Long-term outcomes of colorectal cancer patients with and without malignant large-bowel obstruction
Author(s) -
Shinya Munakata,
Yuta Murai,
Akihiro Koiuzumi,
Hisaki Kato,
Riku Yamamoto,
Shuhei Ueda,
Satoshi Tokuda,
Shunsuke Sakuraba,
Tomoyuki Kushida,
Hajime Orita,
Mutsumi Sakurada,
Hiroshi Maekawa,
Koichi Sato
Publication year - 2018
Publication title -
colorectal cancer
Language(s) - English
Resource type - Journals
eISSN - 1758-1958
pISSN - 1758-194X
DOI - 10.2217/crc-2018-0001
Subject(s) - medicine , colorectal cancer , stage (stratigraphy) , bowel obstruction , cancer , oncology , adjuvant chemotherapy , overall survival , gastroenterology , disease , surgery , chemotherapy , survival rate , paleontology , breast cancer , biology
Aim: Colorectal cancer patients with malignant large-bowel obstruction (MLBO) require emergency treatment. Here we evaluated the long-term outcomes of recurrence and prognosis (not short-term mortality or nonocclusive cancer T1–T2) in colorectal cancer patients with and without an MLBO. Methods: We retrospectively analyzed the cases of the consecutive patients who underwent curative resection for colon cancer. We compared the groups regarding patients’ age and gender, the tumor location, T and N factor, tumor stage, disease-free survival and overall survival. Results: The nonobstruction group had a significantly longer disease-free survival and overall survival compared with the MLBO group. Conclusion: MLBO was associated with cancer recurrence and poorer overall survival regardless of the staging and adjuvant chemotherapy.
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