• Semin Surg Oncol · May 1991

    Review

    Second-look surgery for recurrent colorectal carcinoma: is it worthwhile?

    • R Bleday and G Steele.
    • Laboratory for Cancer Biology, New England Deaconess Hospital, Boston, Massachusetts 02215.
    • Semin Surg Oncol. 1991 May 1; 7 (3): 171-6.

    AbstractSecond-look surgery for recurrent colorectal carcinoma has been advocated for over four decades. Routine follow-up procedures gave way to clinically directed or carcinoembryonic (CEA)-directed procedures in the mid-1970's. In this paper, we review the results of second-look surgery for recurrent colorectal carcinoma and ask the question, "Is it worthwhile?" Excluding surgery for symptomatic patients, we conclude that second-look surgery should only be performed for recurrent colorectal carcinoma with the intent of rendering the patient disease-free. Without effective systemic therapy, "palliative" or "debulking" procedures probably do not increase survival. The most likely candidates for such a curative approach with second-look surgery are those with isolated liver, pulmonary, and, less frequently, regional recurrences.

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