Advertisement

Der Stellenwert ultraradikaler Operationen in der Onkologie

  • R. E. Hermann
Conference paper

Zusammenfassung

Der Stellenwert ultraradikaler Operationen in der Onkologie ist für mich deshalb ein so interessantes Thema, weil ich meine Ausbildung in der Medizin und als Chirurg zu einer Zeit erhielt, vor 25–30 Jahren, während der die Chirurgen zunehmend kühner und radikaler im Kampf gegen Krebs und andere maligne Erkrankungen wurden [2, 25, 26, 31]. Technische Fortschritte innerhalb der vergangenen 100 Jahre ermöglichten diese radikale Einstellung, und die damaligen Helden waren jene Chirurgen, die in der Lage waren, radikale Karzinomchirurgie durchzuführen. Je größer die „En-bloc-Resektion“ war, desto größer war die Wahrscheinlichkeit, auch die letzte Krebszelle zu entfernen. Lassen Sie mich kurz die historischen Aspekte dieser Philosophie der Karzinomchirurgie aufzeigen.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. 1.
    Byrne J (1983) A history of surgery, chapt 1. In: Goldsmith HS (ed) Practice of surgery. Harper & Row, New York, pp 1–60Google Scholar
  2. 2.
    Churchill ED, Sweet RH, Southern L, Scanneil JG (1950) The surgical management of carcinoma of the lung. J Thorac Surg 30:349Google Scholar
  3. 3.
    Corman ML (ed) (1984) Carcinoma of the colon. In: Colon and rectal surgery. Lippincott, Philadelphia, pp 267–328Google Scholar
  4. 4.
    Crile G jun (1980) Controversies in thyroid surgery. NY State J Med 80:1832–1835Google Scholar
  5. 5.
    Farrar WB, Cooperman M, James AG (1980) Surgical management of papillary and follicular carcinoma of the thyroid. Ann Surg 192:701–704PubMedCrossRefGoogle Scholar
  6. 6.
    Fisher B, Redmond ScD, Fisher ER (1980) The contribution of recent NSABP clinical trials of primary breast cancer therapy to an understanding of tumor biology — An overview of findings. Cancer 46:1009–1025PubMedCrossRefGoogle Scholar
  7. 7.
    Foster RS jun (1978) Morbidity and mortality after thyroidectomy. Surg Gynecol Obstet 146:423–429PubMedGoogle Scholar
  8. 8.
    Grinnel RS (1958) The rationale of subtotal and total colectomy in the treatment of cancer and multiple polyps of the colon. Surg Gynecol Obstet 106:288–292Google Scholar
  9. 9.
    Hayward OS (1965) The history of oncology, I: Early oncology and the literature of discovery. Surgery 58:460–468PubMedGoogle Scholar
  10. 10.
    Hayward OS (1965) The history of oncology, II: The society for investigating cancer. Surgery 58:586–599PubMedGoogle Scholar
  11. 11.
    Hayward OS (1965) The history of oncology, III: America and cancer lectures of Nathan Smith. Surgery 58:745–757Google Scholar
  12. 12.
    Henderson IC, Canellos GP (1980) Cancer of the breast: The past decade. N Engl J Med 302:17–30PubMedCrossRefGoogle Scholar
  13. 13.
    Hermann RE, Cooperman AM (1979) Cancer of the pancreas. N Engl J Med 301:482–485PubMedCrossRefGoogle Scholar
  14. 14.
    Hermann RE, Esselstyn CB jun, Crue G jun (1978) Conservative surgical treatment of potentially curable breast cancer. In: Gallager S, Leis HP jun, Snyderman RK, Urban JA (eds) The breast. Mosby, St. Louis, pp 219–231Google Scholar
  15. 15.
    Hermann RE, Esselstyn CB jun, Crue G jun, Cooperman AM, Antunez AR, Hoerr SO (1985) Results of conservative operations for breast cancer. Arch Surg 120:746–751PubMedCrossRefGoogle Scholar
