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Chirurgische Therapie von Karzinomen der extrahepatischen Gallenwege und der Gallenblase

  • Chapter
Praxis der Viszeralchirurgie

Zusammenfassung

Die Behandlung von Malignomen der Gallenblase und der extrahepatischen Gallenwege stellt eine besondere Herausforderung dar. Bis heute ist wegen der bei diesen Tumoren nur selten realisierten Frühdiagnose und ihrer engen anatomischen Lagebeziehung zu komplexen Nachbarstrukturen bzw. anderen Organen allenfalls eine Minderheit der betroffenen Patienten chirurgisch kurativ resezierbar. Endoskopische und/oder radiologisch-interventionelle Verfahren haben eine zunehmende Bedeutung innerhalb interdisziplinärer Palliationskonzepte. Primär palliativ orientierte chirurgische Operationsverfahren verlieren komplementär an Stellenwert. Ausgewählten Patienten kann jedoch durch eine adäquate chirurgische Therapie eine ernstzunehmende Heilungschance bei akzeptabler perioperativer Morbidität eröffnet werden. Hierzu adjuvante chemo- wie auch strahlentherapeutische Verfahren befinden sich meist noch in Entwicklungs- bzw. Erprobungsstadien. In den folgenden Abschnitten werden die Grundsätze heute etablierter chirurgischer Behandlungsstrategien aufgezeigt.

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  1. T. Kraus
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  2. C. Herfarth
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Editors and Affiliations

  1. Chirurgische Klinik und Poliklinik, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland

    J. R. Siewert

  2. Department für Chirurgie, Kantonsspital Basel, Spitalstraße 21, 4031, Basel, Schweiz

    F. Harder

  3. Klinik für Allgemeinchirurgie, Zentrum für Operative Medizin I, Baldingerstraße, 35043, Marburg, Deutschland

    M. Rothmund

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Kraus, T., Herfarth, C. (2001). Chirurgische Therapie von Karzinomen der extrahepatischen Gallenwege und der Gallenblase. In: Siewert, J.R., Harder, F., Rothmund, M. (eds) Praxis der Viszeralchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-09420-4_34

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