[The state of cancer surgery at the turn of the millennium].
Surgery remains the method of choice for the treatment of stage I and II cancer disease, it has proved to be curative in 40% of these cases. The role of surgery in the complex multimodality treatment of tumorous diseases is changing, depending on the type and stage of the disease and on the effectivity of the adjuvant therapeutical modalities. In general, surgery has not lost its significance in the treatment of cancer during recent decades. The author presents precise definitions and a homogeneous terminology for the basic concepts of oncological surgery. Changes in the surgical strategy and other factors influencing the surgical radicality are analysed. New methods contributing to the development of cancer surgery and to the improvement of the survival rate and the postoperative quality of life are surveyed. The roles of regional lymphadenectomies, metastasectomies, extended resection and organ-saving methods in the up-to-date treatment of tumorous diseases are discussed.
Balogh
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Altalános Orvostudományi Kar, Szent-Györgyi Albert Orvostudományi és Gyógyszerésztudományi Centrum, Sebészeti Klinika. Szegedi Tudományegyetem, Szeged.balogh@surg.szote.u-szed.hu
D003131:Combined Modality Therapy; D000075202:Contraindications; D006801:Humans; D009367:Neoplasm Staging; D009369:Neoplasms / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D011788:Quality of Life; D013514:Surgical Procedures, Operative / Q000592:standards; D015996:Survival Rate; D016896:Treatment Outcome