Authors: | Chessin, D. B.; Guillem, J. G. |
Article Title: | Surgical issues in rectal cancer: A 2004 update |
Abstract: | Rectal cancer is a major health concern in the United States, with an estimated 40,570 new cases diagnosed in 2004. There are 4 major goals in the treatment of a patient with rectal cancer: local control; long-term survival; preservation of anal sphincter, bladder, and sexual function; and maintenance or improvement in quality of life. Recent advances have been made in preoperative staging, local and radical surgical therapy, the importance of distal and circumferential resection margins, postoperative preservation of the anal sphincter mechanism and genitourinary function, and the role of laparoscopy in the treatment of these patients. Our aim is to outline some of the important surgical issues surrounding the management of patients with early-stage (T1/T2 N0) or locally advanced (T3/T4 and/or N1) rectal cancer. |
Keywords: | cancer chemotherapy; cancer survival; treatment outcome; surgical technique; clinical trial; review; advanced cancer; treatment planning; united states; cancer radiotherapy; postoperative care; cancer staging; nuclear magnetic resonance imaging; positron emission tomography; antineoplastic agent; neoplasm staging; laparoscopic surgery; preoperative evaluation; medical decision making; quality of life; computer assisted tomography; microsurgery; algorithms; postoperative complications; survival time; echography; endoscopic surgery; radiation therapy; urogenital system; cancer control; rectal neoplasms; rectum cancer; sexual function; rectum surgery; digestive system surgical procedures; autonomic nerve; anus sphincter; total mesorectal excision; circumferential resection margin; combined-modality therapy; autonomic nerve preservation; endorectal ultrasound; humans; human |
Journal Title: | Clinical Colorectal Cancer |
Volume: | 4 |
Issue: | 4 |
ISSN: | 1533-0028 |
Publisher: | Elsevier Inc. |
Date Published: | 2004-11-01 |
Start Page: | 233 |
End Page: | 240 |
Language: | English |
PROVIDER: | scopus |
PUBMED: | 15555204 |
DOI/URL: | |
Notes: | Clin. Colorectal Cancer -- Cited By (since 1996):12 -- Export Date: 16 June 2014 -- CODEN: CCCLC C2 - 15555204 -- Source: Scopus |