Rectal cancer is one of the most prevalent cancers world-wide. It is also a paradigm for multimodal management, as the combination of surgery, chemotherapy and radiotherapy is often necessary to achieve the optimal outcome. Recently, international experts met in Heidelberg, Germany to discuss the latest developments in the management of rectal cancer, including the anatomic and pathologic basis, staging tools, surgical concepts including fast-track surgery and laparoscopic resection, functional outcome after surgery and the role of radio- and chemotherapy. This monograph summarizes this meeting and gives an extensive overview of the current concepts in management of rectal cancer.
1;Contents;5 2;Postoperative Pathophysiology and Choice of Incision;8 3;Fast-Track Colonic Surgery: Status and Perspectives;15 4;Fast-Track Surgery: The Heidelberg Experience;21 5;Rectal Cancer: A Compartmental Disease. TheMesorectum and Mesorectal Lymph Nodes;28 6;The Pathological Assessment of Total Mesorectal Excision: What Are the Relevant Resection Margins?;37 7;Is the Lateral Lymph Node Compartment Relevant?;47 8;Diagnostics of Rectal Cancer: Endorectal Ultrasound;53 9;Preoperative Staging of Rectal Cancer: The MERCURY Research Project;65 10;Rectal Cancer Management: Europe Is Ahead;82 11;Teaching Efforts to Spread TME Surgery in Sweden;89 12;Learning Curve: The Surgeon as a Prognostic Factor in Colorectal Cancer Surgery;93 13;Surgical Results of Total Mesorectal Excision for Rectal Cancer in a Specialised Colorectal Unit;112 14;Total Mesorectal Excision: The Heidelberg Results after TME;119 15;Is Local Excision of T2/T3 Rectal Cancers Adequate?;127 16;Operative Treatment of Locally Recurrent Rectal Cancer;143 17;Laparoscopic TME: Better Vision, Better Results?;155 18;Laparoscopic TME- The Surgeon's or the Patient's Preference;165 19;Laparoscopic Total Mesorectal Excision- The Turin Experience;174 20;Evacuation of Neorectal Reservoirs after TME;187 21;Long-Term Functional Results After Straight or Colonic J- Pouch Coloanal Anastomosis;198 22;Urinary and Sexual Function After Total Mesorectal Excision;203 23;Functional Results of the Colon J-Pouch Versus Transverse Coloplasty Pouch in Heidelberg;212 24;Indications for Neoadjuvant Long-Term Radiotherapy;219 25;Neoadjuvant Radiotherapy and Radiochemotherapy for Rectal Cancer;228 26;Adjuvant Radiochemotherapy for Rectal Cancer;238 27;Intraoperative Radiotherapy for Rectal Carcinoma;245 28;Indications and Effect on Survival of Standard Chemotherapy in Advanced Colorectal Cancer;252 29;New Chemotherapeutic Strategies in Colorectal Cancer;257 30;Active Specific Immunotherapy in Colon Cancer;267 31;Radiofrequency Ablation in Metastatic Disease;275
Büchler, Markus W.
Heald, Richard J.
Ulrich, B.
| ISBN | 9783540274490 |
|---|---|
| Artikelnummer | 9783540274490 |
| Medientyp | E-Book - PDF |
| Auflage | 2. Aufl. |
| Copyrightjahr | 2005 |
| Verlag | Springer-Verlag |
| Umfang | 280 Seiten |
| Sprache | Englisch |
| Kopierschutz | Digitales Wasserzeichen |
