Review Article

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

Table 3

Ineligibility requirements in patients considered for second-look surgery.

Major:

Liver metastases >4
Performance status >2
Serious medical condition
  Renal failure with creatinine >3
  Cardiac failure with ejection fraction <50%
  Malnutrition
Radiologic study showing systemic disease

Minor:
Obesity
Low rectal cancer
Intestinal obstruction from progressive cancer or a long interval
between cancer recurrence and second look