Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | sâmbãtã, 16 februarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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CANCERUL DE RECT – PRINCIPII DE DIAGNOSTIC ÅžI TRATAMENT MULTIDISCIPLINAR
Maria-Gabriela Aniţei, V. Scripcariu
Universitatea de Medicină ÅŸi Farmacie ,,Gr.T. Popa’’ IaÅŸi,
Departamentul de chirurgie, Clinica Chirurgie, Institutul Regional de Oncologie IaÅŸi
Jurnalul de chirurgie (IaÅŸi). 2012; 8(4): 329-337
Full text: Format PDF (Română/Romanian)

Abstract:

The management of rectal cancer requires an individualized, multidisciplinary approach, based on careful assessment of tumor location, stage and resectability. Pretreatment staging by MRI scan is now standard and should be repeated following preoperative chemoradiotherapy (CRT). For locally advanced rectal cancer, preoperative CRT increases the rate of tumor response and decrease the rate of local recurrence. Curative treatment of rectal cancer is based on surgical excision which combines the gold standard proctectomy, total mesorectal excision (TME) with autonomic nerve preservation and sphincter preservation, if the level of the tumor permits. The most important factor in rectal surgery is circumferential resection margins (CRM), negative CRM being associated with a better outcome, decreased risk of local recurrence and distant metastases and increased survival. The quality of oncological results is influenced by the degree of specialization of the surgeon and the center where the patient is operated.

KEY WORDS: RECTAL CANCER; CHEMORADIOTHERAPY; TOTAL MESORECTAL EXCISION; RESECTION MARGINS

HOW TO CITE: Aniţei MG, Scripcariu V. [Rectal cancer - principles of diagnosis and multidisciplinary management]. Jurnalul de chirurgie (Iaşi). 2012; 8(4): 329-337.
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