Allum W H, Ambrose N S, Fielding J W, Chan K K
Department of Surgery, Queen Elizabeth Hospital, Birmingham.
Ann R Coll Surg Engl. 1990 Jan;72(1):2-5.
The role of reoperation with intent to excise locally recurrent disease has been evaluated in a selected group of 64 patients originally treated for primary gastrointestinal or gynaecological cancer. In 16 (25%), surgery was successful in eradicating all known sites of disease and was associated with a median survival of 23 months. Patients most suitable for reoperation were those with non-specific gastrointestinal symptoms or asymptomatic local disease. Nevertheless, those with specific symptoms may have treatable local disease or even benign conditions, and thus all with suspected local recurrence should be evaluated with a view to salvage surgery.
对一组经选择的64例最初接受原发性胃肠道或妇科癌症治疗的患者，评估了旨在切除局部复发性疾病的再次手术的作用。在16例（25%）患者中，手术成功根除了所有已知的疾病部位，中位生存期为23个月。最适合再次手术的患者是那些有非特异性胃肠道症状或无症状局部疾病的患者。然而，有特异性症状的患者可能有可治疗的局部疾病甚至良性疾病，因此所有怀疑局部复发的患者都应进行评估，考虑行挽救性手术。
