Scientific Online Resource System

Scripta Scientifica Medica

Potentially curative multivisceral resections for locally advanced colorectal cancer

Vesselin Marinov


Background. Performing multivisceral resections in locally advanced colorectal cancer is the only way to achieve the surgical radicality in the treatment of this disease. The frequency of such cases remains high as a result of the global increase in morbidity and poor health culture of the population. Locally advanced colorectal cancer has exclusive specificity in terms of its location - upper abdominal floor,  pelvic area and requires multidisciplinary surgical skills and experience. In this publication are reported early perioperative results in 128 cases of potentially curative multivisceral resections.

Aim. To assess the early perioperative results in patients with multivisceral resections for advanced colorectal cancer.

Material and method. For period of 8 years 2007 - 2014, 191 patients with advanced colorectal cancer were operated. In 128 cases multivisceral resections were performed in attempt for achieve surgical radicalism.

Results. Average age in the group was 66.7years. Perioperative mortality amounted to 3.1%(4 patients). Perioperative complications were observed in 25 (19.5%) patients.

Conclusion. Surgery is the only method for achieve long term survival in patients with advanced colorectal cancer. Performance of multivisceral resections is challenging for the surgeon and often multidisciplinary approach is needed. 

Key words. Multivisceral, locally advanced, colorectal


Key words. Multivisceral, locally advanced, colorectal

Full Text


Gebhardt C, Meyer W, Rukriegel S, Merier U. Multivisceral resection of advanced colorectal carcinoma. Langenbeck's Arch Surg. 1999;384:194-9. doi: 10.1007/s004230050191.

Luna-Perez P, Rodoriguez-Ramirez SE, Barrera MG, Zeferino M, Labastida S. Multivisceral resection for colon cancer. J Surg Oncol. 2002;80:100-4. doi: 10.1002/jso.10105.

Lehnert T, Methner M, Pollok A, Schaible A, Hinz U, Herfarth C. Multiviscerral resection for locally advanced primary colon and rectal cancer. An analysis of prognostic factors in 201 patients. Ann Surg. 2002;235:217-25.

Devine R, Dozois R. Surgical management of locally advanced adenocarcinoma of the rectum.World J Surg. 1992;16:486-489. doi: 10.1007/BF02104452.

Staib L, Link KH, Blatz A, Berger HG. Surgery of colorectal cancer: surgical morbidity and five- and ten-year results in 2400 patients -- monoinstitutional experience. World J Surg. 2002;26:59-66. doi: 10.1007/s00268-001-0182-5.

Izbicki JR, Hosch SB, Knoefel WT, Passlick B, Bloechle C, Broelsch CE. Extended resections are beneficial for patients with locally advanced colorectal cancer. Dis Colon Rectum. 1995;38:1251-6. doi: 10.1007/BF02049148.

Montesani C, Ribotta G, De Milito R, Pronio A, D'Amato A, Narilli P, Jaus M. Extended resection in the treatment of colorectal cancer. Int J Colorectal Dis. 1991;6:161-4. doi: 10.1007/BF00341238.

Poeze M, Houbiers JG, van de Velde CJ, Wobbes T, von Meyenfeldt MF. Radical resection of locally advanced colorectal cancer. Br J Surg. 1995;82:1386-90. doi: 10.1002/bjs.1800821031.

Lehnert T, Methner M, Pollok A, Schaible A, Hinz U, Herfarth C. Multiviscerral resection for locally advanced primary colon and rectal cancer. An analysis of prognostic factors in 201 patients. Ann Surg. 2002;235:217-25.

Amshel C, Avital S, Miller A, Sands L, Marchetti F, Hellinger M. T4 rectal cancer: analysis of patient outcome after surgical excision. Am Surg. 2005;71:901-4.

Gezen C, Kement M, Altuntas YE, Okkabaz N, Seker M, Vural S, Gumus M, Oncel M. Results after multivisceral resections of locally advanced colorectal cancers: an analysis on clinical and pathological t4 tumors. World J Surg Oncol. 2012Feb 15;10:39

Mitry E, Bouvier AM, Esteve J, Fivre J. Benefit of operative mortality reduction on colorectal cancer survival. Br J Surg. 2002;89:1557-62. doi: 10.1046/j.1365-2168.2002.02276.x.

Locally advanced adenocarcinoma of the supramesocolic part of the colon. Features of surgical treatment and challenges. V. Marinov, R. Gaidarski, K. Draganov, N. Katev, D. Rusenov; Y. Kolev, A. Petreska, B. Borisov, G. Changalova, S. Lavchev, D. Penchev, D. Stoyanova, S. Tonev. Scripta Scientifica Medica, vol. 45, Suppl. 2, 2013, pp. 79-85

About The Author

Vesselin Marinov
"Tokuda Hospital Sofia" HPB Surgery dept.

HPB and General Surgery Clinic. Head of Miniinvasive and Laparoscopic Surgery.

Font Size