Pre-operative imaging of rectal cancer and its impact on surgical performance and treatment outcome.

摘要: Abstract Aim To discuss the ability of pre-operative MRI to have a beneficial effect on surgical performance and treatment outcome in patients with rectal cancer. Methods A description how can be used as tool so select for differentiated neoadjuvant treatment, it an anatomical road map resection locally advanced cases, serve quality assurance both procedure overall patient management. As illustration proportion microscopically complete resections period 1993–1997, when there was no routine imaging, is compared that 1998–2002, MR imaging standardized. Results The R 0 increased from 92.5 97% ( p =0.08) lateral tumour free margin >1mm 84.4 92.1% =0.03). incomplete first were mainly due inadequate management unsuspected or bulky tumours, whereas second insufficient consideration given extensive close invading mesorectal fascia MR. Conclusions There are good indications our setting along other improvements cancer management, had outcome. Audit discussion lead improved operative perioperative