Rectal Cancer Surgery

Optimisation — Standardisation — Documentation

  • Odd Søreide
  • Jarle Norstein

Table of contents

  1. Front Matter
    Pages I-XVI
  2. Rectal Cancer — Natural History of the Disease

    1. Front Matter
      Pages 1-1
    2. Jarle Norstein, Frøydis Langmark
      Pages 17-28
    3. John L. McCall, David A. Wattchow
      Pages 29-45
  3. Tumour Staging

    1. Front Matter
      Pages 47-47
    2. Paul Hermanek
      Pages 49-62
    3. Ulrich Hildebrandt, Gernot Feifel
      Pages 82-100
    4. Philip Quirke, Lynn Cawkwell
      Pages 101-114
  4. The Anatomical Basis for Rectal Cancer Surgery

  5. Tumour Spread As a Basis for Rectal Cancer Surgery

    1. Front Matter
      Pages 143-143
    2. Tor J. Eide
      Pages 145-152
    3. Yoshihiro Moriya
      Pages 153-164
    4. Takashi Takahashi, Masashi Ueno, Kaoru Azekura, Hirotoshi Ota
      Pages 165-180
  6. Surgical Technique — Options

    1. Front Matter
      Pages 181-181
    2. Carlo W. Taat, C. Paul Maas, Willem-Hans Steup, Cornelis J. H. van de Velde
      Pages 183-202
    3. Warren E. Enker, Klaas Havenga, Howard T. Thaler, Alfred M. Cohen, Tatyana Polyak, Milicent Cranor et al.
      Pages 220-243
    4. John K. MacFarlane
      Pages 255-263
    5. John E. Hartley, Graeme S. Duthie, John R. T. Monson
      Pages 264-280
    6. Josep Rius Macias, Steven D. Wexner
      Pages 281-294
  7. Reconstruction

    1. Front Matter
      Pages 295-295
    2. Philip B. Paty
      Pages 297-311
    3. Emmanuel Tiret, Anne Berger, Rolland Parc
      Pages 312-319
  8. Outcome

    1. Front Matter
      Pages 335-335
    2. Fabrizio Michelassi, Deborah A. Mhoon
      Pages 337-352
  9. The Role of Adjuvant Treatment if Surgery Is Optimal

  10. International Standardization and Research Strategies

    1. Front Matter
      Pages 403-403
    2. Odd Søreide, Jarle Norstein, L. Peter Fielding, William Silen
      Pages 405-445
  11. Back Matter
    Pages 447-459

About this book


Rectal cancer is a major killer. Most of those dying after curative surgery suffer from recurrent disease in the pelvis. Local recurrence is also the only site of failure in up to 50% of patients. A disturbing fact is that the local recurrence rate shows considerably surgeon-related variances. There is now strong evidence that optimizing surgical technique by adopting the principle of total mesorectal excision (TME) will reduce local failure rate, increase the use of sphincter-saving operations, and improve functional results. Surgeons applying this surgical principle will consistently achieve similarly low recurrence rates. This book * reviews the failure patterns after rectal cancer surgery, * discusses the anatomical basis for rectal cancer surgery, * documents the method of spread with emphasis on lymph node metastasis, * describes conventional and optimal surgery, * presents methods of pathological evaluation of the specimen, * documents functional results of and organizational factors influencing rectal cancer treatment. The role of adjuvant therapy, if surgery is optimized, is critically reviewed. In the final chapter, an international documentation system is presented.


Karzinom Rektumkarzinom Staging adjuvant therapy anatomy cancer cancer registry cancer treatment carcinoma epidemiology molecular biology radiotherapy rectal cancer surgery tumor

Editors and affiliations

  • Odd Søreide
    • 1
  • Jarle Norstein
    • 1
  1. 1.Surgical Department B The National Hospital (Rikshospitalet)University of OsloOsloNorway

Bibliographic information

  • DOI
  • Copyright Information Springer-Verlag Berlin Heidelberg 1997
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-540-61566-8
  • Online ISBN 978-3-642-60514-7
  • Buy this book on publisher's site