Hulton N R, Hargreaves A W
J R Coll Surg Edinb. 1989 Feb;34(1):21-4.
To assess the value of long-term clinical follow-up of patients after 'curative' colorectal resections, 114 such patients were studied. Of the 100 patients in whom full follow-up was possible, 38% suffered a recurrence and less than 25% of these were discovered at a routine outpatient attendance. No long-term cures were achieved as a result of treatment of any recurrence. Indefinite follow-up of all patients by simple clinical assessment in the outpatient clinic after colorectal resection appears to be of limited value. More intensive short-term follow-up of high-risk groups may provide a greater yield of treatable recurrences. Adoption of this policy should lead to improved efficiency for the hospital in terms of time saved in outpatient attendance and the concentration of resources on those most likely to benefit from follow-up.
为评估“根治性”结直肠癌切除术后患者长期临床随访的价值，对114例此类患者进行了研究。在100例能够进行全面随访的患者中，38%出现了复发，其中不到25%是在常规门诊就诊时发现的。任何复发的治疗均未实现长期治愈。结直肠癌切除术后在门诊通过简单临床评估对所有患者进行无限期随访似乎价值有限。对高危组进行更密集的短期随访可能会发现更多可治疗的复发病例。采用这一策略应能提高医院效率，节省门诊就诊时间，并将资源集中于最可能从随访中获益的患者。
