal cancer. The concept of total mesorectal excision (TME), which was introduced by (Heald and Ryall) during the 1980s has significantly improved the outcome for patients with rectal cancer, particularly with regard to local recurrence (Heald, et al., 2004). The local recurrence rates were reduced from between 30% and 40% to 5% after TME, Therefore TME has been generally accepted as the gold standard for rectal cancer surgery (Heald, et al., 1986). Exposure of the pelvic operative field could be a problem, because of narrow pelvis and impaired visibility as the dissection proceeds caudal. So, there are many problems with open TME surgery, mainly pertaining to difficulties in pelvic dissection leading to functional urogenital problems as bladder dysfunction occurs in 7-68%, especially in male patients (Lacy, et al., 2002). The introduction of laparoscopy into rectal cancer surgery has helped to get better visualization, more delicate instrumentationand better tissue handling. This in turn may lead to an adequate dissection up to the pelvic floor in combination with a better preservation of the hypo gastric plexus and nerves possibly resulting into good functional and oncological outcome. Laparoscopic total mesorectal excision (TME) with autonomic nerve preservation was reported to be feasible Nelson, et al., 2000
530			_aIssued also as CD
653		4	_aHigh and low iInferior mesenteric artery ligation
653		4	_aLaparoscopic total mesorectal excision
653		4	_aRectal cancer patients
700	0		_aAmr Mahmoud Elshayeb , _eSupervisor
700	0		_aHaitham Soliman Elsayed , _eSupervisor
700	0		_aMohamed Yehia Ahmed Elbarmelgi , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c67703 _d67703