Abstract
Reviewing the current understanding the lateral lymphatics of the rectum and clinical attitude of treatment for the lateral lymphatic spread of rectal cancer, we have to say that the poor recognition of the lateral lymphatic spread of rectal cancer has been still present since the Miles' operation was generally used for rectal cancer.We tried to disclose the correct anatomical situation of the lateral lymphatics of the rectum and clinical significance of that lymphatics, for the treatment of rectal cancer, dis-secting some autopsy materials and cadavers and reviewing the operative materials. We would like to stress here that the misunderstanding of the lateral lymphatic pathway should be corrected immediately and the commpete dissection of the lateral lymphatics should be generally adopted for low-lying rectal cancers.
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