PURPOSE: The aim of this study was to evaluate the prognostic effectiveness of multivisceral resections of organs involved by locally advanced @entity14 . METHODS: A retrospective study was performed to analyze the data collected for 266 @entity1 who underwent a curative resection for @entity1803 -pT4 @entity14 without distant metastasis from January 2000 to December 2007. Of these 266 @entity1 , 54 @entity1 had macroscopically direct invasion of adjacent organs and underwent a multivisceral resection. We evaluated the short-term and the long-term outcomes of a multiviceral resection relative to that of standard surgery. RESULTS: The most common location for the @entity75 was the rectum, followed by the right colon and the sigmoid colon. Among the combined resected organs, common organs were the small bowel, ovary, and bladder. In the multivisceral resection group, @entity5 infiltration was confirmed histologically in 44.4% of the cases while in the remaining @entity1 , a peritumorous adhesion had mimicked @entity5 invasion. @entity260 occurred in 17.5% of the @entity1 who underwent standard surgery vs. 35.2% of those who underwent a multivisceral resection (P < 0.0001). But the survival rate of @entity1 after a multivisceral resection was similar to that of @entity1 after standard surgery (5-year survival rates: 61% vs. 58%; P = 0.36). CONCLUSION: For locally advanced @entity14 , multivisceral resection was associated with higher postoperative morbidity, but the long-term survival after a curative resection is similar to that after a standard resection. Thus, a multivisceral resection can be recommended for most @entity1 of locally advanced @entity14 .

Analysis of the prognostic effectiveness of a multivisceral resection for locally advanced XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1803 :: ('7694', 'Gene') :: ['pT3'] @entity75 :: ('MESH:D001927', 'Disease') :: ['primary lesion'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity260 :: ('MESH:D011183', 'Disease') :: ['Postoperative complications'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal cancer']
@entity14 :: (MESH:D015179,Disease) :: ['colorectal cancer']
