Abstract
The grim surgical reality that accompanies colorectal cancer resection suggests that approximately 50% of patients who come to the surgeon with a contained malignancy have this cancer converted to a disseminated disease process. Flawed surgical technology causes a surgically induced dissemination of microscopic residual disease in a large percentage of patients. Inadequate exposure, imperfect hemostasis, inadequate lymphadenectomy, and qualitatively poor margins of excision lead to the spillage of cancer cells in 30–50% of patients. Minor technical changes in the surgical approach to this disease can make a great difference in survival. The goal of cancer surgery for large bowel cancer is complete clearance and containment. Surgeons must believe that they are the most important prognostic variables before finding the commitment required to modify the current surgical approach.
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Sugarbaker, P.H. (2002). Surgical Management of Peritoneal Surface Spread of Colorectal Cancer. In: Saltz, L.B. (eds) Colorectal Cancer. Current Clinical Oncology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-160-2_22
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DOI: https://doi.org/10.1007/978-1-59259-160-2_22
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-4684-9670-3
Online ISBN: 978-1-59259-160-2
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