title: [Value and complications of pre- and postoperative radiotherapy from the viewpoint of the surgeon].
abstract: If radical surgery of rectal cancer can achieve local/regional recurrence rates lower than 15%, preoperative radiation will not improve these results. If the tumor cannot be removed radically, radiation should be used for tumor reduction. Up until now survival could be improved only with a combination of postoperative radiation and chemotherapy, which was associated with higher complication rates. Here controlled studies are needed. The postoperative radiation must be accounted for in the primary operative concept.
authors.affiliation: Chirurgische Univ.-Klinik, Abt. f. Allg. Chirurgie, Essen.
authors.forename: F W
authors.initials: FW
authors.lastname: Eigler
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery; D011832:Radiation Injuries / Q000401:mortality; D012004:Rectal Neoplasms / Q000401:mortality / Q000532:radiotherapy* / Q000601:surgery*; D012007:Rectum / Q000528:radiation effects; D012307:Risk Factors; D015996:Survival Rate
vernacular_title: Wert und Komplikationen der prä- und postoperativen Strahlentherapie aus der Sicht des Chirurgen.