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Optimisation of surgical care for rectal cancer
Borstlap, W.A.A.
Publication date
2017
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Citation for published version (APA):
Borstlap, W. A. A. (2017). Optimisation of surgical care for rectal cancer.
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Behorende bij het proefschrift
Optimisation of surgical care for rectal cancer
1. Anastomotic leakage will occur irrespective of faecal diversion, however the diagnosis of the leak is delayed if a diverting stoma is present. (this thesis)
2. An anastomotic leakage develops into a chronic presacral sinus that is present more than a year after surgery in almost half of the patients and is therefore an important complication following rectal cancer surgery. (this thesis)
3. Early detection and early treatment of anastomotic leakage causes less fibrosis of the neorectum and therefore less complications on the long-term. (this thesis)
4. Vacuum assisted early closure of anastomotic leak could serve as a first step in a more profound and minimally invasive approach of a leaking low colorectal anastomosis. (this thesis)
5. In the Netherlands there is a variety in surgical approach of rectal cancer; centres that almost routinely divert their anastomoses, and centres that more often refrain from constructing an anastomosis but paradoxically more selectively construct a diverting stoma when they do perform an anastomosis. (this thesis)
6. Organ preservation for early rectal cancer should not be offered outside the controlled setting of a trial, as current evidence is insufficient to support its use in clinical practice. (this thesis)
7. Among International guidelines on rectal cancer treatment there is still controversy in clinical lymph node staging and surveillance protocols following the treatment of rectal cancer. (this thesis)
8. You can’t connect the dots looking forward; you can only connect them looking backwards. So have trust that the dots will somehow connect in your future. (Steve Jobs) 9. We want perfection without practice. Yet everyone is harmed if no one is trained for the
future. (Atul Gawande)
