Zusammenfassung
Gemessen an der Häufigkeit des Auftretens liegen Karzinome von Kolon und Rektum an zweiter Stelle aller Karzinome in den entwickelten Ländern [42]. Es findet sich eine ausgeprägte Prädominanz der im Rektum lokalisierten Tumoren (in den letzten 15 cm des Dickdarms). Unter Ausschluß der Neoplasmen des Rektosigmoids stellen diese Karzinome etwa 1/3 aller kolorektalen Tumoren. Obwohl dieser Karzinomtyp hauptsächlich im höheren Alter auftritt, wird er gelegentlich auch bei jüngeren Patienten gefunden, sogar wenn keine prädisponierenden Risikofaktoren vorliegen. Die meisten der betroffenen Patienten sind jedoch älter als 60 Jahre, wobei der Häufigkeitsgipfel im 7. Lebensjahrzehnt (60–69 Jahre) liegt. Der Anteil an Patienten unter 30 Jahren wird je nach Autor zwischen 1 und 4% angegeben. Es läßt sich ein leichtes Überwiegen der Erkrankung bei Männern feststellen.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
American Joint Committee on Cancer (1983) Manual for staging of cancer. Lippincott, Philadelphia
Astler VB, Coller FA (1954) The prognostic signifi cance of direct extension of carcinoma of the colon and rectum. Ann Surg 139: 846–851
Biggers OR, Beart RW Jr, Ilstrup DM (1986) Local excision of rectal cancer. Dis Colon Rectum 29: 374–377
Bown SG, Barr H, Mathewson K, Hawes R, Swain CP, Clark CG, Boulos PB (1986) Endoscopic treatment of inoperable colorectal cancers with the Nd YAG laser. Br J Surg 73: 949–952
Delaloye B, Bischof-Delaloye A, Volant JC, Pettavel J, von Fliedner V, Buchegger F, Mach JP (1985) First approach to therapy of liver metastases in colo-rectal carcinoma by intra-hepatically infused I-131 labeled monoclonal anti-CEA antibodies. Eur J Nucl Med 11- A37
De Luca FR, Ragins H (1985) Construction of an omental envelope as a method of excluding the small intestine from the field of postoperative irradiation to the pelvis. Surg Gynecol Obstet 160: 365–366
Dukes CE (1932) The classification of cancer of the rectum. J Pathol 35: 323–332
Duncan W (1985) Adjuvant radiotherapy in rectal cancer: the MRC trials. Br J Surg 72: 559–566
Dürig M, Steenblock U, Heberer M, Harder F (1984) Prevention of radiation injuries to the small intestine. Surg Gynecol Obstet 159: 162–163
Everett WG, Friend PJ, Forty J (1986) Comparison of stapling and hand suture for left-sided large bowel anastomosis. Br J Surg 73: 345–348
Foster ME, Lancaster JB, Leaper DJ (1984) Leakage of low rectal anastomosis: an anatomic explanation? Dis Colon Rectum 27: 157–158
Fritsch A, Seidl W, Walzel C, Moser K, Schiessel R (1982) Palliative and adjunctive measures in rectal cancer. World J Surg 6: 569–577
Gage AA (1968) Cryotherapy for inoperable rectal cancer. Dis Colon Rectum 11: 36–44
Gastroingestinal Tumor Study Group (1985) Prolongation of the disease-free interval in surgically treated rectal carcinoma. N Engl J Med 312: 1465–1472
Givel JC, Spinosa GP, Chapuis G (1988) Valeur de fultrasonographie endorectale pour le chirurgien. Helv Chir Acta 55: 235–238
Goldsmith HS (1977) Protection of low rectal anastomosis with intact omentum. Surg Gynecol Obstet 144: 584–586
Harford FJ (1979) Use of glucagon in conjunction with the end-to-end anastomosis (EEA) stapling device for low anterior anastomosis. Dis Colon Rectum 22:452–454
Hermanek P, Sobin LM (1987) TNM classification of malignant tumours, 4th edn. Springer, Berlin Heidelberg New York
Jacobson YG (1985) Posterior rectal resection using EEA stapler. Dis Colon Rectum 28: 681–683
Killingback MJ (1985) Indications for local excision of rectal cancer. Br J Surg 72: 544–556
Lanter B, Mason RA (1979) Use of omental pedicle graft to protect low anterior colonic anastomosis. Dis Colon Rectum 22: 448–451.
