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中华结直肠疾病电子杂志 ›› 2015, Vol. 04 ›› Issue (02) : 135 -138. doi: 10.3877/cma.j.issn.2095-3224.2015.02.06

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青年专家论坛

复发结直肠癌再手术探讨
王志刚1()   
  1. 1. 200233 上海交通大学附属上海市第六人民医院普外科
  • 收稿日期:2015-01-12 出版日期:2015-04-25
  • 通信作者: 王志刚

Discussion of recurrent colorectal cancer surgery again

Zhi-gang WANG1,()   

  1. 1. Department of general surgery, sixth people's hospital affiliated to Shanghai jiaotong university, Shanghai 200233, China
  • Received:2015-01-12 Published:2015-04-25
  • Corresponding author: Zhi-gang WANG
  • About author:
    Corresponding author: WANG Zhi-gang, Email:
引用本文:

王志刚. 复发结直肠癌再手术探讨[J]. 中华结直肠疾病电子杂志, 2015, 04(02): 135-138.

Zhi-gang WANG. Discussion of recurrent colorectal cancer surgery again[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2015, 04(02): 135-138.

结直肠癌发病率逐年上升,近年来五年生存率没有明显提高,其中肿瘤术后的复发转移是重要原因。肝肺等远隔脏器转移已有明确共识,并取得良好疗效,而局部复发是治疗难题。近年来国内外尝试开展以复发肠癌再手术为主的多学科联合治疗,显示出乐观的前景;该手术虽复杂,并发症发生率高,却是复发肠癌可能治愈的唯一措施,对部分患者即使不能治愈,也可能改善生活质量,延长生存。本文就复发结直肠癌再手术的病例选择、围手术期处理、术式选择、疗效评估等相关问题作一述评。

Local recurrence following surgery for colorectal cancer remains a significant clinical problem and poses major therapeutic challenges.Radical surgical salvage is the only option with potential for curative treatment and is performed in carefully selected patients.Surgery also provides acceptable palliation in certain cases.Nevertheless, such surgery is challenging, not commonly used, and historically associated with considerable morbidity and mortality.In more recent times, improvements in surgical techniques, reconstruction methods and management of perioperative complications have helped expand the options available for patients with recurrent colorectal cancer.

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