Download or read book Chirurgie du rectum written by Edouard André Quénu and published by . This book was released on 1899 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book R sultats actuels de la chirurgie du cancer du rectum written by and published by . This book was released on 1957 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Rectal and Anal Cancers written by J. Papillon and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although attempts at radical removal of cancers of the rectum had been performed earlier, it was not until W. E. Miles in 1908 re ported his experience in the management of cancer in this ana tomic part, that the combined abdominoperineal resection be came the recognized and accepted approach for the treatment of this cancer. Miles reasoned that proctectomy removed the cancer, bearing a segment oflarge bowel but also the regional lymphatics into which the cancer spread, not only proximally, but laterally and distally as well. In his monograph in 1926 he stated: . . . There are, I hold, two main principles to be observed in the surgical treatment of cancer of the rectum and indeed of all cancers wherever they are found, first, ope ration should be based on a knowledge of the demonstrable facts of pathology, and, second, the most extensive operation possible in conformity with that knowl edge should be performed on all patients no matter how small or early the local manifestation of the disease may seem to be . . . This philosophy was appropriate in his time but today, with increased knowledge regarding the biological behavior of cancer of the rectum, the recognition of the importance of the extent of the primary lesion and staging of cancer, and the availability of multiple modalities in the management of neoplastic disease, the philosophy has appropriately changed.

Download or read book Rectal Cancer written by Gian Gaetano Delaini and published by Springer Science & Business Media. This book was released on 2006-01-26 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite lifestyle improvements, the incidence of rectal cancer is increasing in industrialised countries. Rapid advances in technology, growing knowledge of the biological history of the disease and closer attention to patients' quality of life after surgery have led to a less invasive approach. In the last 15 years, the surgical approach has shifted from extended resection to sphincter-saving procedures, featuring a multidisciplinary approach and a high level of specialisation. The experienced surgeon can plan and choose the "right treatment for the right patient" only with the support of the radiologist, endoscopist and pathologist (preoperative staging), oncologist and radiotherapist (neoadjuvant therapy), and psychologist and stomatherapist (rehabilitation). In addition, the difficult problems of salvage procedure and the reconstruction of anal sphincter after abdominal resection are explored. The aim of this book is to clarify the rapid advances and to offer guidelines for doctors dealing with rectal cancer. Taking into account indications, contraindications, risks, benefits and controversies, the authors offer clear and practice-oriented answers for a wide range of specialists and experts, as well as those new to the field.

Download or read book La chirurgie du cancer du rectum written by Martin Bertrand (médecin).) and published by . This book was released on 2013 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introdnction Le rectum a des particularités anatomiques qui rendent sa chirurgie difficile et source de séquelles. Pour autant la chirurgie reste la pierre angulaire du traitement du cancer du rectum. Objectifs : Décrire les résultats chirurgicaux, oncologiques et fonctionnels d'une technique de proctectomie totale avec exérèse totale du mésorectum (ETM) et anastomose colorectale latéroterminale ultra basse mécanique destinée au traitement des tumeurs du bas et moyen rectum. Matériel et méthode :Une population de 138 malades opérés à 1 'ICM Val d'Aurelle entre 2005 et 2011 selon une technique reproductible a été étudiée de façon rétrospective. Une analyse de résultats chüurgicaux, oncologiques et fonctionnels a été réalisée. Les facteurs associés à la survenue de complications postopératoires ont été identifiés par une estimation des odds ratio (avec les intervalles de confiance à 95%). La survie a été estimée par la méthode de Kaplan-Meier, Les facteurs associés à la confection d'une stomie de protection ainsi qu'à la survenue de séquelles fonctionnelles ont été recherchés par application d'un test du Chi. Résultats La technique a montré une excellente faisabilité avec un taux de conversion stable au cours du temps deI3,8%. Le taux de stomie était de 43,5%. Le taux de complications post opératoire était de 26,8% dont 89,2% ne nécessitant pas de traitement chirurgical. Le temps d'hospitalisation moyen était de 12 jours. Parmi les patients non stomisés, seuls 3,8% avaient une stomie lors d'une reprise chirurgicale, Le taux de récidive locale était de 4,4% et la survie globale à 5 ans de 83%. Il y avait significativement plus de complications postopératoires dans le groupe des patients pour lesquels une stomie était réalisée. Tandis que l'âge, le statut M initial, le statut pT et le caractère complet de la résection (RO et CRM> 1 mm) étaient significativement associés à la survie globale. Les atteintes urinaires et sexuelles étaient présentes dans 12,2% et 54,2% des cas respectivement. Le traitement néo-adjuvant était associé à la survenue de problèmes urinaire et le sexe et le BMI étaient associés à la survenue de séquelles sexuelles. Conclusion Nous montrons dans cette étude qu'une ETM avec anastomose colo-rectale basse peut être réalisée selon une technique fiable et standardisée avec possibilité de sursoir à une stomie de protection dans près de 60% des cas sans sur-risque pour le patient. Elle permet un excellent contrôle local et des taux de séquelles fonctionnelles limités