Lazorthes F, Fages P, Chiotasso P, Bugat R (1986) Synchronous abdominotranssphincteric resection of low rectal cancer: new technique for direct colo-anal anastomosis. Br J Surg 73: 573–575
Localio SA, Stahl WH (1969) Simultaneous abdomino-transsacral resection and anastomosis for mid-rec tal cancer. Am J Surg 117: 282–289
Madden JL, Kandalaft S (1967) Electrocoagulation: a primary and preferred method of treatment for cancer of the rectum. Ann Surg 166: 413–419
Madden JL, Kandalaft S (1971) Clinical evaluation of electrocoagulation in the treatment of cancer of the rectum. Am J Surg 122: 347–352
Manson PN, Corman ML, Coller JA, Veidenheimer MC (1976) Anastomotic recurrence after anterior resection for carcinoma: Lahey Clinic experience. Dis Colon Rectum 19: 219–224
Manson PN, Corman ML, Coller JA, Veidenheimer MC (1976) Anterior resection for adenocarcinoma: Lahey Clinic experience from 1963 through 1969. Am J Surg 131:434–441
Mason AY (1970) Surgical access to the rectum - a transsphincteric exposure. Proc R Soc Med 63: 91–94
Mason AY (1976) Rectal cancer: the spectum of selective surgery. Proc R Soc Med 69: 237–244
Mathus-Vliegen EMH, Tytgat GNJ (1986) Laser photocoagulation in the palliation of colorectal malignancies. Cancer 57: 2212–2216
McGonaghe BA (1985) Evaluation of the proximateILS circular stapler: a prospective study. Ann Surg 210: 108–114
Minichan DP Jr (1982) Enlarging the bowel lumen for the EEA stapler. Dis Colon Rectum 25: 61
Morson BC, Dawson IMP (1979) Gastro-intestinal pathology. Blackwell Scientific, Oxford
Pahlman L, Glimelius B, Graffman S (1985) Preversus postoperative radiotherapy in rectal carcinoma: an interim report from a randomized multicentre trial. Br J Surg 72: 961–966
Papillon J (1975) endocavitary irradiation of early rectal cancer for cure: a series of 186 cases. Cancer 36: 696–701
Papillon J (1982) Rectal and anal cancers. Springer, Berlin Heidelberg New York
Papillon J (1984) New prospects in the conservative treatment of rectal cancer. Dis Colon Rectum 27: 695–700
Parc R, Tiret E, Frileux P, Moszkowski E, Loygue J (1986) Resection and colo-anal anastomosis with colonic reservoir for rectal carcinoma. Br J Surg 73: 139–141
Parks AG (1972) Transanal technique in low rectal anastomosis. Proc R Soc Med 65: 975–976
Parks AG (1982) Per-anal anastomosis. World J Surg 6:531–538
Schrock TR, Deveney CW, Dunphy JE (1973) Factors contributing to leakage of colonic Anastomoses. Ann Surg 177: 513–518
Silverman A, Desai TK, Luk GD (1988) Scope of the problem. Gastroenterol Clin North Am 17: 655–656
Sischy B (1987) The role of radiation therapy in the management of carcinoma of the rectum. Cont Surg 30:13–26
Smith DE, Muff NS, Shetabi H (1986) Combined preoperative neoadjuvant radiotherapy and chemotherapy for anal and rectal cancer. Am J Surg 151: 577–580
Turnbull RB Jr, Cuthbertson A (1961) Abdominorectal pull-through resection for cancer and for Hirschsprung’s disease: delayed posterior colorectal anastomosis. Clev Clin Q 28: 109–115
Windle R, Bell PRF, Shaw D (1987) Five year results of a randomized trial of adjuvant 5-fluorouracil and levamisole incolorectal cancer. Br J Surg 74: 569–572.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Givel, JC. (1992). Rektumtumoren. In: Marti, MC., Givel, JC. (eds) Chirurgie anorektaler Krankheiten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77233-7_20
Download citation
DOI: https://doi.org/10.1007/978-3-642-77233-7_20
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-77234-4
Online ISBN: 978-3-642-77233-7
eBook Packages: Springer Book Archive