Multivisceral resections in colorectal cancer

Gall, F. P.; Tonak, J.; Altendorf, A.

doi:10.1007/bf02555450

Cited by 134 publications

(100 citation statements)

References 4 publications

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“…Carcinoma involving adjacent organs was found in 43 (9.1%) of our 473 patients. An incidence of 5.5 to 12.0% has been seen in other studies2, 3,[8][9][10][11] There was little clinicopathological difference between the patients with and without colorectal cancer involving adjacent organs, with the exception of tumor size which was larger in patients with a carcinoma involving adjacent organs.…”

Section: Resultsmentioning

confidence: 67%

Colorectal Cancer Involving Adjacent Organs : When should we do more Extensive Surgery ?

Yasuda

Mikogami

Morohara

et al. 2000

The Showa University Journal of Medical Sciences

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The prognosis of patients with colorectal cancer involving adjacent organs is still poor. In this study, we assessed the therapeutic benefit of surgery and factors that might help the surgeon to decide whether more extensive surgery would be beneficial or not . Between January 1989 and December 1998, 473 consecutive patients with colorectal cancer were retrospectively studied. Colorectal carcinoma involving adjacent organs was seen in 43 (9.1 %) of the 473 cases. Histological invasion was seen in 22 (51 %) of 43 patients. The maximal diameter in patients with the carcinoma involving adjacent organs was larger than that in patients without.The five-year survival time was significantly different between the patients with colorectal cancer involving adjacent organs and without. Curative operation improved the five-year survival rate of the patients with pathological invasion into other organs. Even with histological invasion into other organs, the five-year survival time of the patients without lymph node metastasis was better than that of the patients with metastasis. Our data indicated that aggressive combined resection should lead to better prognosis in selected patients.

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Section: Resultsmentioning

confidence: 67%

Colorectal Cancer Involving Adjacent Organs : When should we do more Extensive Surgery ?

Yasuda

Mikogami

Morohara

et al. 2000

The Showa University Journal of Medical Sciences

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“…It is reported that the local recurrence rate was higher when adherent organs were dissected from the tumor than in cases in whom en bloc resection was performed (69 vs. 18%, respectively) (9). And it is also reported that the five-year survival rate was 17% after inadvertent dissection or rupture of the tumor, compared with 49% after en bloc resection (10). It is difficult to diagnose precisely whether or not an actual tumoral invasion exist during surgery, and therefore, en bloc multivisceral resection is needed to obtain clear resection margin (R0) according to these results.…”

Section: Discussionmentioning

confidence: 99%

Multivisceral resections for locally advanced colorectal cancer after preoperative treatment

et al. 2018

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Abstract. Multivisceral resection for colorectal cancer invading into the adjacent organs may often be difficult and may involve serious complications. Preoperative therapy may facilitate resection with safe margins. Between August 2007 and July 2016, 23 patients with colorectal cancer invading into the adjacent organs treated with preoperative treatment (chemoradiotherpay, chemotherapy, radiotherapy) were retrospectively investigated. All 23 patients received surgery with curative intent. Four patients had distant metastases at the time of diagnosis. Two patients had distant metastasis after preoperative treatment. The mean operative time was 535.3±185.5 min and the median amount of blood loss was 1,050 ml. Histopathological examination revealed malignant infiltration of the adjacent organs in 14 patients (60.9%). R0 resection rate was 73.9%. Postoperative complications were identified in nine patients (39.1%) and a high incidence of infectious complications was observed. Patients with curative resection showed a significantly better survival than patients with R1 or R2 resection (P<0.01). Multivisceral resection for locally advanced colorectal cancer invading into the adjacent organ after preoperative treatment may be performed with acceptable morbidity and minimal mortality. R0 resection improves the prognosis of patients with locally advanced colorectal cancer invading into the adjacent organ after preoperative treatment.

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“…Although we attempted TAE for the feeder artery, the patient developed multiple organ failure. Mortality rates have been reported to be higher in patients with multiple resections compared to those treated by conventional colorectal resection (12% vs 6%, respectively) [9] . With recent advances in surgical management, the operation risk associated with PD has been decreasing.…”

Section: Discussionmentioning

confidence: 99%

Right colon cancer presenting as hemorrhagic shock

Iwata¹,

Konishi

Yamazaki³

et al. 2011

WJGP

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A 67yearold man visited our hospital with a history of continuous hematochezia leading to hemorrhagic shock. An abdominal computed tomography scan re vealed a large mass in the ascending colon invading the duodenum and pancreatic head as well as extra vasation of blood from the gastroduodenal artery (GDA) into the colon. Colonoscopy revealed an irregular ulce rative lesion and stenosis in the ascending colon. There fore, right hemicolectomy combined with pyloruspreser ving pancreaticoduodenectomy was performed. Histolo gically, the tumor was classified as a moderately differentiated adenocarcinoma. Moreover, cancer cells were main ly located in the colon but had also invaded the duode num and pancreas and involved the GDA. Immunohisto chemically, the tumor cells were positive for cytokeratin (CK)20 and carcinoembryonic antigen (CEA) but not for CK7 and carbohydrate antigen (CA)199. The patient died 23 d after the surgery because he had another episode of arterial bleeding from the anastomosis site. Al though En bloc resection of the tumor with pancreatico duodenectomy and colectomy performed for locally ad vanced colon cancer can ensure longterm survival, patients undergoing these procedures should be carefully monitored, particularly when the tumor involves the main artery.

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Multivisceral resections in colorectal cancer

Cited by 134 publications

References 4 publications

Colorectal Cancer Involving Adjacent Organs : When should we do more Extensive Surgery ?

Colorectal Cancer Involving Adjacent Organs : When should we do more Extensive Surgery ?

Multivisceral resections for locally advanced colorectal cancer after preoperative treatment

Right colon cancer presenting as hemorrhagic shock

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