Onkologie. 2011:5(5):270-273

Surgery and miniinvasive treatment of colorectal carcinoma

Zdeněk Kala¹, Petr Kysela¹, Lenka Ostřížková², Igor Kiss³, Vlastimil Válek⁴, Tomáš Andrašina⁴

¹ Chirurgická klinika FN Brno a LF MU Brno

² Interní hematoonkologická klinika FN Brno a LF MU Brno

³ Klinika komplexní onkologické péče, Masarykův onkologický ústav, Brno

⁴ Radiologická klinika FN Brno a LF MU Brno

Background: The incidence of colorectal carcinoma has been increasing. Only a multimodal treatment provides the best results. Surgical

R0 resection of all tumour sites is the goal of all treatment regimes.

Material and methods: A survey on the literature and our experiences has been conducted.

Results: Surgical treatment comprises endoscopic submucosal dissection, transanal endoscopic microsurgery, laparoscopy, open surgery

and cytoreduction surgery with the hyperthermic intraperitoneal chemotherapy. The news is the total mesocolic excision that similarly

to the total mesorectal excision provides fewer local relapses and higher long-term survival.

Conclusion: Similarly to anti-tumoral medical therapy, the surgery has been developing as well. It is necessary to enrol the patients into

suitable databases to state the proper position of all surgical methods in the multimodal treatment algorithm.

Keywords: colorectal carcinoma, treatment, miniinvasive, endoscopy, laparoscopy

Published: November 1, 2011  Show citation