Résumé
Pour les cancers du rectum localement évolués, la radiochimiothérapie préopératoire augmente le taux de réponse tumorale et diminue le taux de récidive locale. Le traitement curatif des cancers du rectum repose sur l’exérèse chirurgicale dont le gold standard associe la proctectomie, l’exérèse totale du mésorectum et la conservation sphinctérienne si le niveau de la tumeur l’autorise. La qualité des résultats carcinologiques est influencée par les degrés de spécialisation du chirurgien et du centre dans lequel est opéré le patient.
Abstract
Neoadjuvant chemoradiation therapy reduces the likelihood tumour regression and decreases the local recurrence rate for locally advanced rectal cancer. Radical resection according to the principles of total mesorectal excision and sphincter preservation has become widely accepted. Optimal oncology outcomes depend on the specific relevant expertise of the colorectal unit and surgeon.
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Alvès, A., Panis, Y. Traitement chirurgical du cancer du rectum. Côlon Rectum 1, 8–12 (2007). https://doi.org/10.1007/s11725-006-0011-y
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DOI: https://doi.org/10.1007/s11725-006-0011-y