Chirurgie des Kolonkarzinoms View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-12

AUTHORS

M. Koch, J. Weitz

ABSTRACT

Die onkologische Resektion mit zentraler Ligatur der versorgenden Gefäße und radikulärer Lymphadenektomie ist Standard in der Chirurgie des Kolonkarzinoms. Die laparoskopische Therapie stellt eine alternative Therapieform beim Kolonkarzinom dar, wobei hier jedoch gewisse Einschränkungen hinsichtlich Tumorgröße, Lokalisation und Selektion der Patienten bestehen. Bei lokal fortgeschrittenen Kolonkarzinomen wird eine multiviszerale Resektion mit Entfernung der befallenen Nachbarorgane durchgeführt, da Patienten nach einer kurativen (R0) multiviszeralen Resektion eine gute Prognose aufweisen. Neueste Daten legen nahe, dass nicht nur beim Rektumkarzinom, sondern auch beim Kolonkarzinom die Prognose der Patienten signifikant von der adäquaten chirurgischen Therapie und Erfahrung des behandelnden Zentrums abhängt. Das früher eher konservative postoperative Management hat sich in den letzten Jahren im Rahmen des „Fast-Track“-Konzepts mit sofortigem enteralem Kostaufbau und rascher Mobilisation sowie Entlassung der Patienten deutlich verändert. More... »

PAGES

1206-1214

References to SciGraph publications

Journal

TITLE

Der Onkologe

ISSUE

12

VOLUME

15

Author Affiliations

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00761-009-1721-1

DOI

http://dx.doi.org/10.1007/s00761-009-1721-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1043043228


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