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Multivisceral Resection for Locally Advanced Rectal Cancer: Prognostic Factors Influencing Outcome.

M J Mañas1, E Espín2, M López-Cano2

  • 1Colorectal Surgery Unit, General Surgery Service, Department of Surgery, Hospital Universitari Vall d'Hebron, Universitat Autónoma de Barcelona, Barcelona, Spain mjmanas@hotmail.com.

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society
|September 28, 2014
PubMed
Summary
This summary is machine-generated.

Multivisceral resection for locally advanced rectal cancer showed significant complications. Lymph node involvement and lymph vascular invasion negatively impacted survival and recurrence, while stage II and absence of lymph vascular invasion predicted better outcomes.

Keywords:
Multivisceral resectionlocally advancedlocoregional recurrenceprognostic factorsrectal cancersurvival

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Rectal Cancer Research

Background:

  • Locally advanced rectal cancer (LARC) presents complex treatment challenges.
  • Multivisceral resection (MVR) is a radical surgical approach for advanced cases.
  • Assessing outcomes after MVR is crucial for treatment planning.

Purpose of the Study:

  • To evaluate the clinical outcomes of patients with LARC undergoing MVR.
  • To identify prognostic factors influencing survival and recurrence after MVR.

Main Methods:

  • Retrospective analysis of 30 consecutive LARC patients undergoing en bloc MVR.
  • Curative intent surgery between 1998 and 2010.
  • Kaplan-Meier survival analysis and Cox multivariate modeling for risk factors.

Main Results:

  • High complication rate (76.7%) and in-hospital mortality (10%).
  • Multivariate analysis identified lymph node involvement and stage II as significant survival predictors.
  • Lymph vascular invasion correlated with higher distant recurrence and worse survival; suture dehiscence trended with local recurrence.

Conclusions:

  • Lymph node involvement is a negative prognostic factor for survival.
  • Absence of lymph vascular invasion and stage II are associated with improved survival.
  • Lymph vascular invasion is a key predictor of distant recurrence in LARC patients treated with MVR.