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[Repeat interventions in metastases]

J K Seifert1, D Staupendahl, T Junginger

  • 1Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes Gutenberg-Universität Mainz.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|March 1, 1997
PubMed
Summary
This summary is machine-generated.

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Techniques in coloproctology·2014

Repeat resections for colorectal metastases offer a prognostic benefit for selected patients, with low operative risk. Survival rates are encouraging, especially for liver metastases, highlighting the value of repeat surgical intervention.

Area of Science:

  • Surgical Oncology
  • Gastrointestinal Surgery
  • Cancer Metastasis

Context:

  • Between 1985 and 1994, 262 patients with metastases underwent resection.
  • 27 patients with recurrent metastases were treated with repeat resections.

Purpose:

  • To analyze the outcomes and safety of repeat resections for recurrent colorectal metastases.

Summary:

  • 42 repeat resections were performed with a 14.8% complication rate and 11.1% postoperative mortality.
  • R0 resection of metastases showed improved survival: 69 months (primary), 38 months (first repeat), and 25 months (second repeat).
  • Disease-free survival after R0 resection was similar for initial and repeat procedures. Repeat liver metastasis resection (18 months) showed better disease-free survival than other sites (4 months).

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Impact:

  • Repeat resections for metastases are safe and provide prognostic benefits for carefully selected patients.
  • Highlights the importance of surgical intervention for recurrent colorectal cancer.
  • Suggests potential for improved outcomes in patients with liver-limited metastases.