Second Look Proactive Surgery for Colon Cancer with Peritoneal Carcinomatosis

• Halkia Evgenia

  Washington Cancer Institute, USA

• Spiliotis John

  Metaxa Cancer Memorial Hospital, Greece

• Sugarbaker Paul

  Washington Cancer Institute, USA

 Second look surgery in patients with colorectal cancer has always been, a controversial subject. The surgical literature suggests benefit in a re operation, where a limited extent of cancer is discovered and then resected with negative surgical margins. This paper seeks to identify the clinical factors that predispose to the recurrence of a primary colorectal cancer and the benefit of a second look surgery. It represents the attitude of a new treatment strategy in cases that the patient develops peritoneal metastasis at the initial operation and after an adjuvant treatment with systemic chemotherapy. We also discuss the intra-operative criteria, especially after the initial operation, in order to propose a therapeutic algorithm in the management of advanced colorectal disease.

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