Progress in the surgery of rectal cancer
Journal Title: Journal of Acute Disease - Year 2018, Vol 7, Issue 1
Abstract
The treatment of rectal cancer has been improved a great deal within the last 20 years. Major progress has been made in the preoperative evaluation by introducing MRI- imaging as a basis for the further management. Neoadjuvant radiochemotherapy has been shown to be effective in downstaging of advanced tumours. The surgical technique has been improved in many respects.- Total mesorectal excision has reduced local recurrences, sphincter saving techniques such as low anterior resection and intersphincteric resection reduced the need for a permanent stoma to 10%-20%. Recently the introduction of minimal invasive techniques and the application of robotic systems have reduced the surgical trauma.
Authors and Affiliations
Rudolf Schiessel
Keywords
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- DOI 10.4103/2221-6189.228872
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