Lange V, Oevermann E, Schildberg F W
Klinik für Chirurgie der, Medizinischen Universität zu Lübeck.
Zentralbl Chir. 1988;113(22):1445-52.
Reported in this paper are 22 patients with recurrence of anastomosis, following curative resection of colorectal carcinoma. Recurrence in all cases was diagnosed by colonoscopy. Seventy-five per cent of all patients under follow-up care were without symptoms, and 83 per cent underwent intended radical surgery to cope with their recurrence. Curative re-operations were followed by mean survival of 39.4 months, while the five year survival rate amounted to 44 per cent. Hence, the prognosis of recurrence at the suture line appeared to be better than that of colorectal carcinoma recurrences localised elsewhere.
本文报告了22例大肠癌根治性切除术后吻合口复发的患者。所有病例的复发均通过结肠镜检查确诊。在接受随访的所有患者中，75%没有症状，83%接受了旨在根治的手术以应对复发。根治性再次手术后的平均生存期为39.4个月，五年生存率为44%。因此，吻合口缝线处复发的预后似乎比大肠癌在其他部位复发的预后要好。
