摘要
目的 探讨直肠癌术后局部复发的原因、预防及外科治疗方法.方法 回顾性分析直肠癌根治术后复发的病例.结果 369例直肠癌根治术病例中随访334例,随访率90.5%.术后局部复发79例,占23.6%,其中盆腔复发34例,会阴部复发28例,吻合口复发13例,其它复发4例.复发灶根治性切除后三年和五年生存率分别为52.4%和21.9%,姑息性治疗三年和五年生存率分别为17.6%和7.1%.结论 预防直肠癌术后复发的关键是防止术中癌残留.彻底清除引流区域淋巴结.对术后局部复发再行外科治疗可提高其生存率或改善生活质量,必要时可行联合脏器切除.
PURPOSETo study the reason of recurrence and the means of prevention and surgical management. METHODS 79 cases of locally recurrent rectal cancer patients were analyzed retrospectively. RESULTS 334 patients of 369 cases were followed up (90. 5%). Among them, there were 79 cases with local recurrence (23. 6%). 34 cases with pelvic recurrence. 28 with perineal recurrence, 13 with anastomosis recurrence, and 4 others. The 3 and 5 year survival rates in the curative resection group for local recurrent patients were 52. 4% and 21. 9%. while they were 17. 6% and 7. 1% in the palliative group, respectively. CONCLUSION Our results suggested that the key to preventing local recurrence of rectal cancer is to avoid residual cancer, and to clear the lymph nodes of drainage region thoroughly. For those with local recurrence, second look surgery may prolong survival and their quality of life. Multi-organ resection may also be used sometimes.
出处
《中国癌症杂志》
CAS
CSCD
1998年第1期27-29,共3页
China Oncology
关键词
直肠肿瘤
局部复发
再手术
Rectal cancer Recurrence Second look surgery
