[Locoregional recurrence of colonic carcinoma: prognosis after surgical therapy]

In a retrospective study, we analyzed prognostic factors in 143 patients with locally recurrent colonic cancer (excluding rectal cancer). We saw no influence of primary tumor state on long-term survival. In patients with curative resection the 5(3)-year probability of survival was significantly better than in patients with local palliative resection [45% (50%) vs. 5% (0%)]. In addition, we found striking differences in perioperative mortality which varied with therapeutic intention (37% for local palliative operations without resection, 16% in cases with palliative surgery with resection). No patient died after curative tumor resection.