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Second-Look Surgery for Colorectal Cancer : Revised Selection Factors and New Treatment Options for Greater Success
Author
Source
International Journal of Surgical Oncology
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-12-05
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Proper indications for second-look surgery in patients with colorectal cancer have always been a controversial subject.
The surgical literature suggests benefit in a reoperation, where a limited extent of cancer is discovered and then resected with negative margins.
However, patients are often subjected to a negative exploratory laparotomy or an intervention that is unable to achieve an R-0 resection; in these circumstances, little or no benefit occurs.
Unfortunately, an unsuccessful repeat intervention may place the patient in a worse condition, especially if morbidity occurs.
This paper seeks to identify the clinical parameters of a primary colorectal cancer and a followup plan that are associated with cancer recurrence that can be definitively addressed by the second look surgery.
New surgical technologies, including cytoreductive surgery with peritonectomy and perioperative intraperitoneal chemotherapy with hyperthermia, are suggested for use in this group of patients.
This new management strategy used in patients with local-regional recurrence may result in a high proportion of patients converted from a second-look positive patient to a long-term survivor.
American Psychological Association (APA)
Sugarbaker, Paul H.. 2010. Second-Look Surgery for Colorectal Cancer : Revised Selection Factors and New Treatment Options for Greater Success. International Journal of Surgical Oncology،Vol. 2011, no. 2011, pp.1-8.
https://search.emarefa.net/detail/BIM-507729
Modern Language Association (MLA)
Sugarbaker, Paul H.. Second-Look Surgery for Colorectal Cancer : Revised Selection Factors and New Treatment Options for Greater Success. International Journal of Surgical Oncology No. 2011 (2011), pp.1-8.
https://search.emarefa.net/detail/BIM-507729
American Medical Association (AMA)
Sugarbaker, Paul H.. Second-Look Surgery for Colorectal Cancer : Revised Selection Factors and New Treatment Options for Greater Success. International Journal of Surgical Oncology. 2010. Vol. 2011, no. 2011, pp.1-8.
https://search.emarefa.net/detail/BIM-507729
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-507729