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Aktuelle Therapie Des Magenkarzinoms by H. Bünte, P. Langhans, H. -J Meyer

Aktuelle Therapie Des Magenkarzinoms

by H. Bünte , P. Langhans , H. -J Meyer
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Book cover type: Paperback
  • ISBN13: 9783642705083
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Springer
  • Publisher Imprint: Springer
  • Publication Date:
  • Pages: 210
  • Original Price: EUR 51.39
  • Language: German
  • Edition: Softcover Repri
  • Item Weight: 368 grams
  • BISAC Subject(s): Gastroenterology

Die Chirurgie des Magenkarzinoms zielte in der Pionierzeit allein auf eine Beseiti- gung des Passagehindernisses, und die Operation galt schon als gelungen, wenn der Patient den Eingriff und die fr�he postoperative Phase �berlebte. Eine radikale chirurgische Therapie des Magenkarzinoms wurde erst im Verlauf dieses Jahrhunderts durch Einf�hrung subtiler pr�operativer diagnostischer Verfah- ren, Verfeinerungen und Standardisierung chirurgischer Techniken und nicht zu- letzt auch durch die Fortschritte von An�sthesie und Intensivmedizin m�glich. In Anbetracht der noch entt�uschenden �berlebensraten mu es heute unser Anliegen sein, in interdisziplin�rer Zusammenarbeit auf eine Verbesserung der Langzeitprognose . hinzuarbeiten. Ein erster Schritt in diese Richtung gelang nach Einf�hrung der Fiberendoskopie. Hierdurch wurde es zum einen m�glich, die prognostisch g�nstigen Magenfr�hkarzi- nome zu erkennen, aber auch beim fortgeschrittenen Karzinom eine Strategie chirurgischer Behandlung zu entwickeln. Bei manifesten Magenkarzinomen konkurrieren augenblicklich zwei Behandlungs- prinzipien, n�mlich die stadiengerechte Chirurgie und die Gastrektomie als Regel- operation, eventuell erg�nzt durch eine systematische Lymphadenektomie. Damit sind zun�chst die chirurgischen Behandlungsm�glichkeiten ersch�pft. Eine �berlegenheit des einen oder anderen Konzeptes ist gegenw�rtig noch nicht durch gesicherte Resultate belegt. M�glicherweise kann eine Verbesserung der Prognose durch die adjuvante und palliative Chemotherapie erreicht werden. Therapieergebnisse gr� erer Kollektive fehlen jedoch auch hier noch. Dennoch darf eine Resignation nicht aufkommen. Das Anliegen der Herausgeber ist es, mit diesem Buch durch eine Standortbestim- mung der Diagnostik undchirurgischen Therapie, sowie Chemotherapie und Pro- phylaxe des Magenkarzinoms Impulse zu weiterer intensiver Forschung zu geben.

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