{"title":"第二阶段前瞻性手术治疗结肠癌伴腹膜癌","authors":"Halkia Evgenia, S. John, S. Paul","doi":"10.6000/1929-2279.2012.01.02.9","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":89799,"journal":{"name":"Journal of cancer research updates","volume":"1 1","pages":"224-227"},"PeriodicalIF":0.0000,"publicationDate":"2012-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Second Look Proactive Surgery for Colon Cancer with Peritoneal Carcinomatosis\",\"authors\":\"Halkia Evgenia, S. John, S. Paul\",\"doi\":\"10.6000/1929-2279.2012.01.02.9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"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.\",\"PeriodicalId\":89799,\"journal\":{\"name\":\"Journal of cancer research updates\",\"volume\":\"1 1\",\"pages\":\"224-227\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2012-12-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of cancer research updates\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.6000/1929-2279.2012.01.02.9\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of cancer research updates","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.6000/1929-2279.2012.01.02.9","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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.