  16. 16.
    Herter FP, Cooperman AM, Ahlborn TN, Aninori C (1982) Surgical experience with pancreatic and periampullary cancer. Ann Surg 195:274–281PubMedCrossRefGoogle Scholar
  17. 17.
    Lawrence GH, Walker JH, Pinkers L (1960) Extended resection of bronchogenic carcinoma: A reappraisal and suggested plan of management. N Engl J Med 263:615PubMedCrossRefGoogle Scholar
  18. 18.
    Leis HP jun (1978) Selective moderate surgical approach for potentially curable breast cancer. In: Gallager S, Leis HP jun, Snyderman RK, Urban JA (eds) The breast. Mosby, St. Louis, pp 232–247Google Scholar
  19. 19.
    Martini N, Flehinger BJ, Zaman MB (1980) Prospective study of 445 lung carcinoma with mediastinal lymph node metastases. J Thorac Cardiovasc Surg 80:390–399PubMedGoogle Scholar
  20. 20.
    Paulson DL, Reisch JS (1976) Long-term survival after resection for bronchogenic carcinoma. Ann Surg 184:324PubMedCrossRefGoogle Scholar
  21. 21.
    Rosenberg SA, Teppes J, Glatstein E et al. (1982) The treatment of soft-tissue sarcomas of the extremities. Ann Surg 196:305–315PubMedCrossRefGoogle Scholar
  22. 22.
    Shin MH, Hajdu SI (1981) Management of soft-tissue sarcoma of the extremity. Semin Oncol 8:172–179Google Scholar
  23. 23.
    Thompson NW, Nishiyama RH, Harness JK (1978) Thyroid carcinoma: current controversies. Curr Probl Surg 15:1–67Google Scholar
  24. 24.
    Turnbull RB jun, Kyle K, Watson FR et al. (1967) Cancer of the colon: the influence of the no-touch isolation technic in survival rates. Ann Surg 166:420–427PubMedCrossRefGoogle Scholar
  25. 25.
    Urban JA (1976) Changing patterns of breast cancer. Cancer 37:111–117PubMedCrossRefGoogle Scholar
  26. 26.
    Urban JA (1978) Selective radiacal surgical treatment for primary breast cancer. In: Gallager S, Leis HP jun, Snyderman RK, Urban JA (eds) The breast. Mosby, St. Louis, pp 248–270Google Scholar
  27. 27.
    Van Heerden JA, Heath PM, Alden CR (1980) Biliary bypass for ductal adenocarcinoma of the pancreas. Mayo Clinic experience, 1970–1975. Mayo Clin Proc 55:537–540PubMedGoogle Scholar
  28. 28.
    Van Heerden JA, ReMine WH, Weiland LH, Mclllrath DC, Ilstrup DM (1981) Total pancreatectomy for ductal adenocarcinoma of the pancreas. Mayo Clinic experience. Am J Surg 142:308–311PubMedCrossRefGoogle Scholar
  29. 29.
    Veronesi U, Valagussa P (1981) Inefficacy of internal mammary nodes dissection in breast cancer surgery. Cancer 47:170–175PubMedCrossRefGoogle Scholar
  30. 30.
    Veronesi U, Saccozzi R, DelVechio M et al. (1981) Comparing radical mastectomy with qua-drantectomy, axillary dissection and radiotherapy in patients with small cancers of the breast. N Engl J Med 305:6–11PubMedCrossRefGoogle Scholar
  31. 31.
    Wangensteen OH (1949) Cancer of the colon and rectum: with special reference to (1) earlier recognition of alimentary tract malignancy, (2) secondary delayed re-entry of the abdomen in patients exhibiting lymph node involvement; (3) subtotal primary excision of the colon; (4) operation in obstruction. Wis Med J 48:591–597PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • R. E. Hermann

There are no affiliations available

Personalised recommendations