Erschienen in:
13.09.2019 | Colorectal Cancer
Extended Radical Resection: The Standard of Care for Patients with Advanced Pelvic Malignancy
verfasst von:
Michael J. Solomon, MBBCH(Hons), BAO, MSc, DMed, DMedSc, FRCSI, FRACS, FASCRS, Kilian G. M. Brown, MBBS, BBiomed, M.Phil
Erschienen in:
Annals of Surgical Oncology
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Ausgabe 2/2020
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Excerpt
In 2019, extended radical resection (or exenterative surgery) represents the standard of care for patients with locally advanced and recurrent malignancies of the pelvis. Although acceptance of these ultra-radical procedures has been slow among surgeons due to the historically high rates of morbidity and mortality reported during the pioneering periods of the 1940s and 1950s, recent decades have seen dramatic improvements in outcomes, particularly for recurrent rectal cancer. These outcomes are now comparable with those of hepatic and pulmonary metastatectomy for primary colorectal cancer. In addition to robust morbidity and long-term survival data, quality-of-life improvements after surgery have now been confirmed by prospective studies.
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