title: [Report on the workshop "workflow rectal cancer II" in Burghausen].
abstract: The task force "workflow rectal cancer II" defined operative techniques in lower rectal cancer, especially the total mesorectal excision and an improved technique of abdominalperineal resection. New aspects for treatment of rectal cancer with primary distant metastases are described. Due to newer publications a concept of bidirectional procedure with surgery and radiochemotherapy is recommended, where the operation must not be inevitably the first step. In anastomoses below 6 cm of the anocutaneous verge a reservoir should be performed on principle due to better functional results. The colon-j-pouch with a maximal loop length of 6 cm is best investigated under these conditions, the other procedures should be further evaluated.
authors.affiliation: Arbeitsgruppe Workflow Rektumkarzinom II, Klinik für Allgemein- und Viszeralchirurgie, Marienhospital, Stuttgart.
authors.forename: R
authors.initials: R
authors.lastname: Bittner
authors.forename: J
authors.initials: J
authors.lastname: Burghardt
authors.forename: E
authors.initials: E
authors.lastname: Gross
authors.forename: R T
authors.initials: RT
authors.lastname: Grundmann
authors.forename: P
authors.initials: P
authors.lastname: Hermanek
authors.forename: C
authors.initials: C
authors.lastname: Isbert
authors.forename: T
authors.initials: T
authors.lastname: Junginger
authors.forename: F
authors.initials: F
authors.lastname: Köckerling
authors.forename: S
authors.initials: S
authors.lastname: Merkel
authors.forename: G
authors.initials: G
authors.lastname: Möslein
authors.forename: H-R
authors.initials: HR
authors.lastname: Raab
authors.forename: J
authors.initials: J
authors.lastname: Roder
authors.forename: G
authors.initials: G
authors.lastname: Ruf
authors.forename: W
authors.initials: W
authors.lastname: Schwenk
authors.forename: J
authors.initials: J
authors.lastname: Strassburg
authors.forename: A
authors.initials: A
authors.lastname: Tannapfel
authors.forename: A
authors.initials: A
authors.lastname: de Vries
authors.forename: H
authors.initials: H
authors.lastname: Zühlke
mesh_terms: D000465:Algorithms; D039021:Colonic Pouches; D006801:Humans; D009367:Neoplasm Staging; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D012007:Rectum / Q000473:pathology / Q000601:surgery