Is Laparoscopic Multivisceral Resection Applicable to Colorectal Cancer Adherent to Adjacent Organs?.
- Author:
Young Kwang PARK
1
;
Ho Suk LEE
;
Ho Geun YOUN
;
Chang Kyun PARK
;
Duk Won HWANG
;
Sang Ik NOH
Author Information
1. Department of Surgery, Seoul Veterans Hospital, Seoul, Korea. hosuk6001@hanmail.net
- Publication Type:Original Article
- Keywords:
Laparoscopic surgery;
Multivisceral resection;
Colorectal cancer
- MeSH:
Colorectal Neoplasms;
Disease-Free Survival;
Follow-Up Studies;
Humans;
Laparoscopy;
Length of Stay;
Postoperative Complications;
Rectal Neoplasms;
Recurrence;
Retrospective Studies;
Survival Rate
- From:Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2009;12(2):88-95
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of this study was to assess the feasibility and safety of laparoscopic multivisceral resection of colorectal cancer adherent to adjacent organs. METHODS: We reviewed retrospectively 32 patients undergoing elective laparoscopic multivisceral resection for colorectal cancer adherent to adjacent organs between June 2003 and May 2009. Survival curves were generated by Kaplan-Meier method. RESULTS: The median age of 32 patients was 73 years. In 10 of 17 rectal cancer patients (59%), neoadjuvant chemoradiation was performed. All the surgeries were completed laparoscopically. The postoperative complications occurred in 21.9% and there was no operative mortality. The median length of hospital stay was 15.5 days. In 23 of 32 patients (72%), the resection was considered curative. Median follow-up period of all patients and curatively resected patients was 22 (range, 2~65) months, 34 (range, 4~65) months respectively. Local recurrence rate, the 3-year overall survival rate and the 3-year disease free survival rate of 23 curatively resected patients was 4.3%, 92.9% and 84.4%, respectively. CONCLUSION: Laparoscopic multivisceral resection is feasible and safe in highly selected patients with colorectal cancer adherent to adjacent organs. Further validation is needed.
