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Stomachirurgie bei Patienten mit kolorektalen Karzinomen

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Book cover Chirurgie des intestinalen Stomas

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Zusammenfassung

Kolorektale Karzinome gehören zu den häufigsten Indikationen der Stomaanlage. Nach Rektumresektionen mit koloanalen Anastomosen wird eine protektive Stomaanlage empfohlen, wobei sowohl ein Ileo- als auch ein Kolostoma angelegt werden kann. Bei tiefsitzenden Rektumkarzinomen ist die tiefe anteriore Rektumresektion einer andominoperinealen Rektumexstirpation (APE) vorzuziehen. Allerdings ist nicht abschließend klar, ob die Lebensqualität nach intersphinktären Rektumresektionen gegenüber der APE noch als vorteilhaft gewertet werden kann. Eine präventive Stomaanlage vor Radiochemotherapie sollte lediglich Einzelfällen nach kritischer Prüfung überlassen werden. Selbsexpandierende Stents, Resektionen mit protektivem Stoma und alleinige Stomaanlage sind Alternativen im Falle einer akuten karzinombedingten Obstruktion.

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  1. Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Klinikum Augsburg, Augsburg, Deutschland

    Sebastian Wolf & Matthias Anthuber

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Correspondence to Sebastian Wolf .

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  1. Klinik für Allgemein-, Viszeral-, Endokrine und Minimal-invasive Chirurgie, München Klinik Bogenhausen, München, Germany

    Igors Iesalnieks

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Wolf, S., Anthuber, M. (2020). Stomachirurgie bei Patienten mit kolorektalen Karzinomen. In: Iesalnieks, I. (eds) Chirurgie des intestinalen Stomas. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59123-9_12

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