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KMID : 0978820090120020088
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2009 Volume.12 No. 2 p.88 ~ p.95
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Is Laparoscopic Multivisceral Resection Applicable to Colorectal Cancer Adherent to Adjacent Organs?
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Park Young-Kwang
Lee Ho-Suk
Park Chang-Kyun
Hwang Duk-Won
Noh Sang-Ik
Youn Ho-Geun
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Abstract
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Purpose: The aim of this study was to assess the feasibility and safety of laparoscopic multivisceral resection of colorectal cancer adherent to adjacent organs.
Methods: We reviewed retrospectively 32 patients undergoing elective laparoscopic multivisceral resection for colorectal cancer adherent to adjacent organs between June 2003 and May 2009. Survival curves were generated by Kaplan-Meier method.
Results: The median age of 32 patients was 73 years. In 10 of 17 rectal cancer patients (59%), neoadjuvant chemoradiation was performed. All the surgeries were completed laparoscopically. The postoperative complications occurred in 21.9% and there was no operative mortality. The median length of hospital stay was 15.5 days. In 23 of 32 patients (72%), the resection was considered curative. Median follow-up period of all patients and curatively resected patients was 22 (range, 2∼65) months, 34 (range, 4∼65) months respectively. Local recurrence rate, the 3-year overall survival rate and the 3-year disease free survival rate of 23 curatively resected patients was 4.3%, 92.9% and 84.4%, respectively.
Conclusion: Laparoscopic multivisceral resection is feasible and safe in highly selected patients with colorectal cancer adherent to adjacent organs. Further validation is needed.
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KEYWORD
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Laparoscopic surgery, Multivisceral resection, Colorectal cancer
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