Lewi H J, Carter D C, Ratcliffe J G, McArdle C S
Ann R Coll Surg Engl. 1983 Sep;65(5):314-5.
Second laparotomy was undertaken in 63 patients with suspected local recurrence following 'curative' resection for colorectal cancer. Nine patients proved to have benign disease and 4 a new cancer. Local tumour recurrence was confirmed in 50 patients. Of these, 19 underwent further resection of the tumour, 19 had palliative colostomy or bypass, and laparotomy only was performed in 12. Five of 15 patients undergoing secondary 'curative' resection survived 1 year and 3 survived 18 months. In contrast only 6 of the remaining 35 patients survived 1 year and none survived 18 months. Second laparotomy may be of benefit in a small number of patients with local recurrence following apparently curative resection for colorectal cancer.
63例接受结直肠癌“根治性”切除术后怀疑局部复发的患者接受了二次剖腹手术。9例患者被证实患有良性疾病，4例患有新发癌症。50例患者确诊为局部肿瘤复发。其中，19例接受了肿瘤的进一步切除，19例行姑息性结肠造口术或旁路手术，仅12例行剖腹手术。15例接受二次“根治性”切除的患者中有5例存活1年，3例存活18个月。相比之下，其余35例患者中只有6例存活1年，无一例存活18个月。对于少数结直肠癌明显根治性切除术后局部复发的患者，二次剖腹手术可能有益。
