Download or read book Le traitement chirurgical du cancer du rectum written by André Augustin Antoine Chalier and published by . This book was released on 1909 with total page 584 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Le Traitement chirurgical du cancer du rectum technique r sultats indications written by Andre Chalier and published by . This book was released on 1909 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Le traitement chirurgical du cancer du rectum written by André Chalier and published by . This book was released on 1909 with total page 584 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 R sultats imm diats et loign s du traitement chirurgical du cancer du rectum selon les techniques written by Pierre Jean Kaszas and published by . This book was released on 1964 with total page 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 Current List of Medical Literature written by and published by . This book was released on 1959 with total page 542 pages. Available in PDF, EPUB and Kindle. Book excerpt: Includes section, "Recent book acquisitions" (varies: Recent United States publications) formerly published separately by the U.S. Army Medical Library.
Download or read book Index catalogue of the Library of the Surgeon general s Office United States Army written by National Library of Medicine (U.S.) and published by . This book was released on 1909 with total page 880 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Index catalogue of the Library of the Surgeon General s Office United States Army written by Library of the Surgeon-General's Office (U.S.) and published by . This book was released on 1913 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Cumulated Index Medicus written by and published by . This book was released on 1965 with total page 1848 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Current List of Medical Literature written by and published by . This book was released on 1959 with total page 580 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Index Medicus Second Series written by and published by . This book was released on 1910 with total page 1436 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Index catalogue of the Library of the Surgeon General s Office United States Army Army Medical Library written by Army Medical Library (U.S.) and published by . This book was released on 1938 with total page 1362 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Index catalogue of the Library of the Surgeon General s Office United States Army Army Medical Library written by National Library of Medicine (U.S.) and published by . This book was released on 1959 with total page 856 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Index Medicus Third Series written by and published by . This book was released on 1927 with total page 2012 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Index Medicus written by and published by . This book was released on 1891 with total page 764 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Transactions of the American Proctological Society written by and published by . This book was released on 1953 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:
