Abstract:Objective To discuss the significance and feasibility of multivisceral resection for latestage colorectal carcinoma with invasion of adjacent organs or liver metastasis.
Methods The clinical data of 32 cases which had multivisceral resection were reviewed and analyzed, especially regarding to the postoperative complications and 5year survival rate.
Results At time of diagnosis, 9 cases had liver metastasis and 23 cases had invasion of other adjacent organs. One of the 9 cases with combined liver resection was lost to followup, and 3 of other 8 cases have survived for 5 years; while 11 of the 23 cases with combined removal of adjacent organs have survived for 5years. Thus, the 5year survival rate of combined liver resection and removal of adjacent organs was 37.5%(3/8) and 47.83%(11/23), respectively. No fatal complications have occurred among these cases.
Conclusions Combined multivisceral resection for latestage colorectal carcinoma would improve the living quality and the 5year survival rate of the patients, and it should be aggresively offered for treatment of these patients.