- Analysis of the Prognostic Effectiveness of a Multivisceral Resection for Locally Advanced Colorectal Cancer
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Sejin Park, Yun Sik Lee
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J Korean Soc Coloproctol. 2011;27(1):21-26. Published online February 28, 2011
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DOI: https://doi.org/10.3393/jksc.2011.27.1.21
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Abstract
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- Purpose
The aim of this study was to evaluate the prognostic effectiveness of multivisceral resections of organs involved by locally advanced colorectal cancer. MethodsA 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. ResultsThe 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). ConclusionFor 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.
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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
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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.
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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
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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
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