Download or read book Rectal Cancer written by Nicolò de Manzini and published by Springer Science & Business Media. This book was released on 2012-11-29 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book gives an updated and detailed overview of diagnostic and therapeutic strategies for rectal cancer. Rectal cancer has become an increasing and serious disease in western countries, mainly linked to lifestyle and bad alimentation habits. This specific cancer is not only a threat to the lifespan of patients, but also has a heavy impact on quality of life, due to its implications in the fecal, urinary and sexual functions. Recent guidelines of prevention and early diagnosis, as well as current and future diagnostic and staging work-up, are here presented in a clear and convincing way, linking each topic to the therapeutic options arising from the staging and including a chapter on the molecular evaluation of the tumor. To complete the multifaceted approach to this particular pathology, a large part is devoted to the in-hospital care of rectal cancer patients, beginning from the fast-track procedures and the enhanced recovery systems, up to the in-depth description of the available of surgical techniques, including salvage situations, accidents, complications, and their treatment. A final chapter will be dedicated to the follow-up policy and its advantages.

Download or read book Rectal Cancer Treatment written by M.W. Büchler and published by Springer Science & Business Media. This book was released on 2005-10-11 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rectal cancer is one of the most prevalent cancers world-wide. It is also a paradigm for multimodal management, as the combination of surgery, chemotherapy and radiotherapy is often necessary to achieve the optimal outcome. Recently, international experts met in Heidelberg, Germany to discuss the latest developments in the management of rectal cancer, including the anatomic and pathologic basis, staging tools, surgical concepts including fast-track surgery and laparoscopic resection, functional outcome after surgery and the role of radio- and chemotherapy. This monograph summarizes this meeting and gives an extensive overview of the current concepts in management of rectal cancer.

Download or read book Rectal Cancer Surgery written by Odd Soreide and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 463 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rectal cancer is a major killer. Most of those dying after curative surgery suffer from recurrent disease in the pelvis. Local recurrence is also the only site of failure in up to 50% of patients. A disturbing fact is that the local recurrence rate shows considerably surgeon-related variances. There is now strong evidence that optimizing surgical technique by adopting the principle of total mesorectal excision (TME) will reduce local failure rate, increase the use of sphincter-saving operations, and improve functional results. Surgeons applying this surgical principle will consistently achieve similarly low recurrence rates.

Download or read book La chirurgie du cancer du rectum deux quipes written by Raymond Pierre Henri Albert (médecin).) and published by . This book was released on 1954 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Modern Management of Cancer of the Rectum written by Walter E. Longo and published by Springer. This book was released on 2014-11-27 with total page 475 pages. Available in PDF, EPUB and Kindle. Book excerpt: Modern Management of Cancer of the Rectum is intended to provide a comprehensive overview of all aspects of rectal neoplasms. It addresses epidemiology, biology, screening and chemoprevention, the role of imaging in diagnosis, staging and prognosis, radiation therapy, medical and surgical treatment, as well as new modalities of therapy, including laparoscopy, and transanal endoscopic surgery. A greater understanding of prognostic factors, patterns of spread and natural history has occurred during the past decade; together with new diagnostic modalities this has led to significant changes in the management of patients with rectal cancer. This book will be invaluable for all those who treat rectal cancer.

Download or read book New Treatment Modalities in Rectal Cancer written by Fazl Q. Parray and published by Springer Nature. This book was released on 2020-02-18 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt: ​This book provides an up-to-date and detailed overview of diagnostic and management strategies for rectal cancer. It includes chapters focusing on recent diagnostic modalities such as technical advances, the role of magnetic resonance imaging (MRI), immunology, and histopathology, as well as the latest surgical techniques for the management of rectal cancer. It also discusses the role of adjuvant, neo-adjuvant and non-operative approaches. Further, it presents the recent guidelines of prevention and early diagnosis, as well as current and future diagnostic and staging work-up, clearly and concisely, linking each topic to the therapeutic options arising from the staging. A large part of this multifaceted book is devoted to the in-hospital care of rectal cancer patients, from the fast-track procedures and enhanced recovery systems to detailed descriptions of the available surgical techniques, including salvage situations, accidents, complications and their treatment.

Download or read book Reconstructive Surgery of the Rectum Anus and Perineum written by Andrew P. Zbar and published by Springer Science & Business Media. This book was released on 2013-02-28 with total page 599 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reconstructive Colorectal and Anal Surgery presents a didactic discussion of complex colonic, rectal, anal, and perineal problems which require reoperative surgery. The book provides a very practical description of the management towards these problems including preoperative investigation, postoperative follow-up and detailed operative approach. The text is aimed at being relatively didactic with an algorithm approach to these complicated cases using operative photographs and composite explanatory line drawings which are complemented by ‘how-to’ guides in all cases describing the operative technical tips and pitfalls from experienced world-renowned commentators. Given the rapid change in techniques over the last 10 years newer procedures will be incorporated. This book will be essential reading for all colorectal surgeons and trainees, general surgeons and trainees, gynecologists as well as specialist nurses in the OR room.

