Schlag P M, Rau B
Virchow-Klinikum der Humboldt-Universität zu Berlin, Abteilung für Chirurgie und Chirurgische Onkologie, Robert-Rössle-Klinik, Berlin.
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:717-9.
The following guidelines can be recommended for the treatment of recurrent rectal cancer: The therapeutical procedure depends on aetiology and shape of the recurrence. A surgical approach is worth striving for, if a R0-resection can be achieved. Multimodality therapy improves resectability and especially also the local recurrence free and overall survival time. Radiochemotherapy, possibly combined with hyperthermia or IORT are the most effective treatment strategies in combination with surgery.
对于复发性直肠癌的治疗，可推荐以下指南：治疗方法取决于复发的病因和形态。如果能够实现R0切除，则值得争取手术治疗。多模式治疗可提高可切除性，尤其还能延长无局部复发和总生存时间。放化疗，可能联合热疗或术中放疗，是与手术联合使用时最有效的治疗策略。
