The authors discuss their experience in the treatment of 18 patients who were operated on for a second time due to the development of a recurrent tumor. A true and false recurrence was distinguished. The causes of their development were: diagnostic errors in 6, malignancy of the adenoma in 4, and technical faults during the operation in 8 patients. Various types of repeated interventions were conducted in in all 18 patients, preference was given to reconstructive-plastic operations. There were no fatal outcomes. Fourteen patients have a survival period of 5 months to 17 years, four patients with malignant carcinoid died from metastases.

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