Skip to main content

The Effect of Specialization or Organization of Rectal Cancer Surgery

  • Chapter
Rectal Cancer Surgery

Abstract

Patients assume that there are no significant differences in the quality of surgery between comparable hospitals. If at all, they may accept some minor differences between individual surgeons with regard to postoperative complications, but they will definitely not accept differences in long-term survival following surgery for cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Cohen AM (1991) Surgical considerations in patients with cancer of the colon and rectum. Semin Oncol 18: 381 – 387

    PubMed  CAS  Google Scholar 

  2. Fielding LP, Stewart-Brown S, Dudley HAF (1978) Surgeon-related variables and the clinical trial. Lancet 11: 778 – 779

    Article  Google Scholar 

  3. Heald RJ (1988) The “Holy Plane” of rectal surgery. J R Soc Med 81: 503 – 508

    PubMed  CAS  Google Scholar 

  4. Hermanek P, Wiebeit H, Staimmer D, Riedi St and the German Study Group Colo-Rectal Carcinoma (SGCRC) (1995) Prognostic factors of rectum carcinoma. Experience of the German Multicentre Study SGCRC. Tumori 81 [Suppl]: 60 – 64

    Google Scholar 

  5. Hermanek P Jr, Wiebelt H, Riedi St, Staimmer D, Hermanek P and the Colorectal Carcinoma Study Group (SGKRK) (1994) Langzeitergebnisse der chirurgischen Therapie des Colonkarzinoms. Ergebnisse der Studiengruppe Kolorektales Karzinom (SGKRK). Chirurg 65: 387 – 297

    Google Scholar 

  6. Hohenberger W, Hermanek P (1989) Weite des aboralen Sicherheitsabstandes bei anteriorer Rektumresektion. In: Gall FP, Zirngibl H, Hermanek P (eds) Das kolorektale Karzinom. Kontroverse Fragen, neue Ergebnisse. Zukschwerdt, Munich, pp 161 – 174

    Google Scholar 

  7. Hohenberger W, Hermanek P Jr, Hermanek P, Gall FP (1992) Decision making in curative rectum carcinoma surgery. Onkologie 15: 209 – 220

    Article  Google Scholar 

  8. Hohenberger W, Thorn N, Hermanek P, Gall FP (1992) Pelvine multiviszerale Resektion aus der Sicht der Chirurgie. Langenbecks Arch Chir Suppl. (Kongressbericht): 83 – 88

    Google Scholar 

  9. Kingston RD, Walsh S, Jeacock J (1992) Colorectal surgeons in district general hospitals produce similar survival outcomes to their teaching hospital colleagues: review of 5-year survival in Manchester. J R Coll Surg Edinb 37: 235 – 237

    PubMed  CAS  Google Scholar 

  10. Kessler H, Hermanek Jr P, Wiebeit H (1993) Operative mortality in carcinoma of the rectum. Results of the German Multicentre Study. Int J Colorect Dis 8: 158 – 166

    Article  CAS  Google Scholar 

  11. McArdle CS, Hole D (1991) Impact of variability among surgeons on postoperative morbidity and mortality and ultimate survival. Br Med J 307: 1501 – 1505

    Article  Google Scholar 

  12. Möhner M, Slisow W (1990) Untersuchung zum Einfluss der regional zentralisierten Behandlung auf die Überlebenschancen beim Rektumkarzinom in der DDR. Zbl Chir 115: 801 – 812

    PubMed  Google Scholar 

  13. Phillips RKS, Hittinger R, Blesovsky L, Fry JS, Fielding LP (1984) Local recurrence following curative surgery for large bowel cancer: 1. The overall picture. Br J Surg 71: 12 – 16

    Article  PubMed  CAS  Google Scholar 

  14. UICC (1992) TNM classification of malignant tumors. Hermanek P, Sobin LH (eds) 4th edn, 2nd revision. Springer, Berlin, Heidelberg, New York

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Hohenberger, W. (1997). The Effect of Specialization or Organization of Rectal Cancer Surgery. In: Søreide, O., Norstein, J. (eds) Rectal Cancer Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60514-7_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-60514-7_26

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-61566-8

  • Online ISBN: 978-3-642-60514-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics