第二阶段前瞻性手术治疗结肠癌伴腹膜癌

Halkia Evgenia, S. John, S. Paul
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引用次数: 0

摘要

结直肠癌患者的复检手术一直是一个有争议的话题。外科文献表明,再手术是有益的,在这种情况下,发现了有限范围的癌症,然后切除了阴性手术切缘。本文旨在确定易患原发性结直肠癌复发的临床因素和二次手术的好处。它代表了一种新的治疗策略的态度,在病人发生腹膜转移的情况下,在初次手术和辅助治疗后的全身化疗。我们还讨论了术中标准,特别是初次手术后的标准,以便在晚期结直肠癌的管理中提出一种治疗算法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Second Look Proactive Surgery for Colon Cancer with Peritoneal Carcinomatosis
Second look surgery in patients with colorectal cancer has always been, a controversial subject. The surgical literature suggests benefit in a re operation, where a limited extent of cancer is discovered and then resected with negative surgical margins. This paper seeks to identify the clinical factors that predispose to the recurrence of a primary colorectal cancer and the benefit of a second look surgery. It represents the attitude of a new treatment strategy in cases that the patient develops peritoneal metastasis at the initial operation and after an adjuvant treatment with systemic chemotherapy. We also discuss the intra-operative criteria, especially after the initial operation, in order to propose a therapeutic algorithm in the management of advanced colorectal disease.
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