[A clinical significance of peritoneal carcinomatosis to recurrent colorectal cancer with ileus].
We studied a clinical significance of peritoneal carcinomatosis to metastatic recurrent colorectal cancer with ileus. The subjects were 16 patients with ileus confirmed in 1995-2005. Of the 16 patients, 7 had surgical treatment and the other 9 had conservative treatment. The median survival time of the 16 patients was 98 days; the 7 patients of surgical treatment were 235 days; the 9 patients of conservative treatment were only 67 days. Only 4 patients survived more than 200 days. These 4 patients had surgical treatment, and were the cases where no peritoneal fluid was confirmed and the metastatic tumor was excised. However, only 2 patients improved in QOL. The 3 patients in the surgical treatment were aggravated. An optimum resection may prolong a survival time and patient's QOL could be improved. On the other hand, an extended resection may contribute to shorting a survival time.
Kato
Takeshi
T
Dept. of Surgery, Minoh City Hospital Gastrointestinal Research Center.
Miyake
Yasuhiro
Y
Doi
Takashi
T
Oshima
Kazuteru
K
Handa
Rio
R
Hoshi
Minako
M
Makari
Yoichi
Y
Oshima
Satoshi
S
Iijima
Shouhei
S
Kurokawa
Eiji
E
Kikkawa
Nobuteru
N
D000368:Aged; D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D045823:Ileus / Q000209:etiology / Q000473:pathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology; D010534:Peritoneal Neoplasms / Q000556:secondary* / Q000601:surgery; D015996:Survival Rate