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.
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Literatur
Byrne J (1983) A history of surgery, chapt 1. In: Goldsmith HS (ed) Practice of surgery. Harper & Row, New York, pp 1–60
Churchill ED, Sweet RH, Southern L, Scanneil JG (1950) The surgical management of carcinoma of the lung. J Thorac Surg 30:349
Corman ML (ed) (1984) Carcinoma of the colon. In: Colon and rectal surgery. Lippincott, Philadelphia, pp 267–328
Crile G jun (1980) Controversies in thyroid surgery. NY State J Med 80:1832–1835
Farrar WB, Cooperman M, James AG (1980) Surgical management of papillary and follicular carcinoma of the thyroid. Ann Surg 192:701–704
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 46:1009–1025
Foster RS jun (1978) Morbidity and mortality after thyroidectomy. Surg Gynecol Obstet 146:423–429
Grinnel RS (1958) The rationale of subtotal and total colectomy in the treatment of cancer and multiple polyps of the colon. Surg Gynecol Obstet 106:288–292
Hayward OS (1965) The history of oncology, I: Early oncology and the literature of discovery. Surgery 58:460–468
Hayward OS (1965) The history of oncology, II: The society for investigating cancer. Surgery 58:586–599
Hayward OS (1965) The history of oncology, III: America and cancer lectures of Nathan Smith. Surgery 58:745–757
Henderson IC, Canellos GP (1980) Cancer of the breast: The past decade. N Engl J Med 302:17–30
Hermann RE, Cooperman AM (1979) Cancer of the pancreas. N Engl J Med 301:482–485
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 219–231
Hermann RE, Esselstyn CB jun, Crue G jun, Cooperman AM, Antunez AR, Hoerr SO (1985) Results of conservative operations for breast cancer. Arch Surg 120:746–751
Herter FP, Cooperman AM, Ahlborn TN, Aninori C (1982) Surgical experience with pancreatic and periampullary cancer. Ann Surg 195:274–281
Lawrence GH, Walker JH, Pinkers L (1960) Extended resection of bronchogenic carcinoma: A reappraisal and suggested plan of management. N Engl J Med 263:615
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 232–247
Martini N, Flehinger BJ, Zaman MB (1980) Prospective study of 445 lung carcinoma with mediastinal lymph node metastases. J Thorac Cardiovasc Surg 80:390–399
Paulson DL, Reisch JS (1976) Long-term survival after resection for bronchogenic carcinoma. Ann Surg 184:324
Rosenberg SA, Teppes J, Glatstein E et al. (1982) The treatment of soft-tissue sarcomas of the extremities. Ann Surg 196:305–315
Shin MH, Hajdu SI (1981) Management of soft-tissue sarcoma of the extremity. Semin Oncol 8:172–179
Thompson NW, Nishiyama RH, Harness JK (1978) Thyroid carcinoma: current controversies. Curr Probl Surg 15:1–67
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 166:420–427
Urban JA (1976) Changing patterns of breast cancer. Cancer 37:111–117
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 248–270
Van Heerden JA, Heath PM, Alden CR (1980) Biliary bypass for ductal adenocarcinoma of the pancreas. Mayo Clinic experience, 1970–1975. Mayo Clin Proc 55:537–540
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 142:308–311
Veronesi U, Valagussa P (1981) Inefficacy of internal mammary nodes dissection in breast cancer surgery. Cancer 47:170–175
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 305:6–11
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 48:591–597
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Hermann, R.E. (1986). Der Stellenwert ultraradikaler Operationen in der Onkologie. In: Eigler, F.W., Peiper, HJ., Schildberg, F.W., Witte, J., Zumtobel, V. (eds) Stand und Gegenstand chirurgischer Forschung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70648-6_40
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