Surgery for colon cancer

被引:0
作者
Koch, M. [1 ]
Weitz, J. [1 ]
机构
[1] Chirurg Univ Klin Heidelberg, Klin Allgemein Viszeral & Transplantat Chirurg, D-69120 Heidelberg, Germany
来源
ONKOLOGE | 2009年 / 15卷 / 12期
关键词
Colon cancer; Conventional surgery; Laparoscopic surgery; Lymphadenectomy; Operative technique; COLORECTAL-CANCER; HOSPITAL VOLUME; SURVIVAL; RESECTION; MORTALITY;
D O I
10.1007/s00761-009-1721-1
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Radical resection with central ligation of the vessels and radical lymphadenectomy remains the surgical standard for treating colon cancer. It has been shown that laparoscopic surgery for colon cancer can be an alternative treatment option, although there are still limitations for the use of this technique. A multivisceral resection with resection of the involved organs is the treatment of choice for locally advanced colon cancer. The prognosis for these patients is very good if a curative (R0) resection can be achieved. Recent data suggest that the quality of surgery with an adequate dissection plane is important not only for rectal cancer but also for colon cancer. It has also been shown that the prognosis for colon cancer patients depends significantly on the surgeon's experience and the patient volume of the treating institution. The postoperative management has now changed to a fast-track concept with immediate enteral nutrition and early recovery of the patients.
引用
收藏
页码:1206 / +
页数:6
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