Abstract
Between 1975 and 1990, 525 patients underwent resection of colorectal cancer in our unit. Of these, 38 had tumour invading adjacent structures and underwent an extended resection. Overall, there were 67 cases treated palliatively. Of these, three were in the group of 38 having an extended resection. When the groups of radical not extended (n=423) and radical extended resections (n=35) were compared, respective values for mortality (1.9% vs 0) and morbidity (12.8% vs 11.3%) were not different. Respective local recurrence rates (13% vs 26%) were significantly greater after extended resection. Five-year survival after extended resection was 30%, no different from the general survival rate for standard resections for T2–3 node-positive tumours. Extended resection is thus a safe and important approach for locally advanced tumours.
Résumé
Entre 1975 et 1990 525 ont subi une résection pour cancer colo-rectal dans notre unité. Parmi ceux ci 38 avaient une tumeur envahissant les structures adjacentes et ont dû subir une résection étendue. 67 cas furent traités palliativement. De ceux-ci trois appartenaient au groupe des 38 qui eurent une résection étendue. Comparant le groupé des résections radicales non étendues (n=423) et des résections radicales étendues (n=35), les valeurs respectives pour la mortalité (1,9% vs 0) et la morbidité (12,8% vs 11,3%) n'étaient pas différents. Le taux respectif de récurrence locale (13% vs 26%) était significativement plus grand après étendue. La survie à 5 ans après résection étendue était de 30% ne différant pas du taux de survie général pour une réction standard pour des tumeurs T2-T3 ganglions positifs. La résection étendue est donc une méthode sure et importante pour traiter les tumeurs localement évoluées.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Dent OF, Chapuis PM, Goulston KJ (1983) Relationship of survival to stage of the tumour and deviation of symptoms in colorectal cancer. Med J Aust 19:274–277
Lea IV, Lea JW, Courigton K, McSwain B, Scott WM (1982) Surgical experience with carcinoma of the colon and rectum. Am Surg 195:1600–1608
Sugarbaker PM, Coslow S (1982) Influence of surgical techniques on survival in patients with colorectal cancer. Dis Col Rectum 25:545–557
Pettigrew RA, Burns HJG, Carter DC (1987) Evaluating surgical risk: the importance of technical factors in determining outcome. Br J Surg 74:791–794
Morel P, Egeli RA, Wachtel S, Rohner A (1989) Results of operative treatment of gastrointestinal tract tumors in patients over 80 years old. Arch Surg 124:662–664
McGlone TP, Bernie WA, Elliot DW (1982) Survival following extended operations for extracolonic invasion by colon cancer. Arch Surg 117:595–599
Pittam MR, Thornton H, Ellis H (1984) Survival after extended resection for locally advanced carcinomas of the colon and rectum. Ann Roy Coll Surg Engl 66:81–85
Quan SHQ, Sehdev MK (1974) Pelvic surgery concomitant with bowel resection for carcinoma. Surg Clin North Am 54:881–886
Landmann DD, Fazio VW, Lavery IC, Weakley FL, Jagelman DG (1989) En bloc resection for contiguous upper abdominal invasion by adenocarcinoma of the colon. Dis Col Rectum 32:669–672
Citone G, De Milito R, Perri S, Catani M, Di Nardo A, Montesani C, Pronio A, Procacciante F (1987) Exeresi allargate nella chirurgia del cancro del colon-retto. Gior Chir 8:441–443
Tagliacozzo S (1985) Dobbiamo continuare con gli interventi allargati per cancro del, colon-retto? Giorn Chir 6:97–100
Campana FP, Marchesi M, Tartaglia F, Marini P, Romani M, Pugliese FR, Retico E, Piciollo M (1987) Gli interventi allargati nella chirurgia del cancro del colon e dol retto. Giorn Chir 8:431–433
Delpero JR, Le Trent YP, Pol B, Houvenaeghel G, Brandone JM, Guerinel G, Bricot R (1989) Les exereses gastrocoliques pour cancer analyse retrospective des suites immediates et de la durvie eloignee chez dix-huiz malades. Ann de Chir 43:530–536
Fedorov VD, Odaryuk TS, Shelygin YA (1989) Results of radical surgery for advanced rectal cancer. Dis Col Rectum 32:567–571
Bonfanti G, Bozzetti F, Doci R, Baticci F, Marolda R, Bignami P, Genmnari L (1982) Results of extended surgery for cancer of the rectum and sigmoid. Br J Surg 69:305–307
Glass RE, Fazio VW, Jagelman DG, Lavery IC, Weakley FL, Forsythe SR (1986) The results of surgical treatment of cancer of the colon at the Cleveland Clinic from 1965–1975: classification of the spread of colon cancer and long-term survival. Int J Colorect Dis 1:33–39
Hojo K (1986) Anastomotic recurrence after sphincter-saving resection for rectal cancer. Length of distal clearance of the bowel. Dis Col Rectum 29:11–14
Minton JP (1982) Colon cancer: special surgical considerations. Cancer 50:2624–2626
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Montesani, C., Ribotta, G., De Milito, R. et al. Extended resection in the treatment of colorectal cancer. Int J Colorect Dis 6, 161–164 (1991). https://doi.org/10.1007/BF00341238
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00341238