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2013 | OriginalPaper | Buchkapitel

32. Darmableitungen

verfasst von: Dr. med. Katharina Kessler, Prof. Dr. med. Detlef K. Bartsch

Erschienen in: Operationsatlas Gynäkologische Onkologie

Verlag: Springer Berlin Heidelberg

Auszug

Stenosen, Strikturen, Tumorperforation oder ‑penetration sowie Fistelungen als Ausdruck einer lokoregionären oder systemischen Tumorprogression infolge einer gynäkologischen malignen Grunderkrankung können interdisziplinäre chirurgische Maßnahmen nach sich ziehen [ 1, 2]. Es gilt zu unterscheiden, ob der interdisziplinäre Eingriff im Rahmen einer Primäroperation unter kurativer Zielsetzung erfolgt oder ob es sich um eine palliative Situation handelt. Des Weiteren können nach kurativer Therapie im Verlauf Situationen entstehen, z. B. rektovaginale Fistelungen nach erfolgreicher Radiochemotherapie oder auch Lokalrezidive, die häufig ein interdisziplinäres Vorgehen erfordern. Unterschiedliche Operationsstrategien und ‑techniken bei den häufigsten betroffenen Darmabschnitten werden im Folgenden erläutert. …
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Metadaten
Titel
Darmableitungen
verfasst von
Dr. med. Katharina Kessler
Prof. Dr. med. Detlef K. Bartsch
Copyright-Jahr
2013
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-642-35128-0_32

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