Oncological radicality in XXXX operation.

@entity1 @entity43 @entity13305 @entity5 @entity254 @entity694
Lymphadectomy should extend to the level of the origin of the primary feeding vessel, suspected positive lymph nodes outside the standart resection should be removed when feasible. A minimum 5 cm bowel margins proximally and distally should be used and peroperative histology must confermend @entity5 free @entity254 . En-block resection should be performed for @entity5 adherent to local structures. Inadvertent bowel perforation increases the risk of recurrence and should be avoided. Ovaries grossly involved with @entity5 should be removed. In all @entity1 having operations for @entity694 should be performed. In premenopausal @entity1 the ovary is a frequent site for metastatic disease (the @entity13305 ) which occures as often as 25 percent of the time. The incidence of of @entity43 is much lower in postmenopausal @entity1 but the consequences of oophorectomy are also less severe in that age group. (Ref. 9.).
