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Multivisceral and standard resections in colorectal cancer.
- Source :
- Langenbeck's Archives of Surgery; Jan2012, Vol. 397 Issue 1, p75-84, 10p
- Publication Year :
- 2012
-
Abstract
- Purpose: The current study was designed to identify prognostic factors for long-term survival in patients with advanced colorectal cancer in a consecutive cohort. Methods: A total of 123 patients were operated because of T4 colorectal cancer between 1 January 2002 and 31 December 2008 in the Clinic of Surgery, UK-SH Campus Luebeck. Results: A total of 78 patients underwent a multivisceral resection. The postoperative morbidity was elevated in the patient group with multivisceral resections (34.6% vs. 26.7%). Nevertheless, we detected no significant differences concerning 30 days mortality (7.7% vs. 8.9%; p = 0.815). The main prognostic factor that reached significance in the multivariate analysis was the possibility to obtain a R0 resection ( p < 0.0001) resulting in a 5-year survival rate of 55% for patients with curative resection. There were no statistically significant differences in 5-year survival between multivisceral and non-multivisceral resections ( p = 0.608). Also we were not able to detect any significant differences for cancer of colonic or rectal origin ( p = 0.839), for laparoscopic vs. open procedures ( p = 0.610), and for emergency vs. planned operations ( p = 0.674). Moreover, the existence of lymph node metastases was not a predictive factor concerning survival as there was no difference between patients with and without lymph node metastases ( p = 0.658). Conclusions: Multivisceral resections are associated with the same 5-year survival as standard resections. Therefore, the aim to perform a R0 resection should always be the main goal in surgery for colorectal cancer. In planned operations, a laparoscopic approach is justified in selected patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- COLON cancer
CANCER invasiveness
LYMPH nodes
CANCER patients
SURGICAL excision
Subjects
Details
- Language :
- English
- ISSN :
- 14352443
- Volume :
- 397
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Langenbeck's Archives of Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 67449221
- Full Text :
- https://doi.org/10.1007/s00423-011-0854-z