TY - JOUR
T1 - Fiktion und fakten bei der multimodalen therapie des rektumkarzinoms
AU - Ulrich, A.
AU - Weitz, J.
AU - Friess, H.
AU - Büchler, M.
PY - 2006/4
Y1 - 2006/4
N2 - The prognosis of patients with rectal cancer has been improved significantly after introduction of the total mesorectal excision (TME). Just by performing TME, the local recurrence rates could be decreased to less than 10%, independent of multi-modal therapeutic concepts. In contrast, the local recurrence rate reached 4 to 55% (median 20%) in a German multicenter study in 1995 prior to the nationwide introduction of TME. The goal of this overview is to compare the different concepts in the multi-modal therapy of rectal cancer with their advantages and disadvantages based on the current literature. Mentioned will be local recurrence rates and survival, but also toxicity, costs and acceptance of patients. Furthermore, a preview is given about future developments.
AB - The prognosis of patients with rectal cancer has been improved significantly after introduction of the total mesorectal excision (TME). Just by performing TME, the local recurrence rates could be decreased to less than 10%, independent of multi-modal therapeutic concepts. In contrast, the local recurrence rate reached 4 to 55% (median 20%) in a German multicenter study in 1995 prior to the nationwide introduction of TME. The goal of this overview is to compare the different concepts in the multi-modal therapy of rectal cancer with their advantages and disadvantages based on the current literature. Mentioned will be local recurrence rates and survival, but also toxicity, costs and acceptance of patients. Furthermore, a preview is given about future developments.
KW - Multimodal treatment
KW - Radiotherapy
KW - Rectal carcinoma
KW - Short-term radiotherapy
KW - Total mesorectal excision
UR - http://www.scopus.com/inward/record.url?scp=33646235161&partnerID=8YFLogxK
U2 - 10.1055/s-2006-921552
DO - 10.1055/s-2006-921552
M3 - Übersichtsartikel
C2 - 16612780
AN - SCOPUS:33646235161
SN - 0044-409X
VL - 131
SP - 134
EP - 139
JO - Zentralblatt fur Chirurgie - Zeitschrift fur Allgemeine, Viszeral- und Gefasschirurgie
JF - Zentralblatt fur Chirurgie - Zeitschrift fur Allgemeine, Viszeral- und Gefasschirurgie
IS - 2
ER -