John Goligher Colorectal Unit, Clarendon Wing, Leeds General Infirmary, Great George Street, Leeds, LS1 3EX, UK.
Tech Coloproctol. 2010 Sep;14(3):209-16. doi: 10.1007/s10151-010-0585-0. Epub 2010 May 12.
Local recurrence following surgery for rectal cancer remains a significant clinical problem and poses major therapeutic challenges. Radical surgical salvage is the only option with potential for curative treatment and is indicated in carefully selected patients. Surgery also provides acceptable palliation in certain cases. Nevertheless, such surgery is challenging, not commonly used, and historically associated with considerable morbidity and mortality. In more recent times, improvements in surgical techniques, reconstruction methods and management of perioperative complications have helped expand the options available for patients with recurrent rectal cancer. This review article highlights the techniques employed at our institution for the management of locally recurrent rectal cancer with particular emphasis on the surgical approaches, the methods used for reconstruction and the avoidance of complications.
直肠癌手术后局部复发仍然是一个重大的临床问题，带来了重大的治疗挑战。根治性手术挽救是唯一具有治愈治疗潜力的选择，适用于精心选择的患者。手术在某些情况下也可提供可接受的姑息治疗。然而，这种手术具有挑战性，并不常用，且历史上与相当大的发病率和死亡率相关。在最近的时期，手术技术、重建方法和围手术期并发症管理的改进，帮助为复发性直肠癌患者提供了更多的治疗选择。本文重点介绍了我们机构在管理局部复发性直肠癌方面采用的技术，特别强调了手术方法、重建方法和并发症预防。
