[Surgery for rectal cancer].
During the last decade surgical treatment of rectal cancer has seen various improvements. Partial or total mesorectal excision (TME) became standard procedure. The surgical quality of the TME has a high effect on prognosis. Besides metastases, the circumferential resection margin receives the most attention. As recent studies established a distal resection margin of 1 cm, the rate of continence-preserving resections has grown, especially after neoadjuvant radiochemotherapy. In the hands of an expert, laparoscopic rectal resection is a technically safe procedure. Its oncological efficacy cannot yet be decided. Modern therapy for rectal cancer comprises multilateral considerations and therefore needs a multimodal orientation.
Klinik und Poliklinik für Chirurgie, Chirurgische Universitäts- und Poliklinik der RWTH Aachen, Pauwelsstrasse 30, Aachen, Germany. ckrones@ukaachen.de
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D000714:Anastomosis, Surgical / Q000379:methods; D039021:Colonic Pouches; D003131:Combined Modality Therapy; D003952:Diagnostic Imaging; D006801:Humans; D010535:Laparoscopy; D008207:Lymphatic Metastasis / Q000473:pathology; D020360:Neoadjuvant Therapy; D009361:Neoplasm Invasiveness; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D011379:Prognosis; D012004:Rectal Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D012007:Rectum / Q000473:pathology / Q000601:surgery