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Gastrointestinal Surgery Series: Colorectal Surgery
Prabin Bikram Thapa, Dhiresh Kumar Maharjan
CHAPTER 1:
New Insights into the Surgical Anatomy and Embryology of the Rectum: A Review
EMBRYOLOGY OF THE RECTUM AND ANAL CANAL
ANATOMY OF THE RECTUM AND ANAL CANAL
Arterial Supply to the Hindgut
Arterial Supply to the Lower Anal Canal
Collateral blood supply to the rectum
Venous Drainage of the Left Colon and Rectum
Lymphatic Drainage
NERVOUS SYSTEM
SURGICAL ANATOMY
Ligation of the IMA
Total Mesorectal Excision
CONCLUSION
CHAPTER 2:
Trends in the Management of Rectal Cancer
INTRODUCTION
NONOPERATIVE MANAGEMENT OF RECTAL CANCER FOLLOWING COMPLETE CLINICAL RESPONSE TO NEOADJUVANT CHEMORADIATION
OPERATIVE TECHNIQUE FOR ABDOMINOPERINEAL RESECTION
TRANSANAL ENDOSCOPIC MICROSURGERY (TEM)
CONCLUSION
CHAPTER 3:
Neoadjuvant Therapy in Rectal Cancer: Current Status
ADJUVANT THERAPY
NEOADJUVANT TREATMENT IN RECTAL CANCER
Duration of Neoadjuvant Therapy
Chemotherapy Options
Capecitabine Based CRT
Oxaliplatin Based CRT
Irinotecan Based CRT
Monoclonal Antibody Based CRT
Induction Chemotherapy
Postoperative Chemotherapy for Rectal Cancer Patients Receiving Neoadjuvant Therapy
Adjuvant Therapy for Low Risk T3N0M0 Rectal Cancer
Treatment Toxicity and Quality of Life Issues
Local Recurrence
Response to Neoadjuvant Therapy
Neoadjuvant Radiotherapy
SUMMARY
CHAPTER 4:
Macroscopic Examination of TME Specimen
INTRODUCTION
ANATOMY
PREPARATION OF THE SPECIMEN
MACROSCOPIC DESCRIPTION OF THE SPECIMEN
ASSESSMENT OF THE PLANES OF SURGERY
CROSS-SECTIONAL SLICING
SELECTION OF BLOCKS
ASSESSMENT AFTER PREOPERATIVE THERAPY
LYMPH NODE SAMPLING
CONCLUSION
CHAPTER 5:
Laparoscopic Colorectal Surgery in Benign or Malignant Disease
INTRODUCTION
FEASIBILITY OF LAPAROSCOPIC COLORECTAL SURGERY
ONCOLOGIC SAFETY OF LAPAROSCOPIC COLORECTAL SURGERY
CONCLUSION
CHAPTER 6:
Peritoneal Carcinomatosis from Colorectal Cancer: An Update
INTRODUCTION
INCIDENCE AND RISK FACTORS OF PERITONEAL CARCINOMATOSIS FROM COLORECTAL CANCER
PROGNOSTIC SIGNIFICANCE OF PERITONEAL SPREAD IN COLORECTAL CANCER
PATHOPHYSIOLOGY OF PERITONEAL TUMOR SPREAD OF COLORECTAL CANCER
DIAGNOSIS AND STAGING OF PC FROM COLORECTAL CANCER
SELECTION OF PATIENTS FOR SURGERY
TECHNICAL ASPECTS OF CYTOREDUCTION AND HIPEC
CHEMOTHERAPEUTIC REGIMENS FOR HIPEC
RESULTS OF CYTOREDUCTION AND HIPEC
TOXICITY AND COMPLICATIONS OF CYTOREDUCTION AND HIPEC PROCEDURES
CONCLUSION AND FUTURE PERSPECTIVES
CHAPTER 7:
Pouch and Its Complications
EARLY COMPLICATIONS
Anastomotic Leaks
Pathophysiology
Risk factors
Clinical presentation
Diagnosis
Treatment
Small Bowel Obstruction
Risk factors
Clinical presentation
Diagnosis
Pouch Bleeding
Management
LATE COMPLICATIONS
Pouchitis
Pathophysiology
Clinical features
Diagnosis
Treatment
Fistulae
Pouch-vaginal fistula
Pouch-vesical fistula
Pouch-anal fistula
Dysplasia and Malignancy
CONCLUSION
CHAPTER 8:
Complete Rectal Prolapse and Its Management
COMPARISON OF DIFFERENT PROCEDUREs and APPROACHES
CHOICE OF OPERATION
CONCLUSION
INDEX
TOC
Index
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