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The follow-up in colorectal cancer

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Advances in Abdominal Surgery

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Summary

After an overview of the various procedures best able to achieve early diagnosis of recurrence of colorectal cancer, two different follow-up plans were compared in 207 consecutive patients, who had undergone curative resections for primary untreated large bowel carcinoma, at Parma University’s Istituto di Clinica Chirurgica Generale e Terapia Chirurgica. The intense follow-up led to more frequent identification of local recurrences without distant metastases, and to the detection of local recurrences in a high percentage of cases with as yet no manifestation of symptoms clearly indicative of recurrence. The intense follow-up led to a greater number of re-resections for local recurrences than those performed in the control group submitted to conventional follow-up (17 versus 2; p<0.01), and we observed an improved 5-year survival in patients undergoing intense follow-up (73.1% versus 58.3%; p<0.02).

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Authors and Affiliations

  1. Institute of Surgical Clinics, University of Parma, Parma, Italy

    Anacleto Peracchia, Nicola Pietra & Leopoldo Sarli

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  1. Anacleto Peracchia
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  2. Nicola Pietra
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  3. Leopoldo Sarli
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Editors and Affiliations

  1. Department of Surgery, University of Rome “Tor Vergata”, Rome, Italy

    Everardo Zanella (Professor of Surgery and Chairman) (Professor of Surgery and Chairman)

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Peracchia, A., Pietra, N., Sarli, L. (1999). The follow-up in colorectal cancer. In: Zanella, E. (eds) Advances in Abdominal Surgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4469-8_12

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  • DOI: https://doi.org/10.1007/978-94-011-4469-8_12

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5914-5

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