52 cases of postoperative local recurrence of rectal cancer surgery.docVIP

 PAGE \* MERGEFORMAT 9 52 cases of postoperative local recurrence of rectal cancer surgery [Abstract] Objective cancer-related factors of local recurrence after surgical treatment and re-issue. Methods 52 cases of local recurrence after rectal cancer were retrospectively analyzed. Results of the first surgery in 19 cases Dukes B, C of 33 cases, Miles operation in 17 cases, Dixon 35 cases of surgery. mucinous adenocarcinoma in 15 cases, 17 cases of poorly differentiated adenocarcinoma, adenocarcinoma in 20 cases. far away from the cutting edge of the tumor lt;3cm in 21 cases,gt; 3cm .25 cases of 31 patients radical surgery again, the median survival was 31 months, 16 received palliative resection median survival of 13 months, 11 patients were not removed within 3 months of death. reoperation 5-year survival rate was 26.92%. Conclusion local recurrence of rectal cancer histological type of tumor, Dukes stage, surgical options, preoperative in “tumor-free technique” is closely related to the implementation. locally recurrent rectal cancer should be carried out comprehensive treatment based on surgery. [Keywords:] neoplasms, neoplasm recurrence, local, digestive surgery, reoperation Rectal cancer recurrence is a big do, with the improvement of diagnosis, postoperative follow-up attention to early detection and cancer in the pelvic cavity, adjacent to the non-vital organs. Rodel et al [1] reported, the use of preoperative chemotherapy and radiotherapy followed by surgery and postoperative chemotherapy, 35 patients with advanced recurrent rectal cancer, including 28 cases (80%) can not be removed from the preoperative into resectable and 17 cases of radical resection, 11 cases of palliative resection. Yubao Ming that [2] first by chemotherapy and radiotherapy to localized lesions, tumor downgrade, which will help surgery. our hospital from 1995 to 2004 236 cases of rectal cancer treated with radical surgery after local recurrence, 52 cases of rectal cancer r