Combined Resection Approaches: Decision Making for Synchronous Resection, Timing of Staged Intervention to Optimize Outcome
| العنوان: | Combined Resection Approaches: Decision Making for Synchronous Resection, Timing of Staged Intervention to Optimize Outcome |
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| المؤلفون: | Megumi Asai, Kaitlyn D. Dobesh |
| المصدر: | Clinics in Colon and Rectal Surgery. |
| بيانات النشر: | Georg Thieme Verlag KG, 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | Gastroenterology, Surgery |
| الوصف: | Advancement in systemic and regional radiation therapy, surgical technique, and anesthesia has provided a path for increased long-term survival and potential cure for more patients with stage IV rectal cancer in recent years. When patients have resectable disease, the sequence for surgical resection is classified in three strategies: classic, simultaneous, or combined, and reversed. The classic approach consists of rectal cancer resection followed by metastatic disease at a subsequent operation. Simultaneous resection addresses both rectal and metastatic disease in a single surgery. The reversed approach treats metastatic disease first, followed by the primary tumor in several months. Simultaneous resection is appropriate for selected patients to avoid delay of definitive surgery, and reduce number of surgeries, hospital stay, and cost to the health care system. It may also improve patients' psychological effect. Multidisciplinary discussions including colorectal and liver surgeons to review patients' baseline medical conditions, tumor biology and behavior, and disease burden and distribution is imperative to guide proper patient selection for simultaneous resection and perioperative treatments. |
| تدمد: | 1530-9681 1531-0043 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::ce7eedc7d1afe9b29998e0c6cce01660 https://doi.org/10.1055/s-0043-1761475 |
| رقم الأكسشن: | edsair.doi...........ce7eedc7d1afe9b29998e0c6cce01660 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15309681 15310043 |
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