Related Experiment Videos
[Results of the surgical therapy in advanced colorectal cancer]
H Helfritzsch1, B Böhm, M Thiele
1Klinik für Allgemeine und Viszerale Chirurgie, Universität Jena, Germany. h.helfritzsch@web.de
Introduction:
In every 7th patient with colorectal cancer tumor has already spread beyond intestinal wall into surrounding organs.
Patients And Methods:
Between 01. 01. 1990 and 31. 12. 1998 763 patients with colorectal cancer were treated at our surgical department. 166 patients (23 %) presented with tumor contiguous or adherent to adjacent organs (cT4).
Results:
In most cases tumor was localized in colon (109 patients, 66 %), in 57 patients (34 %) tumor was found in rectum. Potenzial curative resection (R0) was possible in 67 patients (40 %). 66 patients (40 %) had microscopic (R1) or gro beta residual disease (R2) and in 33 patients only palliative surgery was possible. Extended resection of adjacent organs was performed in 97 % in the group with curative resection. 11 patients (8 %) died after multivisceral resection. The 5-year survival for curative resection was 57 %, for patients with microscopic or gro beta residual disease 9 months and for palliative surgery only 4 months.
Conclusion:
Optimistic longterm results in advanced colorectal cancer can only be achieved after curative resection. After incomplete resection or palliative surgery median life expectancy is extremely poor.