Repair of antegrade anastomosis between ileal segment and amputated ureter for recurrent rectal cancer

Kono, Koji; Kinoshita, Takashi; Sato, Yusuke; Ouchi, Akira; Ito, Seiji; T, Abe; Misawa, Kazunari; Ito, Y.; Natsume, Seiji; Higaki, Eiji; Okuno, Masataka; Fujieda, Hironori; Kawakatsu, Shoji; Kunitomo, Aina; Oki, Satoshi; Maeda, Shingo; Nagao, Takuya; Aritake, Tsukasa; Tawada, Kakeru; Akaza, Satoru; Shimizu, Yasuhiro

doi:10.1007/s12328-021-01525-0

Cited by 1 publication

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“…We previously reported that frequent and multiple but resectable peritoneal recurrences can be aggressively treated by surgical removal to improve the long-term survival of patients with colorectal cancer (1). Likewise, we aggressively resected recurrent rectal cancer in our hospital when possible (2,3). Additionally, we reported that ensuring adequate surgical margins prevents the local recurrence of rectal cancer (4).…”

Section: Introductionmentioning

confidence: 94%

How many times can patients tolerate reoperation for the local recurrence of colorectal cancer in terms of complications?

Komori,

Kinoshita,

Sato

et al. 2023

J. Med. Invest.

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The frequency of resection for the recurrence of colorectal cancer has not been investigated in previous studies. Likewise, the related postoperative complications and the limit for indicating surgical resection has not been reported. Herein, we reported the complications of a highly frequent surgical approach for rectal cancer recurrence, i.e., exceeding three reoperations, based on our clinical experience. We included 15 cases exceeding two operations for the local recurrence of colorectal cancer from 2014 to 2019. We examined the postoperative complications classified as Clavien-Dindo IIIb. The positive rates of the complications were 0 (0.0%), 0 (0.0%), 2 (13.3%), 3 (37.5%), and 0 (0.0%) for the primary, 1 st recurrent, 2 nd recurrent, 3 rd recurrent, and 4 th recurrent operation group (p = 0.027), respectively. It is important to exercise caution in handling cases exceeding two reoperations (exceeding three reoperations including the primary operation).

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Section: Introductionmentioning

confidence: 94%