Detailed Information

Cited 1 time in webofscience Cited 1 time in scopus
Metadata Downloads

A Minimally Invasive Pelvic Multivisceral Resection Approach for Locally Advanced Primary Colorectal Cancers: A Single-Institution Experience

Authors
Lee, Tae HoonPark, HyunmiBaek, Se-JinKwak, Jung-MyunKim, Seon-HahnKim, Jin
Issue Date
Jul-2022
Publisher
Mary Ann Liebert Inc.
Keywords
colorectal neoplasms; clinical T4 stage; multivisceral resection; minimally invasive surgery; oncological outcome
Citation
Journal of Laparoendoscopic and Advanced Surgical Techniques, v.32, no.7, pp.727 - 732
Indexed
SCIE
SCOPUS
Journal Title
Journal of Laparoendoscopic and Advanced Surgical Techniques
Volume
32
Number
7
Start Page
727
End Page
732
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/54633
DOI
10.1089/lap.2021.0555
ISSN
1092-6429
Abstract
Background: The role of minimally invasive surgery (MIS) in locally advanced colorectal cancers (CRCs) suspected of direct invasion to adjacent organs or structures remains controversial. The aim of this study is to verify the safety and feasibility of minimally invasive multivisceral resection (MVR) surgery for locally advanced CRCs compared with conventional open surgery. Materials and Methods: Prospectively collected data from patients who underwent MVR for locally advanced CRCs from 2007 to 2017 were retrospectively reviewed. Patients with preoperative clinically suspected T4b stage cancers were enrolled in the study. Results: There were 30 and 19 patients in the MIS and open surgery groups, respectively. Seven patients in the MIS group required conversion, and the most common reason for conversion was ureter and bladder invasion. Tumor sizes were significantly larger in the open group (5.46 cm versus 7.48 cm, P = .010), whereas the MIS group included more patients with rectal cancers (56.7% versus 21%, P = .021). No differences were observed between the two groups in terms of operation time, estimated blood loss, and postoperative hospital stay. Curative (R0) resection was achieved in all patients, and the median follow-up period was 23 months. The 3-year overall survival in the MIS group was 73.6% and 77.9% in the open group (P = .445), and the 3-year total disease-free survival (DFS) was 59.2% and 51.4%, respectively (P = .695). Three-year local DFS was 83.3% for the MIS group, and 51.4% for the open group (P = .120). Conclusion: MIS for primary T4b CRCs without urinary tract invasion is safe and feasible.
Files in This Item
There are no files associated with this item.
Appears in
Collections
1. Basic Science > Department of Medical Education > 1. Journal Articles
2. Clinical Science > Department of Colon and Rectal Surgery > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Park, Hyunmi photo

Park, Hyunmi
College of Medicine (Department of Medical Education)
Read more

Altmetrics

Total Views & Downloads

BROWSE