Skip Navigation
Skip to contents

Ann Coloproctol : Annals of Coloproctology

OPEN ACCESS
SEARCH
Search

Page Path
HOME > Browse Articles
Search
Sejin Park 1 Article
Analysis of the Prognostic Effectiveness of a Multivisceral Resection for Locally Advanced Colorectal Cancer
Sejin Park, Yun Sik Lee
J Korean Soc Coloproctol. 2011;27(1):21-26.   Published online February 28, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.1.21
  • 3,945 View
  • 31 Download
  • 23 Citations
AbstractAbstract PDF
Purpose

The aim of this study was to evaluate the prognostic effectiveness of multivisceral resections of organs involved by locally advanced colorectal cancer.

Methods

A retrospective study was performed to analyze the data collected for 266 patients who underwent a curative resection for pT3-pT4 colorectal cancer without distant metastasis from January 2000 to December 2007. Of these 266 patients, 54 patients had macroscopically direct invasion of adjacent organs and underwent a multivisceral resection. We evaluated the short-term and the long-term outcomes of a multiviceral resection relative to that of standard surgery.

Results

The most common location for the primary lesion was the rectum, followed by the right colon and the sigmoid colon. Among the combined resected organs, common organs were the small bowel, ovary, and bladder. In the multivisceral resection group, tumor infiltration was confirmed histologically in 44.4% of the cases while in the remaining patients, a peritumorous adhesion had mimicked tumor invasion. Postoperative complications occurred in 17.5% of the patients who underwent standard surgery vs. 35.2% of those who underwent a multivisceral resection (P < 0.0001). But the survival rate of patients after a multivisceral resection was similar to that of patients after standard surgery (5-year survival rates: 61% vs. 58%; P = 0.36).

Conclusion

For locally advanced colorectal cancer, multivisceral resection was associated with higher postoperative morbidity, but the long-term survival after a curative resection is similar to that after a standard resection. Thus, a multivisceral resection can be recommended for most patients of locally advanced colorectal cancer.

