ABDOMINAL RECURRENCES OF INTESTINAL TUMOR S

Local recurrences (LR) of intestinal tumors have to be divided into in tra- and extraluminal LR since operative reintervention is more freque ntly possible in intraluminal tumor recurrences. Esophageal cancer mos t frequently recurres in the posterior mediastine and in the neck. In our own patients we found 16 % LR following curative esophagectomy. Cu rative reresection is normally not possible. Palliative treatment aims to maintain the passage of food. In gastric cancer LR is most frequen tly seen following resection of a diffuse type carcinoma. The incidenc e of 7,8 % in our series is low. Curative reresection was possible in 19 % of extraluminal LR and in 75 % of intraluminal LR. Colon carcinom a usually recurres in the abdomen. 12 % of left sided primary tumors r ecur in the pelvis. Quite frequently extended multivisceral resections are necessary to deal with the LR. In 69 % reresection was possible a nd in 41.5 % R0-resection was achieved. As in gastric cancer intralumi nal LR tend to have a better prognosis. The decision for operative rei ntervention has to take individual risk factors into consideration.