Guernelli N, Briccoli A
Ann Gastroenterol Hepatol (Paris). 1985 Dec;21(6):343-6.
The authors analyse pelvi-perineal recurrence after amputation of the rectum on the basis of 47 cases followed for a minimum of two years, 10 of which developed recurrences. The diagnosis, always difficult and delayed, can be made earlier by using pre-operative computed tomography. However, the recurrences can be resected in only a limited number of cases. The routine use of more radical operations and extensive lymphadenectomy and the decreased use of mechanical sutures have not improved the results. The essential approach must therefore consist of the detection of stage A tumours and precancerous lesions followed by adaptation of the resection technique according to the degree of extension of the tumour.
作者基于47例至少随访两年的直肠切除术后盆腔-会阴复发病例进行分析，其中10例出现复发。诊断一直很困难且延迟，通过术前计算机断层扫描可更早做出诊断。然而，只有少数病例的复发能够切除。常规采用更根治性的手术和广泛的淋巴结清扫以及减少机械缝合的使用并未改善结果。因此，关键方法必须包括检测A期肿瘤和癌前病变，然后根据肿瘤的扩展程度调整切除技术。
