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OBJETIVO: Relatar série de 14 casos de câncer colorretal T4 complicado (perfuração) submetidos à cirurgia curativa, analisando a morbidade, mortalidade e sobrevida dos doentes. MÉTODOS: Os dados completos de 14 pacientes submetidos a esse tipo de operação por adenocarcinoma colorretal T4 complicado entre 1999 e 2007 foram avaliados. Foram analisados os achados epidemiológicos e cirúrgicos. A sobrevida em longo prazo também foi avaliada. RESULTADOS: A mortalidade pós-operatória foi de 14 % (n=2). A morbidade global foi de 50 % (n=7). Dez ressecções foram R0 (71 %). Seis doentes apresentaram linfonodo comprometido (43%) e todos faleceram de recurrência do tumor (4 - 19 meses). Seis doentes (n=6) estavam vivos sem recidiva (entre 18 e 70 meses/seguimento). A sobrevida global em cinco anos foi de 25% (n=3). CONCLUSÃO: A ressecção radical (R0) do câncer colorretal perfurado apresenta altos índices de morbidade e mortalidade. A despeito de uma elevada recurrência tumoral, esse procedimento pode oferecer controle da doença em longo prazo. AIM: To report on a series of 14 patients with a complicated T4 colorectal cancer (perforated) and describe the outcomes (morbidity, mortality and long-term survival) following curative surgery. METHODS: Complete follow-up data were available on 14 patients who underwent curative surgery from perforated colorectal adenocarcinoma between 1999 and 2007. Both epidemiological and surgical findings were analyzed. Long-term survival was evaluated too. RESULTS: The postoperative mortality was 14 % (n=2). The overall morbidity was 50 % (n=7). Ten resections were R0 (71 %).Lymph node involvement was present in six patients (43%), and all of them died due to tumor recurrence (4-19 months). Six patients (50%) were alive without tumor recurrence (between 18 and 70 months/follow-up). The overall 5-year survival rate was 25% (n=3). CONCLUSION: Radical resection (R0) of pefurated colorectal cancer presents high rates of morbidity and mortality. In spite of its high rate of tumor recurrence, this procedure may offer long-term disease control

Resultados do tratamento do câncer colorretal (T4) perfurado: análise de 14 pacientes operados