大肠癌复发再次手术(附60例报告)

目的明确大肠癌复发再次手术的价值，提高大肠癌的生存率。方法回顾性分析复发性大肠癌连续病例６０例的临床资料。结果５６例证实癌复发，其中肝转移１８例，局部复发１０例，腹膜广泛转移８例，区域淋巴结或腹主动脉旁淋巴结转移２０例；４例证实无癌复发。再次手术共切除４２例，单纯置化疗泵或腹腔化疗管共１４例。术后５５例获随访，１６例已存活５年，２０例已存活３年，８例手术距今不足３年仍存活，６例２年内死亡，４例１年内死亡，１例围手术期内死亡。结论大肠癌复发再次手术仍有较高切除率，再次手术能提高５年生存率。

Re operation for recurrent colorectal carcinoma (a report of 60 cases)

Objective To determine the value of reoperation for recurrent colorectal carcinoma to enhance the survival rate of colorectal carcinoma. Methods The clinical data of 60 successive cases of recurrent colorectal carcinoma were analysed retrospectively. Results Recurrent colorectal carcinoma was demonstrated in 56 cases, including 18 cases of abdominal cavity widespread metastasis and 20 cases of regional lymphonodes and/or paraaotic lymph nodes metastasis. No recurrence in 4 cases. Re excision was performed in 42 cases, cannulation including the hepatic vascular access device cannulated and abdominal cavity cannulated were performed in 14 cases. Fifty five patients were followed up after re operation. The survival time was more than 5 years in 16 patients, for 3 years in 20 patients. 8 patients who were operated on for less than 3 years were still alive, 6 patients died within 2 year postoperatively, 4 patients died in one year postoperatively, one patient died in the perioperative period. Conclusions The resection rate of re operation for recurrent colorectal carcinoma was high, re operation can increase the 5 year survival rate in patients with recurrent colorectal cancer.