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 | duminic�, 24 ianuarie 2021
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
English

| Romana

Creditare EMC
Colegiul Medicilor

Syndicate

CANCERUL DE RECT – PRINCIPII DE DIAGNOSTIC ŞI TRATAMENT MULTIDISCIPLINAR
Maria-Gabriela Aniţei, V. Scripcariu
Universitatea de Medicină şi Farmacie ,,Gr.T. Popa’’ Iaşi,
Departamentul de chirurgie, Clinica Chirurgie, Institutul Regional de Oncologie Iaşi
Jurnalul de chirurgie (Iaşi). 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.

Jurnalul de chirurgie - Redactia - Contact

Intreaga responsabilitate a opiniilor exprimate în articolele Jurnalului de chirurgie revine autorilor. Republicarea sau reproducerea parţială sau în întregime a articolelor prin orice formă de editare cunoscută, fără permisiunea prealabilă a redacţiei Jurnalului de chirurgie, este interzisă. Corespondenţa cu privire la drepturile de a utiliza parţial sau integral articolele publicate în Jurnalul de chirurgie va fi adresată redacţiei: redactie.jurnaluldechirurgie@gmail.com
© Copyright Jurnalul de chirurgie, Iasi, 2005-2015

Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.