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王舒宝教授直肠癌的术后复发可分为远处转移及局部复发两类,远处转移最常见的是肝转移及腹膜转移。局部复发可分为淋巴结复发、吻合口复发、周同脏器浸润及手术范围内局部复发4种形式。对于局部复发应采取积极的手术治疗,该手术的难度较大,但切除率较高,可达70%左右,术后5年生存率最高可达50%。我们对某些复发病例曾行4～5次手术,延长了生存期,提高了生存质量。术后复发病例的治疗效果与以下几个因素有关:①早期发现复发病例:术后2年内每3个月复查1次,2年后每半年复查1次,5年后每年复查1次,采用CEA及影像检查可发现早期复发病例;②行扩大根治手术。对复发病例不要采取姑息手
Professor Wang Shubao’s postoperative recurrence of rectal cancer can be divided into distant metastases and local recurrences. The most common distant metastases are liver metastases and peritoneal metastases. Local recurrence can be divided into four types of lymph node recurrence, recurrence of anastomosis, visceral infiltration and local recurrence within the scope of surgery. For the local recurrence should take active surgical treatment, the surgery is more difficult, but the resection rate is high, up to about 70%, postoperative 5-year survival rate up to 50%. We have performed 4 to 5 surgeries on some relapsed cases, prolonging survival and improving quality of life. The treatment effect of recurrence after surgery is related to the following factors: 1 Early recurrences: 1 review every 3 months within 2 years after surgery, 1 review after 2 years after 2 years, and 1 review after 5 years. CEA and imaging examinations can detect early recurrences; 2 lines extended radical surgery. Do not take palliative care for relapsed cases