摘要
目的 了解大肠癌复发的病因,明确大肠癌复发再手术治疗的价值。方法 回顾性分析复发性大肠癌30例临床资料。结果 剖腹探查证实局部复发16例,肝转移6例,腹腔广泛转移8例。局部复发肿瘤根治性或姑息性切除16例。短路吻合术8例,近端肠造疹术3例,均选择辅以腹腔化疗、放疗、免疫治疗及DSA下灌注化疗。再手术后生存1年者4例,生存3年者4例,生存4年者2例。至今健在的6例,其中再手术后1年者2例,2年者2例,3年者2例。结论 复发性大肠癌再手术并辅以综合治疗能明显延长生存期。
Objective To investigate the recurrent colon carcinoma and definite the value of re - operation on recurrent colon carcinoma. Methods 30 cases of recurrent colon carcinoma were analyzed retrospectively. Results 16 cases of local recurrence, 6 liver metastasis and 8 extensive abdominal metastasis were found by open exploration. Radical or palliative resection was made in 16 cases of local recurrence, short - circuit anastomosis in 8 cases, and proximal intestinal flstulization in 3 cases. Each case was selectively combined by abdominal chemotherapy, radiotherapy, immuno - therapy or infusion chemotherapy through DSA. After re - operation, 4 cases survived for 1 year, 4 cases for 3 years, 2 cases for 4 years and 6 cases survives till now, including 2 cases re - operated one year ago, 2 cases two years ago and 2 cases three years ago, respectively. Conclusions Re- operation on recurrent colon carcinoma combined by comprehensive therapy can obviously prolong survival period.
出处
《消化外科》
CSCD
2002年第4期288-289,共2页
Journal of Digestive Surgery
