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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
Resection of peritoneal metastases causing malignant small bowel obstruction
Saleh M Abbas1, Arend Eh Merrie
1Colorectal Unit, Auckland City Hospital, Private Bag 92024, Auckland, New Zealand. salehabbas@yahoo.com
World Journal of Surgical Oncology
|October 26, 2007
Summary
Resection of peritoneal metastases via laparotomy offers survival benefits for malignant small bowel obstruction. Complete resection of disease is key for better outcomes in recurrent cancer patients.
Area of Science:
- Surgical Oncology
- Gastrointestinal Oncology
- Malignant Bowel Obstruction Management
Background:
- Peritoneal metastases resection improves survival in abdominal malignancy.
- This study focuses on the benefits of peritoneal metastatic resection in patients with malignant small bowel obstruction and a history of cancer.
Purpose of the Study:
- To evaluate the benefit of peritoneal metastatic resection in patients with malignant small bowel obstruction.
- To assess survival outcomes and factors influencing them in this patient group.
Main Methods:
- Retrospective review of 79 patients undergoing laparotomy for peritoneal metastases from recurrent cancer (1992-2003).
- Data collected included primary cancer type, recurrence interval, disease extent, resection completeness, morbidity, mortality, and survival.
Main Results:
- Colorectal cancer recurrence showed better survival (7 months) compared to other cancers (4 months; p=0.02).
- Overall complication rate was 35% with 10% mortality.
- Disease extent was the sole significant factor impacting overall survival.
Conclusions:
- Laparotomy for malignant small bowel obstruction is a viable option.
- Despite significant morbidity and mortality, it provides a reasonable survival benefit.
- Complete resection of disease is crucial for maximizing survival benefits.
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