DECISION-MAKING IN CURATIVE RECTUM CARCINOMA SURGERY

被引:0
|
作者
HOHENBERGER, W [1 ]
HERMANEK, P [1 ]
HERMANEK, P [1 ]
GALL, FP [1 ]
机构
[1] UNIV ERLANGEN NURNBERG,CHIRURG KLIN & POLIKLIN,W-8520 ERLANGEN,GERMANY
来源
ONKOLOGIE | 1992年 / 15卷 / 03期
关键词
RECTAL CARCINOMA; DECISION-MAKING; RADIO-(CHEMO-)THERAPY; LOCOREGIONAL RECURRENCE;
D O I
暂无
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Rectal carcinomas are increasingly treated by more and more differentiated regimens. Until the 1970s, the rectal excision was standard, whereas in 58% sphincter-saving procedures were performed during the last years. Locoregional recurrences are the main problem of surgical treatment for rectum carcinomas. They are of decisive importance for the patients. Without locoregional recurrence during the first two years, the overall five-year survival is 85%, which decreases tremendously to 23% in case of a locoregional recurrence. Overall, this rate depends primarily on patho-histological parameters of the primary, as well as on therapeutic modalities and quality, too. For this reason, the arguments for routine neo- or adjuvant radio-(chemo-)therapy, increasingly arising during the last two years, is debatable. Global recommendations do not realize that low rates of locoregional recurrences may be achieved by surgery alone, e.g., 13% in the surgical Department of the University of Erlangen. However, these patients do include some groups with increased risk, for example, those who have positive lymph nodes along the course of a named vascular trunk (18%). These patients at increased risk may profit from adjuvant-radio-(chemo-)therapy. This is not yet, however, proven by any prospective study.
引用
收藏
页码:209 / 220
页数:12
相关论文
共 50 条
  • [1] Decision-making in surgery: The management of gastric carcinoma
    Huang, J
    Goddard, L
    Thomas, PA
    BRITISH JOURNAL OF HOSPITAL MEDICINE, 1997, 57 (10): : 502 - 504
  • [2] Decision-Making in Surgery
    Angelos, Peter
    Taylor, Lauren J.
    Roggin, Kevin
    Schwarze, Margaret L.
    Vaughan, Leigh M.
    Wightman, Sean C.
    Sade, Robert M.
    ANNALS OF THORACIC SURGERY, 2024, 117 (06): : 1087 - 1094
  • [3] Outcome after 'curative' surgery for carcinoma of the lower third of the rectum
    Topal, B
    Penninckx, F
    Kaufman, L
    Filez, L
    Aerts, R
    Ectors, N
    Kerremans, R
    BRITISH JOURNAL OF SURGERY, 1998, 85 (08) : 1118 - 1120
  • [4] DECISION-MAKING IN SURGERY - SPLENECTOMY
    CARROLL, A
    THOMAS, P
    BRITISH JOURNAL OF HOSPITAL MEDICINE, 1995, 54 (04): : 147 - 149
  • [5] Decision-making in rectal surgery
    MacDermid, E.
    Young, C. J.
    Young, J.
    Solomon, M.
    COLORECTAL DISEASE, 2014, 16 (03) : 203 - 208
  • [6] Decision-making in dermatologic surgery
    Butt, Sanaa
    Affleck, Andrew
    AUSTRALASIAN JOURNAL OF DERMATOLOGY, 2021, 62 (04) : E568 - E571
  • [7] DECISION-MAKING IN SURGERY - MANAGEMENT OF SYMPTOMATIC EARLY BREAST-CARCINOMA
    THOMAS, P
    BRITISH JOURNAL OF HOSPITAL MEDICINE, 1994, 51 (06): : 287 - 289
  • [8] Decision-making about surgery in the elderly
    Bettelli, Gabriella
    Maggi, Stefania
    AGING CLINICAL AND EXPERIMENTAL RESEARCH, 2018, 30 (03) : 225 - 227
  • [9] Decision-making in stereotactic epilepsy surgery
    Miller, Kai J.
    Fine, Anthony L.
    EPILEPSIA, 2022, 63 (11) : 2782 - 2801
  • [10] CRANIOFACIAL SURGERY AND THE ETHICS OF DECISION-MAKING
    PERSING, JA
    CLEFT PALATE-CRANIOFACIAL JOURNAL, 1995, 32 (06): : 504 - 506