Atlas of Endoanal and Endorectal Ultrasonography: Staging and Treatment Options for Anorectal Cancer

Front Cover
Springer Science & Business Media, 2004 - Medical - 290 pages
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Endoanal and endorectal ultrasound represents considerable progress in the field of anorectal imaging. Its importance in the staging of rectal and anal cancer, in identifying perianasto­ motic neoplastic recurrences, in defining acute and chronic suppurative disease and in assessing sphincteral anatomical integrity, is now a confirmed reality. The evidence provided by endoanal and endorectal ultrasonography guides the colorectal surgeon in his choice among the various therapeutic approaches and helps in assessing the effects of the treatments applied. The great flexibility and high degree of reliability make this exploratory method an indispensable tool at all stages of the clinical course in the majority of patients with anorectal problems, including the fundamental follow-up stage. The publication of this excellent volume on intraanal and intrarectal ultrasonog­ raphy is therefore to be appreciated, especially since it is in the form of an atlas. As we are dealing with imaging, it is particularly appropriate that it is the images that tell the story. Like all important things, this volume does not come out of nothing. It is the result of many years of skilled work by Drs. G.A. Santoro and G. Di Falco and is based on the experience of internationally renowned professional experts. The ten sections of the atlas begin with general information on ultrasonography, gradually progressing to the technical problems of the method and the aspects rela­ tive to anorectal tumors.This last section leads to a review of traditional and mod­ ern therapeutic possibilities.
 

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Contents

Endoanal and endorectal ultrasonographic techniques
8
Invited commentary
21
III2 Surgical and endosonographic anatomy of the rectum
36
Invited commentary
41
Villous adenoma
60
Submucosal invasion
66
Invasion of the muscular layer
73
Perirectal fat invasion
82
Invited commentary
162
VIII3 Transanal endoscopic microsurgery
164
Invited commentary
172
VIII4 Conventional techniques
177
Invited commentary
188
Invited commentary
192
VIII5 Laparoscopic techniques
198
Invited commentary
212

Extensive local invasion
90
Invited commentary
94
Lymph node metastases
97
Invited commentary
108
Staging following preoperative chemoradiotherapy for advanced rectal cancer
110
Invited commentary
118
Postoperative followup of rectal cancer
122
VI2 Local recurrences
129
Invited commentary
136
Endoanal ultrasonography in the staging of anal carcinoma
138
Invited commentary
151
VIII2 Traditional local excision for rectal cancer
157
Invited commentary
214
VIII6 Intraoperative laparoscopic liver ultrasonography
216
Invited commentary
226
VIII7 Robotic rectal resections
227
Invited commentary
233
Invited commentary
252
IX2 Intraoperative radiotherapy in rectal cancer
255
Invited commentary
262
Invited commentary
284
Subject index
286
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