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• W2097103937 abstract "<h2>Abstract</h2><h3>Aim</h3> The value of multi-visceral resection (MVR) for treating primary advanced colon cancer infiltrating into the neighboring organs had been debated because of the high mortality. <h3>Methods</h3> We reviewed 1288 patients who underwent curative resection for pT3–4 colon cancer without distant metastasis from 1994 to 2004. <h3>Results</h3> Eighty four patients (6.5%) with colon cancer infiltrating into the neighboring organs (cT4) underwent MVR. The accuracy of the intra-operative decision for true invasion (pT4) was 35.7%. Major surgical morbidity occurred in 11 patients of the standard resection group (0.9%) and in 2 patients of the MVR group (2.3%) (<i>p</i>=0.206). Most of the recurrence was distant metastasis (20 patients, 23.8%). Local recurrence was occurred in five patients (6.0%). The prognostic factors for recurrence and survival were pathologic tumor invasion (<i>p</i>=0.033 and <i>p</i>=0.016, respectively) and lymph node metastasis (<i>p</i>=0.010 and <i>p</i><0.001, respectively). <h3>Conclusion</h3> Multi-visceral resection was a safe and curative procedure as compared with standard resection for patients with advanced colon cancer. The cause of a poor prognosis in MVR was not local recurrence but distant metastasis. Pathologic tumor invasion and lymph node metastasis were the potential prognostic factors." @default.
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• W2097103937 date "2009-07-01" @default.
• W2097103937 modified "2023-10-14" @default.
• W2097103937 title "The clinical outcome and prognostic factors after multi-visceral resection for advanced colon cancer" @default.
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• W2097103937 doi "https://doi.org/10.1016/j.ejso.2008.01.024" @default.
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