Synchronous liver metastases of rectal cancer and the possibility of simultaneous resection
Jazyk angličtina Země Česko Médium print
Typ dokumentu časopisecké články
PubMed
31842568
PII: 118879
Knihovny.cz E-zdroje
- Klíčová slova
- rectal cancer, simultaneous resection, synchronous metastases,
- MeSH
- hepatektomie metody MeSH
- játra chirurgie MeSH
- laparoskopie MeSH
- lidé MeSH
- mnohočetné primární nádory MeSH
- nádory jater sekundární chirurgie MeSH
- nádory rekta patologie chirurgie MeSH
- proktektomie metody MeSH
- rektum chirurgie MeSH
- roboticky asistované výkony MeSH
- týmová péče o pacienty MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Treatment of metastatic rectal cancer and liver metastases continues to pose a major challenge. Synchronous liver metastases are present in up to one fifth of patients diagnosed with rectal carcinoma. Multidisciplinary cooperation is essential for determination of the consequent diagnostic and therapeutic plan. Only tight collaboration of experts from different medical fields allows for optimal timing of various medical procedures leading to a maximal benefit for the patient. Given the complexity of the problem, different specific methods and combinations thereof are applied in the course of the therapy, making the design of straightforward guidelines impossible. Since open surgery is complicated by the vastly distant locations of the rectum and liver, minimally invasive approach brings more perspectives in simultaneous surgery. A novel possibility of robotic and/or laparoscopic surgery performed by two teams is currently being developed. Despite the progress in surgical technology, optimal strategy has not yet been established.