Erschienen in:
10.03.2017 | Controversies in Colorectal Surgery
Laparoscopic surgery for rectal cancer: the verdict is not final yet!
verfasst von:
Sherief Shawki, David Liska, Conor P. Delaney
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 3/2017
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Excerpt
Over the last few decades, significant progress has been made in the management of rectal cancer. Advances in surgical techniques and the standardization of total mesorectal excision (TME) have radically reduced local recurrence (LR) rates and improved functional outcomes [
1,
2]. Preoperative imaging with optimized magnetic resonance imaging (MRI) has allowed for more accurate staging and prediction of threatened circumferential resection (CRM) margins [
3]. Multidisciplinary tumor boards help standardize care and formulate consensus-based guidelines for the selection of patients for neoadjuvant chemoradiotherapy. Collectively, these advances have led to a considerable reduction in the rate of LR, improvement in overall survival and an increase in the preservation of anal sphincter, urinary, and sexual function [
4‐
6]. …