par Pector, Jean Claude 
;Legendre, Hugues
Référence Bulletin et mémoires de l'Académie royale de médecine de Belgique, 156, 7-9, page (410-417)
Publication Publié, 2001
;Legendre, Hugues Référence Bulletin et mémoires de l'Académie royale de médecine de Belgique, 156, 7-9, page (410-417)
Publication Publié, 2001
Article révisé par les pairs
| Résumé : | There are many ways by which the surgeon can optimize curative resection for rectal cancer. Appropriate margins with total mesorectal excision, should be the goals for tumors in the lower two-thirds of the rectum. Reconstruction should be performed, whenever technically possible, by a colonic J-pouch. Preservation of pelvic autonomic nerves is possible in most cases, reducing the risk of postoperative sexual and urinary dysfunction. New techniques increase the frequency of curative treatments of metastatic disease. Towards either the primary or the metastatic disease, the new therapeutic strategies offer an hope of cure, and a better quality of life, to an increasing number of patients. |
