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Clin Colon Rectal Surg 2006; 19(4): 228-236
DOI: 10.1055/s-2006-956445
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel: +1(212) 584-4662.

Reoperation for Recurrent Colorectal Cancer

Michael D. Hellinger1 , Cesar A. Santiago1
  • 1Department of Surgery, Division of Colon and Rectal Surgery, University of Miami, Miller School of Medicine, Miami, Florida
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Publication History

Publication Date:
24 November 2006 (online)

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ABSTRACT

Recurrence of colorectal carcinoma represents a significant challenge. As the majority of recurrences involve more than just the anastomosis, surgical resection is ordinarily a major undertaking. Curative resection may require resection of other organs and structures, resulting in complex reconstructive procedures and substantial morbidity. In addition, carefully selected patients with distant metastases to sites such as the liver and lungs may also undergo potentially curative resection. Long-term survival following curative surgery for recurrence, however, ranges from only 15 to 40%. In addition to resection for curative intent, some patients may benefit from palliative procedures designed to relieve symptoms. Surgery alone is not usually sufficient therapy in these patients. Chemotherapy and radiation therapy play a vital adjunctive role in the management of recurrent disease. This article strives to review the risk factors and patterns of recurrence, selection of individuals for resection of recurrent disease, and outcomes of surgical procedures.

KEYWORDS

Colorectal neoplasm - recurrence - surgery - metastatic

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Michael D HellingerM.D. 

DeWitt Daughtry family Department of Surgery, Division of Colon and Rectal Surgery, University of Miami, Miller School of Medicine

1475 NW 12th Ave., Rm. 3550, Miami, FL 33136

Email: mhelling@med.miami.edu