2ND LOOK SURGERY FOR RECURRENT COLORECTAL-CARCINOMA - IS IT WORTHWHILE

被引：7

作者：

BLEDAY, R ^{[1
]}

STEELE, G ^{[1
]}

机构：

[1] NEW ENGLAND DEACONESS HOSP,CANC BIOL LAB,110 FRANCIS ST,SUITE 3-A,BOSTON,MA 02215

来源：

SEMINARS IN SURGICAL ONCOLOGY | 1991年 / 7卷 / 03期

关键词：

SYSTEMIC THERAPY; DEBULKING PROCEDURE; LIVER; PULMONARY; REGIONAL RECURRENCES;

D O I：

10.1002/ssu.2980070311

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Second-look surgery for recurrent colorectal carcinoma has been advocated for over four decades. Routine follow-up procedures gave way to clinically directed or carcinoembryonic (CEA)-directed procedures in the mid-1970's. In this paper, we review the results of second-look surgery for recurrent colorectal carcinoma and ask the question, "Is it worthwhile?" Excluding surgery for symptomatic patients, we conclude that second-look surgery should only be performed for recurrent colorectal carcinoma with the intent of rendering the patient disease-free. Without effective systemic therapy, "palliative" or "debulking" procedures probably do not increase survival. The most likely candidates for such a curative approach with second-look surgery are those with isolated liver, pulmonary, and, less frequently, regional recurrences.

引用

页码：171 / 176

页数：6

共 50 条

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