Knysh V I, Mukhammedaminov Sh K, Ozhiganov E L
Khirurgiia (Mosk). 1992 Mar(3):66-70.
The authors studied the results of repeated radical operations performed in 73 patients who had been subjected earlier to exploratory and palliative operations. During repeated interventions radical operations were conducted on 54 (74%) patients which were of a combined character in 11 (20.4%) of them. Localized-radical palliative resections and extirpations in the presence of remote metastases were performed on 3 (4.1%) patients. Palliative operations were carried out on 16 (21.9%) patients. Postoperative mortality was 6.8%. The data provides evidence that the performance of repeated operations is expedient and justified because they make it possible to raise the resectability index among patients with rectal carcinoma.
作者研究了73例先前接受过探查性手术和姑息性手术的患者进行重复根治性手术的结果。在重复手术中，对54例（74%）患者进行了根治性手术，其中11例（20.4%）为联合手术。对3例（4.1%）存在远处转移的患者进行了局部根治性姑息性切除和摘除术。对16例（21.9%）患者进行了姑息性手术。术后死亡率为6.8%。数据表明，重复手术是适宜且合理的，因为它们能够提高直肠癌患者的可切除性指标。
