View : 23 Download: 0

Concomitant adjacent organ resection in locally advanced colon cancer

Title
Concomitant adjacent organ resection in locally advanced colon cancer
Authors
Cho S.W.Lee R.-A.Chung S.S.Kim K.H.
Ewha Authors
김광호이령아정순섭
SCOPUS Author ID
김광호scopus; 이령아scopus; 정순섭scopus
Issue Date
2009
Journal Title
Journal of the Korean Society of Coloproctology
ISSN
1229-8670JCR Link
Citation
vol. 25, no. 2, pp. 94 - 99
Indexed
SCOPUS scopus
Abstract
Purpose: In locally advanced adherent colon cancer surgery, a mutivisceral resection is known to reduce local recurrence and improve survival. Practically, the benefit of using this procedure may outweigh the risk of associated morbidity, but the procedure may not be performed uniformly. We reviewed the results of multivisceral resections for locally advanced colon cancer. Methods: From 2003 January to 2008 January, 476 colon cancer patients underwent surgery for locally advanced colon cancer in our hospital. Out of the 476 patients, 36 patients with pT3-pT4 who underwent any kind of adjacent organ resection other than a resection of the colon were reviewed retrospectively. Results: Out of the 36 patients, 22 were male and 14 were female, and the mean age was 63.44 ± 13.26 yr. The sigmoid colon was the most common location for the primary lesion, followed by the ascending colon, the transverse colon, and the cecum. Invaded organs were the abdominal or pelvic wall in 5 patients, the visceral organs in 26 patients, the retroperitoneum in 2 patients. All patients received an en-bloc resection of the invaded organs. Ten patients were stage II, 14 patients were stage III, and 12 patients were stage IV. Fifteen patients were disease free at the end of this study, local recurrence had occurred in 1 patient, 6 patients had an intraabdominal recurrence, and 2 patients had developed a distant metastasis. The overall complication rate was 28%. The 5-yr survival rate of each stage according to the surgical approach did not show any meaningful difference. Conclusion: A multivisceral en-bloc resection has been recommended for locally advanced adherent colon cancer patients. To improve the outcome, we suggest progressive surgical treatment in such patients. © 2009 The Korean Society of Coloproctology.
DOI
10.3393/jksc.2009.25.2.94
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE