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再次行根治性切除术后其5年存活率可达到30%，但由于创伤大、并发症多，有时甚至可能加速病人的死亡，故应严格掌握其适应证。
手术适应证和手术时机的把握，应该根据复发的类型、部位、病人的全身和局部情况、术者医院和术者本身经验等条件综合决定，采取既积极、又慎重的态度，以期给病人带来最大的利益。
【关键词】直肠癌；再手术中图分类号：R6文献标志码：AReoperation for locally recurrent rectal cancer: indication and choice of surgical procedure FU Chuan-gang,GAO Xian-hua.Department of Colorectal Surgery,Changhai Hospital,the Second Military Medical University,Shanghai200433,ChinaCorresponding author:FU Chuan-gang,E-mail:fugang416@ Abstract Locally recurrent rectal cancer is difficult to be managed.The5-year overall survival rate is reported to be as high as30%if complete resection(R0)had been achieved in reoperation.The reoperation should be strictly confined due to its severe trauma and multiple complications which would even lead to sooner death.It is strongly recommended that,to benefit the patients,the determination of indication and time of reoperation should be initiative and prudent,depending on作者单位：第二军医大学附属长海医院肛肠外科，上海200433通讯作者：傅传刚，E-mail:fugang416@the type and location of recurrence,extent of recurrent lesions, general condition of patients and the corresponding experience of the surgeon and the hospital.Keywords rectal cancer;reoperation近年来，随着对盆腔解剖认识的深入［1］，全直肠系膜切除概念的普及［2］，术前新辅助和术后辅助治疗的广泛应用，直肠癌治疗的总体水平得到明显提高，保肛率明显上升，术后长期存活率明显延长。