Multiorgan resections for advanced colorectal cancer.
BACKGROUND
A retrospective review is presented of a single institution's experience with multivisceral resections for locally-advanced colorectal cancer.


METHODS
Twenty-eight patients, who had undergone RO multiorgan resection, were identified from the database of a total of 1150 patients operated on for colorectal carcinoma in the years 1995-2005 at a single center. There were twelve total pelvic exenterations and 16 patients had undergone en bloc primary tumor resection with adherent organs, such as the spleen, diaphragm, pancreas, stomach, kidney, etc. The patients were followed-up according to a standard protocol.


RESULTS
The post-operative mortality was 7%, the average follow-up 21.6 months and the 5-year survival 45%.


CONCLUSIONS
Our results confirmed that, in the case of invasion of colorectal cancer to the adjacent intra-abdominal organs or structures, multiorgan resection 'offers the only chance of potentially-curative treatment.
Visokai
Vladimir
V
Department of Surgery of the Thomayer's Teaching Hospital and First Faculty of Medicine, Charles University, Videnska 800, 140 59 Prague, Czech Republic. visokai@ftn.cz
Lipska
Ludmila
L
Bergmann
Pavel
P
Levy
Miroslav
M
Trubac
Miroslav
M
Martinu
Vera
V
Svobodova
Sarka
S
Kormunda
Stanislav
S
D003082:Colectomy; D015179:Colorectal Neoplasms / Q000601:surgery*; D006801:Humans; D010180:Pancreatectomy; D010385:Pelvic Exenteration; D015996:Survival Rate