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Surgical Management of Advanced Pelvic Cancer
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Страница 1
Table of Contents
List of Tables
List of Illustrations
Guide
Pages
Страница 7
Страница 8
Страница 9
Страница 10
1 From Early Pioneers to the PelvEx Collaborative
Background
The Pioneers
Brunschwig’s Operation
Evolution in Pelvic Exenterative Surgery Urinary Reconstruction
The Koenig–Rutzen Bag
Evolution of the Uretero‐Ileal Conduit
Subspecialization and Partial Exenteration
Composite Pelvic Exenterations
Lateral Pelvic Sidewall Resection
Perineal Reconstruction
Future Directions
References
2 The Role of the Multidisciplinary Team in the Management of Locally Advanced and Recurrent Rectal Cancer
Background
Complex Pelvic Cancer MDTM
Staging, Restaging, and Pathological Assessment Staging
Restaging
Pathological Assessment
Complex Cancer MDTM Outcomes
Summary Box
References
3 Preoperative Assessment of Tumor Anatomy and Surgical Resectability
Background
Cancer Anatomy and Resectability
Radiological Assessment of Cancer Anatomy by MRI
Case Study
Radiological Assessment of Metastatic Disease
Summary Box
References
4 Neoadjuvant Therapy Options for Advanced Rectal Cancer
Background
Potential Advantages of TNT
Potential Disadvantages of TNT
Short‐Term Outcomes Pathological Response
Long‐Term Oncological Outcomes
Organ Preservation
Chemotherapy and Compliance
Novel Chemotherapeutic Agents
Immunotherapeutics
Locally Recurrent Rectal Cancer
Future Developments
Summary Box
References
5 Preoperative Optimization Prior to Exenteration
Background
Clinical Examination
Laboratory Tests
Risk Assessment of Morbidity and Mortality
Preoperative Optimization
Anemia Management
Optimization of Nutritional Status
Mechanical Bowel Preparation and Oral Antibiotic Prophylaxis
Thromboprophylaxis
Stoma Education
Summary Box
References
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