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- Title
How many times can patients tolerate reoperation for the local recurrence of colorectal cancer in terms of complications?
- Authors
Koji Komori; Takashi Kinoshita; Yusuke Sato; Akira Ouchi; Seiji Ito; Tetsuya Abe; Kazunari Misawa; Yuichi Ito; Seiji Natsume; Eiji Higaki; Tomonari Asano; Masataka Okuno; Hironori Fujieda; Satoshi Oki; Tsukasa Aritake; Kakeru Tawada; Satoru Akaza; Hisahumi Saito; Kiyoshi Narita; Hiroki Kawabata
- Abstract
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, 1st recurrent, 2nd recurrent, 3rd recurrent, and 4th 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).
- Subjects
COLORECTAL cancer; CANCER relapse; SURGICAL complications; CANCER treatment; CLINICAL trials
- Publication
Journal of Medical Investigation, 2023, Vol 70, Issue 3/4, p369
- ISSN
1343-1420
- Publication type
Article
- DOI
10.2152/jmi.70.369