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Surgical management of nonhepatic intra-abdominal recurrence of carcinoma of the colon

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Diseases of the Colon & Rectum

Abstract

The role of surgery in the management of intra-abdominal recurrence of colon cancer has not been clearly determined. We reviewed the charts of 28 patients operated upon at our institution for nonhepatic intra-abdominal recurrence of carcinoma of the colon and followed for a median of 10.5 months after reoperation. Total resection of gross disease was possible in 15 patients, who had a median overall actuarial survival of 25.5 months and a disease-free survival of 13 months. Within this group, disease-free survival was significantly prolonged when time to first recurrence was greater than 16 months and when patients had not had a prior operation for recurrent disease (P<0.05). Six patients having a partial resection and seven patients having only a bypass or ostomy had significantly shorter survivals than those in the totally resected group, with median survivals of 8 and 3.5 months, respectively (P<0.05). Operative management of recurrent colon cancer may prolong survival when disease can be eradicated, and palliative operations appear more successful when tumor is resected rather than bypassed.

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Authors and Affiliations

  1. Department of Surgical Oncology, Fox Chase Cancer Center, 7701 Burholme Avenue, 19111, Philadelphia, Pennsylvania

    John L. Gwin M.D., John P. Hoffman M.D. &  Burton L. Eisenberg M.D.

Authors
  1. John L. Gwin M.D.
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  2. John P. Hoffman M.D.
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  3. Burton L. Eisenberg M.D.
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Additional information

Supported in part by an American Cancer Society Clinical Oncology Fellowship Award (Dr. Gwin).

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Gwin, J.L., Hoffman, J.P. & Eisenberg, B.L. Surgical management of nonhepatic intra-abdominal recurrence of carcinoma of the colon. Dis Colon Rectum 36, 540–544 (1993). https://doi.org/10.1007/BF02049858

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