局部复发直肠癌的外科治疗进展  

Progress in the surgical treatment of locally recurrent rectal cancer

作　　者：黄骁 项建斌[1] Huang Xiao;Xiang Jianbin(Department of Gastrointestinal Surgery,Huashan Hospital,Fudan University,Shanghai 200040,China)

机构地区：[1]复旦大学附属华山医院普通外科,上海200040

出　　处：《中华结直肠疾病电子杂志》2021年第6期643-647,共5页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：上海市科学技术委员会医学引导类科技项目(No.134119a1400)。

摘　　要：随着全直肠系膜切除术(TME)和新辅助治疗的临床广泛开展,直肠癌术后局部复发率已有明显降低,但仍有部分患者在根治性术后出现术野和侧方淋巴结区域复发,严重影响患者生活质量,是导致患者死亡的主要原因之一。随着多学科合作和诊疗理念的不断进步,局部复发直肠癌逐渐引起结直肠外科学者的关注,本文综述了局部复发直肠癌的预测因素,复发模式,基于全盆腔切除术的局部复发根治术如全骶骨切除、髂血管联合切除等术式的新尝试。With the extensive clinical implementation of total mesorectal excision(TME)and neoadjuvant therapy,the probability of local recurrence after rectal cancer surgery has been significantly reduced,but some patients still have a recurrence in the surgical field and lateral lymph node areas after radical surgery,which seriously affects the quality of life of patients.It is one of the main causes of death of patients.With the continuous advancement of multidisciplinary cooperation and diagnosis and treatment concepts,locally recurrent rectal cancer has gradually attracted the attention of colorectal surgeons.This article reviews the predictive factors,incidence patterns,and local recurrence radical resection based on total pelvic resection.Such as total sacral resection,combined resection of iliac vessels and other radical surgical attempts.

关 键 词：直肠肿瘤 肿瘤复发 局部 预测因素 复发模式 手术治疗 

分 类 号：R735.37[医药卫生—肿瘤]