Citations

Citations to this article as recorded by  
  • Factors associated with one-year mortality after curative surgery for primary clinical T4 and locally recurrent rectal cancer in elderly patients
    Nikki C.M. van Ham, Sofie Glazemakers, Mirjam van der Ende-van Loon, Grard A.P. Nieuwenhuijzen, Harm J.T. Rutten, Jip L. Tolenaar, Anne Jacobs, Jacobus W.A. Burger, Stijn H.J. Ketelaers, Johanne G. Bloemen
    European Journal of Surgical Oncology.2024; 50(6): 108259.     CrossRef
  • A Novel Clinical Nomogram for Predicting Overall Survival in Patients with Emergency Surgery for Colorectal Cancer
    Georgiana Bianca Constantin, Dorel Firescu, Raul Mihailov, Iulian Constantin, Ioana Anca Ștefanopol, Daniel Andrei Iordan, Bogdan Ioan Ștefănescu, Rodica Bîrlă, Eugenia Panaitescu
    Journal of Personalized Medicine.2023; 13(4): 575.     CrossRef
  • Multivisceral resection of advanced colon and rectal cancer: a prospective multicenter observational study with propensity score analysis of the morbidity, mortality, and survival
    Michael Arndt, Hans Lippert, Roland S. Croner, Frank Meyer, Ronny Otto, Karsten Ridwelski
    Innovative Surgical Sciences.2023; 8(2): 61.     CrossRef
  • Extended Total Mesorectal Excision (e-TME) for Locally Advanced Rectal Cancer
    Narendra Pandit, Kunal Bikram Deo, Sujan Gautam, Tek Narayan Yadav, Awaj Kafle, Sudhir Kumar Singh, Laligen Awale
    Journal of Gastrointestinal Cancer.2022; 53(2): 253.     CrossRef
  • Predictors of undergoing multivisceral resection, margin status and survival in Dutch patients with locally advanced colorectal cancer
    L.C.F. de Nes, J.A.G. van der Heijden, M.G. Verstegen, L. Drager, P.J. Tanis, R.H.A. Verhoeven, J.H.W. de Wilt
    European Journal of Surgical Oncology.2022; 48(5): 1144.     CrossRef
  • Subclassification of Multivisceral Resections for T4b Colon Cancer with Relevance for Postoperative Complications and Oncological Risks
    Karin A.T.G.M. Wasmann, Charlotte E.L. Klaver, Jarmila D.W. van der Bilt, Iris D. Nagtegaal, Albert M. Wolthuis, Hjalmar C. van Santvoort, Bert Ramshorst, André D’Hoore, Johannes H.W. de Wilt, Pieter J. Tanis
    Journal of Gastrointestinal Surgery.2020; 24(9): 2113.     CrossRef
  • Outcomes of neoadjuvant chemoradiotherapy followed by radical resection for T4 colorectal cancer
    Chun-Ming Huang, Ching-Wen Huang, Cheng-Jen Ma, Hsiang-Lin Tsai, Wei-Chih Su, Tsung-Kun Chang, Ming-Yii Huang, Jaw Yuan Wang
    World Journal of Gastrointestinal Oncology.2020; 12(12): 1428.     CrossRef
  • Hospital volume and outcome in rectal cancer patients; results of a population-based study in the Netherlands
    J.A.W. Hagemans, W.J. Alberda, M. Verstegen, J.H.W. de Wilt, C. Verhoef, M.A. Elferink, J.W.A. Burger
    European Journal of Surgical Oncology.2019; 45(4): 613.     CrossRef
  • Significance of multivisceral resections in oncologic surgery: A systematic review of the literature
    Giorgi Nadiradze, Can Yurttas, Alfred Königsrainer, Philipp Horvath
    World Journal of Meta-Analysis.2019; 7(6): 269.     CrossRef
  • É o carcinoma colônico localmente avançado não metastático uma variante biológica distinta? Estudo baseado na avaliação histológica, painel imuno-histoquímico e sobrevida.
    René Aloisio da Costa Vieira, Ademar Lopes, Fernando Augusto Soares, Renata Almeida Coudry, Wilson Toshio Nakagawa, Maria do Rosário Dias de Oliveira Latore
    Revista do Colégio Brasileiro de Cirurgiões.2019;[Epub]     CrossRef
  • The short-term outcomes of laparoscopic multivisceral resection for locally advanced colorectal cancer: our experience of 39 cases
    Yuichiro Miyake, Junichi Nishimura, Hidekazu Takahashi, Naotsugu Haraguchi, Taishi Hata, Ichiro Takemasa, Tsunekazu Mizushima, Hirofumi Yamamoto, Yuichiro Doki, Masaki Mori
    Surgery Today.2017; 47(5): 575.     CrossRef
  • Safety and feasibility of laparoscopic multivisceral resection for surgical T4b colon cancers: Retrospective analyses
    Ryo Takahashi, Suguru Hasegawa, Kenjiro Hirai, Shigeo Hisamori, Koya Hida, Kenji Kawada, Yoshiharu Sakai
    Asian Journal of Endoscopic Surgery.2017; 10(2): 154.     CrossRef
  • The Feasibility of Hand-assisted Laparoscopic and Laparoscopic Multivisceral Resection Compared With Open Surgery for Locally Advanced Colorectal Cancer
    Guang-tan Zhang, Xue-dong Zhang
    Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2017; 27(4): e57.     CrossRef
  • Prognostic factors affecting outcomes in multivisceral en bloc resection for colorectal cancer
    Caio Sergio Rizkallah Nahas, Sergio Carlos Nahas, Ulysses Ribeiro-Junior, Leonardo Bustamante-Lopez, Carlos Frederico Sparapan Marques, Rodrigo Ambar Pinto, Antonio Rocco Imperiale, Guilherme Cutait Cotti, William Carlos Nahas, Daher Cezar Chade, Dariane
    Clinics.2017; 72(5): 258.     CrossRef
  • Outcomes of preoperative chemoradiotherapy followed by surgery in patients with unresectable locally advanced sigmoid colon cancer
    Bo Qiu, Pei-Rong Ding, Ling Cai, Wei-Wei Xiao, Zhi-Fan Zeng, Gong Chen, Zhen-Hai Lu, Li-Ren Li, Xiao-Jun Wu, Rene-Olivier Mirimanoff, Zhi-Zhong Pan, Rui-Hua Xu, Yuan-Hong Gao
    Chinese Journal of Cancer.2016;[Epub]     CrossRef
  • Smaller tumor size is associated with poor survival in T4b colon cancer
    Ben Huang, Yang Feng, Shao-Bo Mo, San-Jun Cai, Li-Yong Huang
    World Journal of Gastroenterology.2016; 22(29): 6726.     CrossRef
  • Neo-adjuvant chemoradiotherapy and multivisceral resection to optimize R0 resection of locally recurrent adherent colon cancer
    J. Hallet, F.S. Zih, M. Lemke, L. Milot, A.J. Smith, C.S. Wong
    European Journal of Surgical Oncology (EJSO).2014; 40(6): 706.     CrossRef
  • Accuracy of Preoperative Urinary Symptoms, Urinalysis, Computed Tomography and Cystoscopic Findings for the Diagnosis of Urinary Bladder Invasion in Patients with Colorectal Cancer
    Varat Woranisarakul, Patkawat Ramart, Kittipong Phinthusophon, Ekkarin Chotikawanich, Siriluck Prapasrivorakul, Varut Lohsiriwat
    Asian Pacific Journal of Cancer Prevention.2014; 15(17): 7241.     CrossRef
  • Multivisceral Resection in Colorectal Cancer: A Systematic Review
    H. M. Mohan, M. D. Evans, J. O. Larkin, J. Beynon, D. C. Winter
    Annals of Surgical Oncology.2013; 20(9): 2929.     CrossRef
  • Laparoscopic Versus Open Multivisceral Resection for Primary Colorectal Cancer: Comparison of Perioperative Outcomes
    Yasutomo Nagasue, Takashi Akiyoshi, Masashi Ueno, Yosuke Fukunaga, Satoshi Nagayama, Yoshiya Fujimoto, Tsuyoshi Konishi, Toshiya Nagasaki, Jun Nagata, Toshiki Mukai, Atsushi Ikeda, Riki Ono, Toshiharu Yamaguchi
    Journal of Gastrointestinal Surgery.2013; 17(7): 1299.     CrossRef
  • En bloc Right Hemicolectomy/Pancreaticoduodenectomy for Cancer: One Institution's Experience
    Maria C. Mora-Pinzon, Amanda B. Francescatti, Minh B. Luu, Keith W. Millikan, Daniel J. Deziel, Dana M. Hayden, Theodore John Saclarides
    The American Surgeon™.2013; 79(6): 238.     CrossRef
  • Neoadjuvant chemoradiotherapy and multivisceral resection for primary locally advanced adherent colon cancer: A single institution experience
    M. Cukier, A.J. Smith, L. Milot, W. Chu, H. Chung, D. Fenech, S. Herschorn, Y. Ko, C. Rowsell, H. Soliman, Y.C. Ung, C.S. Wong
    European Journal of Surgical Oncology (EJSO).2012; 38(8): 677.     CrossRef
  • A rectumtumorok sebészete
    Péter Metzger
    Magyar Sebészet.2012; 65(3): 129.     CrossRef

Ann Coloproctol : Annals of Coloproctology Twitter Facebook
TOP