Download or read book FACTEURS PREDICTIFS DE TRANSFUSION SANGUINE DANS LA CHIRURGIE DU CANCER DU RECTUM written by VIRGINIE.. PANNEGEON and published by . This book was released on 1999 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Surgical Techniques in Rectal Cancer written by Giovanni Dapri and published by Springer. This book was released on 2018-02-09 with total page 597 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes the various procedures, including surgery through the abdominal wall, through a transanal access or by the union of both, using an open, laparoscopic, or robotic approach. Worldwide pioneers for each technique are invited as authors and portray in step-by-step detail about each procedure. Of the 32 chapters, 23 are dedicated only for the surgical procedures. Each chapter is enriched by numerous figures, which complement the text, permitting the understanding of each surgical technique from its beginning until the last step. Eight additional chapters are dedicated to the clinical and anatomical aspects of rectal cancer. In the last decade there has been an impressive evolution in the treatment of patients with rectal cancer, with a focus not only on the preservation of a cancer-free life, but the quality of that life. This book has been written to be useful for everyone involved in rectal cancer management. From internists, gastroenterologists, endoscopists, oncologists, radiotherapists and radiologists involved in the treatment of rectal cancer during their daily practice, to surgeons specialized in colorectal surgery, to junior faculty to trainees, all interested in new and innovative techniques.

Download or read book Operative Surgery of the Colon Rectum and Anus written by P Ronan O'Connell and published by CRC Press. This book was released on 2015-04-17 with total page 809 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now on its sixth edition, this book presents the state of the art in colorectal surgery. It is essential reading for the experienced surgeon established in colorectal practice as well as advanced trainees in general surgery. The book comprehensively covers surgery of the anus, rectum and colon in 87 chapters, grouped into nine sections for ease of reference (General Principles, Proctology, Stomas, Small Intestine, Colon, Rectum, Perineal Reconstruction, Rectal Prolapse and Surgery for Incontinence). The print edition is further enhanced by an accompanying VitalSource e-book, enabling the user to download and read the book offline on a personal computer or mobile device.

Download or read book Intersphincteric Resection for Low Rectal Tumors written by Rudolf Schiessel and published by Springer. This book was released on 2012-07-27 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: The work describes a new method of sphincter salvage in surgery of rectal cancer. Low tumors of the rectum are traditionally treated with amputation of the rectum. However, this operation is not well-received by patients, since it results in a permanent colostomy. By contrast, intersphincteric resection allows sphincter salvage even in low tumors and is now widely accepted among experts in the field of colorectal surgery. The book will describe the basics (pathology,physiology, radiology) as well as the surgical technique and its different modifications.

Download or read book Mortalit op ratoire dans les ex r ses pour cancer du rectum written by Johanna Zemour and published by . This book was released on 2012 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIF : La chirurgie rectale pour cancer est encore considérée comme une chirurgie majeure à cause du risque de mortalité opératoire. Le but de notre étude était d'évaluer l'évolution de la mortalité opératoire et de ses causes après exérèse rectale pour cancer dans un centre spécialisé. METHODE : Les patients opérés d'un cancer rectal entre 1980 et 2011 ont été analysés pour évaluer les causes de décès opératoire (J60). La mortalité était classée selon son origine médicale ou chirurgicale. Les facteurs influençant la mortalité ont également été étudiés par analyse multivariée (la période étudiée, l'âge, le score ASA, les antécédents cardio-vasculaires, les antécédents respiratoires, le type de chirurgie, la voie d'abord et la réintervention). RESULTATS : Parmi les 1386 patients ayant eu une exérèse rectale, il y avait 1119 (81 %) résection antérieure, 216 (15,5 %) AAP, 44 (3 %) Hartmann et 7 (0,5 %) pelvectomies. La mortalité était de 2,1 % : 3,3 % la première quinzaine d'années, 1,6 % la deuxième. La mortalité opératoire était principalement d'origine médicale dans la première décade (1980 - 1990 : 80 % médical vs 20 % chirurgical) alors qu'elle était surtout d'origine chirurgicale dans la dernière décade (2001 - 2011 : 33 % médical vs 67 % chirurgical). Les facteurs indépendants de mortalité étaient la période d'étude, l'âge supérieur à 80 ans, les antécédents cardio-vasculaires et la réintervention. CONCLUSION : La mortalité opératoire des exérèses rectales a diminué dans le temps pour tendre actuellement vers 1 %. La diminution des causes de décès d'origine médicale suggère une meilleure prise en charge des patients. Une diminution de la morbidité chirurgicale est désormais nécessaire pour poursuivre cette amélioration. L'adaptation de la prise en charge chirurgicale à chaque type de patient pourrait permettre cette avancée grâce à une "chirurgie à la carte".