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Besonderheiten der laparoskopischen Operation

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Moderne Chirurgie des Rektumkarzinoms

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Zusammenfassung

Die differenzierte chirurgische Therapie des Rektumkarzinoms hat in den letzten Jahren dazu geführt, dass bei 80 % der Patienten eine kurative Resektion möglich wurde. Gleichzeitig lassen sich kontinenzerhaltende Operationsverfahren in 85 % der Fälle auch laparoskopisch verwirklichen, ohne onkologische Radikalitätsprinzipien preiszugeben. Die Aufgabe des Chirugen dabei ist, Radikalität und Funktionserhalt zu vereinbaren. Dass der Chirurg beim Rektumkarzinom selbst ein Prognosefaktor ist, zeigten die Daten der multizentrischen „Studiengruppe Kolorektales Karzinom.“ Dies wird umso wichtiger, wenn laparoskopisch onkologisch operiert werden soll. Für die laparoskopische Rektumchirurgie müssen spezielle Erfahrungen in der offenen Chirurgie des Rektums mit denen der laparoskopischen Chirurgie kombiniert werden. Insbesondere da die laparoskopische Rektumresektion die Vorgaben des offen-konventionellen Verfahrens unbedingt und kompromisslos erfüllen muss.

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Authors and Affiliations

  1. Klinik für Allgemeine, Viszeral-, und Minimalinvasive Chirurgie, Agaplesion Diakonieklinikum Hamburg gGmbH, Hohe Weide 17, 20259, Hamburg, Deutschland

    Uwe Johannes Roblick PD Dr. Dr. med., Andreas Schmidt Dr. med. & Karl Frederik Meyer Dr. med.

  2. Klinik für Chirurgie, Universitätsklinikum Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland

    Kim Christin Honselmann Dr. med.

Authors
  1. Uwe Johannes Roblick PD Dr. Dr. med.
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  2. Kim Christin Honselmann Dr. med.
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  3. Andreas Schmidt Dr. med.
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  4. Karl Frederik Meyer Dr. med.
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Corresponding author

Correspondence to Uwe Johannes Roblick PD Dr. Dr. med. .

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Editors and Affiliations

  1. Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany

    Martin E. Kreis

  2. Klinik für Allgemein- und Viszeralchirurgie, Vivantes Klinikum im Friedrichshain, Berlin, Germany

    Joachim Straßburg

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Roblick, U.J., Honselmann, K.C., Schmidt, A., Meyer, K.F. (2015). Besonderheiten der laparoskopischen Operation. In: Kreis, M., Straßburg, J. (eds) Moderne Chirurgie des Rektumkarzinoms. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40390-3_10

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  • DOI: https://doi.org/10.1007/978-3-642-40390-3_10

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-40389-7

  • Online ISBN: 978-3-642-40390-3

  • eBook Packages: Medicine (German Language)

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