The cause,prevention and treatment strategy of local recurrence after operation for rectal carcinoma
- VernacularTitle:直肠癌术后局部复发的原因及预防、治疗对策
- Author:
Yun HE
- Publication Type:Journal Article
- Keywords:
Rectal Neoplasms/surg;
Neoplasms Recurrence,Local
- From:
Chinese Journal of General Surgery
1993;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the causes,the methods of intraoperative prevention and treatment of local recurrence in patients after operation for rectal carcinoma.Methods Fifty-two re-operated patients with local recurrence of rectal carcinoma were analyzed retrospectively.Results In these 52 patients,there were 14 patients with perianus and pelvic cavity recurrence,31 patients with stoma recurrence,4patients with vaginal wall recurrence,2 patients with prostate gland recurrence and 1 patient with implantation in the incision of abdominal wall.Among them,36 patients underwent radical operation,13 patients had palliative resection and 3 patients were treated by enterostomy.The median survival time for the groups who underwent radical(operation) and palliative resection was 33.5(12~80) months and 12(3~23) months respectively.(Conclusions) Patients with local recurrence of rectal cancer should still be given aggressive operative(treatment).Radical resection of the lesions and formal radical lymphadenectomy can prolong patient survival time and improve quality of life.
