Outcome of surgical management of the bladder in advanced colorectal cancer.

Outcome of surgical management of the bladder in advanced colorectal cancer. Research Abstract Details 

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Outcome of surgical management of the bladder in advanced colorectal cancer. Abstract Text:

Feng Gao,Yun-fei Cao,Li-sheng Chen,Sen Zhang,Zong-jiang Tang,Jun-lin Liang,Feng Gao,Yun-fei Cao,Li-sheng Chen,Sen Zhang,Zong-jiang Tang,Jun-lin Liang,

BACKGROUND: To evaluate morbidity, mortality, and long-term survival in patients undergoing partial or total cystectomy during en bloc resection for locally advanced colorectal cancer. METHODS: This study retrospectively evaluated the outcome of combined bladder resection for colorectal cancer in our department. RESULTS: Patients (n=33) with colorectal tumors adherent to the bladder were followed. Overall morbidity was 11/33 (33.3%). Histological staging demonstrated inflammatory adhesion in 54.5% (18/33) and invasion in 45.6% (15/33). Morbidity was significantly higher in those that had undergone total cystectomy than in those that had undergone partial cystectomy (4/5 vs 7/28, P=0.033). The local recurrence has no difference the between total cystectomy group and the partial cystectomy group (1/5 vs 8/28, P=1.000). Overall 5-year survival rate was 39.4% (13/33). Mean survival time was 46.6875 month. There was no difference in 5-year survival between patients with inflammatory adhesion vs those with tumorous infiltration between colorectal tumor and bladder (P=0.7389). CONCLUSION: Survival after surgery for colorectal cancer is not influenced by the need to excise part or all of the urinary bladder in case it is contiguous to a colorectal tumor. Experienced surgeons in urology and colon and rectal surgery should be left to decide on the surgical options to be employed.

Outcome of surgical management of the bladder in advanced colorectal cancer. Publishing Authors By Initials

F Gao,YF Cao,LS Chen,S Zhang,ZJ Tang,JL Liang,F Gao,YF Cao,LS Chen,S Zhang,ZJ Tang,JL Liang,

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Outcome of surgical management of the bladder in advanced colorectal cancer. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: International journal of colorectal disease

VOLUME: 22

Page Numbers: 21-4

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ISSN: 0179-1958

DAY: 1

MONTH: 03

YEAR: 2006

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LANGUAGE: eng

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AFFILIATION: Department of Coloproctological Surgery of The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi Zhuang Autonomous Region, People's Republic of China. doctorgao0771@hotmail.com

Country: Germany

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MEDLINETA: Int J Colorectal Dis

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