کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3315924 1211506 2013 11 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Surgical treatment of extraluminal pelvic recurrence from rectal cancer: Oncological management and resection techniques
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری‌های گوارشی
پیش نمایش صفحه اول مقاله
Surgical treatment of extraluminal pelvic recurrence from rectal cancer: Oncological management and resection techniques
چکیده انگلیسی

SummaryLocal recurrence (LR) after curative surgery for rectal cancer occurs in 4 to 33% of cases especially with suboptimal surgery (non-TME). For numerous patients, diagnosis of LR is done at late stage of the disease because of the high rate of asymptomatic patients. MRI and PET-scan are the most performing exams to assess the local and general extension, with high diagnostic accuracy (sensibility 85% and specificity 92%). For extraluminal pelvic recurrences from rectal cancer, pelvic exenterations alone or with irradiation (preoperative and/or intraoperative) can afford a R0 resection rate ranging from 30% to 45% with acceptable morbidity. Morbidity and mortality rates are high for total exenteration and abdominosacral resection. After curative surgery, 5-year global survival from 30% to 40% is observed. Careful selection of patients with better preoperative status before resection is needed to achieve more curative resections and increase long-term survivor rates.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Visceral Surgery - Volume 150, Issue 2, April 2013, Pages 97–107
نویسندگان
, , ,