【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。更多还原

【Abstract】 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.更多还原