Recurrent factors and diagnosis analysis of rectal cancer after radical surgery treatment
- VernacularTitle:直肠癌根治术后复发因素及诊治分析
- Author:
Lianming PENG
1
;
Feng YE
Author Information
1. 宁波市第九医院肛肠外科
- Keywords:
Rectal cancer;
Postoperative recurrence;
Influencing factor;
Prevention
- From:
China Modern Doctor
2015;(21):1-3,7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influencing factors and treatment and prevention methods of the postoperative re-currence after rectal cancer surgery. Methods A total of 330 patients were selected as the study subjects and the num-ber of recurrent patients, location, influencing factors, treatment methods and prognosis were analyzed. Results After (2.98±1.22) years of follow-up visit after surgery, the disease recurred in 50 patients. The age, incisal edge to tumor distance, non-implementation of peritoneal chemotherapy, peritoneal reflex of anatomic site, infiltration of submucosa, severer pathological degree, stage C-D of Dukes staging and CES-D≥16 scores had significant differences between the recurrence group and the non-recurrence group(P<0.05). Thirty-six patients received resurgery, of which 19 patients reached clinically radical treatment requirements, 34 patients survived 1 year and 20 patients survived 3 years. Con-clusion There exists recurrence after rectal cancer surgery, of which the influencing factors are complicated. Corre-sponding measures aiming at the recurrence factors should be taken to reduce the recurrence.
