DerChirurg.00710646.ger.abstr-passage-0
abstract
Zusammenfassung . Fortschritte in der Chirurgie , Anaesthesiologie und Intensivmedizin haben die Sicherheit der chirurgischen Therapie solider Malignome deutlich erhoeht . Die Prognose der meisten malignen Tumorarten jedoch hat sich nicht wesentlich verbessert . Die Anwendung adjuvanter , also postoperativer Therapiemassnahmen jedenfalls hat die Prognose bei den in diesem Teil der Uebersicht abgehandelten Tumoren , dem Oesophagus- und dem Magenkarzinom , bislang kaum veraendert . Um bei fortgeschrittenen Malignomen die Heilungsrate der chirurgischen Therapie zu erhoehen , fanden Chemotherapie und Strahlentherapie vor der Operation isolierte oder kombinierte Anwendung . Waehrend die Schwaeche der praeoperativen Bestrahlung in der Behandlung distanter Absiedelungen und die der neoadjuvanten Chemotherapie in der lokalen Tumorkontrolle liegt , kann durch multimodale Verfahren eine Ueberlebensverlaengerung bei Respondern " " erreicht werden , die jedoch in der Gesamtuebersicht aller entsprechend behandelten Patienten nicht nachvollziehbar ist . Eine signifikante Prognoseverbesserung durch erweiterte Lymphadenektomie war bisher weder beim Oesophagus- noch beim Magenkarzinom im Rahmen randomisierter Studien nachweisbar .
DerChirurg.00710646.ger.abstr-s2-r1-t5.2-t1.2
issue_in
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method_of
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method_of
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DerChirurg.00710646.ger.abstr-s2-r4-t4.1-t3.1
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DerChirurg.00710646.ger.abstr-s4-r1-t4.1-t1.1
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DerChirurg.00710646.ger.abstr-s7-t1
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DerChirurg.00710646.ger.abstr-s4-r7-t1.1-t1.2
isa
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associated_with
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DerChirurg.00710646.ger.abstr-s7-t3
DerChirurg.00710646.ger.abstr-s4-r9-t4.1-t1.2
associated_with
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DerChirurg.00710646.ger.abstr-s5-t1
DerChirurg.00710646.ger.abstr-s6-r1-t4.1-t2.1
associated_with
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DerChirurg.00710646.ger.abstr-s7-t2
DerChirurg.00710646.ger.abstr-s6-r2-t4.1-t5.1
occurs_in
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DerChirurg.00710646.ger.abstr-s6-t5
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occurs_in
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DerChirurg.00710646.ger.abstr-s6-t5
DerChirurg.00710646.ger.abstr-s6-r4-t3.1-t4.1
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DerChirurg.00710646.ger.abstr-s6-r5-t5.1-t2.1
performs
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DerChirurg.00710646.ger.abstr-s7-t2
DerChirurg.00710646.ger.abstr-s6-r6-t1.1-t4.1
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associated_with
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DerChirurg.00710646.ger.abstr-s6-t4
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affects
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DerChirurg.00710646.ger.abstr-s6-t5
DerChirurg.00710646.ger.abstr-s6-r9-t3.1-t1.1
associated_with
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DerChirurg.00710646.ger.abstr-s7-t1
DerChirurg.00710646.ger.abstr-s6-r10-t3.1-t5.1
affects
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DerChirurg.00710646.ger.abstr-s6-t5
DerChirurg.00710646.ger.abstr-s6-r11-t2.1-t1.1
associated_with
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DerChirurg.00710646.ger.abstr-s7-t1
DerChirurg.00710646.ger.abstr-s6-r12-t5.1-t3.1
performs
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DerChirurg.00710646.ger.abstr-s7-t3
DerChirurg.00710646.ger.abstr-s6-r13-t4.1-t1.1
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DerChirurg.00710646.ger.abstr-s7-t1
DerChirurg.00710646.ger.abstr-s6-r14-t1.1-t3.1
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DerChirurg.00710646.ger.abstr-s7-t3
DerChirurg.00710646.ger.abstr-s6-r15-t4.1-t3.1
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DerChirurg.00710646.ger.abstr-s7-t3
DerChirurg.00710646.ger.abstr-s6-r16-t1.1-t2.1
associated_with
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DerChirurg.00710646.ger.abstr-s7-t2
DerChirurg.00710646.ger.abstr-s7-r1-t3.1-t2.1
associated_with
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DerChirurg.00710646.ger.abstr-s7-t2
DerChirurg.00710646.ger.abstr-s7-r2-t3.1-t1.1
associated_with
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DerChirurg.00710646.ger.abstr-s7-t1
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associated_with
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DerChirurg.00710646.ger.abstr-s7-t3
DerChirurg.00710646.ger.abstr-s7-r4-t2.1-t1.1
isa
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associated_with
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DerChirurg.00710646.ger.abstr-s7-t3