Review Article

Second-Look Surgery for Colorectal Cancer: Revised Selection Factors and New Treatment Options for Greater Success

Table 2

Patients with primary colorectal cancer identified to be at high risk for local-regional recurrence and/or peritoneal carcinomatosis.

(1) Visible evidence of peritoneal carcinomatosis.
(2) Ovarian cysts showing adenocarcinoma suggested to be of gastrointestinal origin.
(3) Positive cytology either before or after cancer resection.
(4) Adjacent organ involvement or cancer-induced fistula.
(5) Obstructed cancer.
(6) Perforated cancer.
(7) T3 mucinous cancer.
(8) T4 cancer or a positive “touch prep” of the primary cancer.
(9) Cancer mass ruptured with the resection.
(10) Positive lateral margins of excision.