Abstract
In an attempt to identify those patients who would benefit from palliative resection of the colon or rectum and those who would not, an analysis of ten years of resections was undertaken. For the 81 patients who underwent palliative resection, the operative mortality was 10 per cent and the postoperative morbidity was 50 per cent. The mean survival was 11.4 months and the median survival nine months. Poor prognostic factors deduced were patients with extensive liver metastases, those over the age of 75 years, and a previous history of cardiovascular disease. It is believed that patients with a combination of these factors may not benefit from palliative resection. Otherwise, resections satisfactorily relieve patients of the symptoms of impending obstruction and rectal bleeding and are, therefore, believed to be worthwhile.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Brown PW, Terz JJ, Lawrence W Jr, Blievernicht SW, Survival after palliative surgery for advanced intraabdominal cancer. Am J surg 1977;134575–8.
Takaki HS, Ujiki GT, Shields TS. Palliative resections in the treatment of primary colorectal cancer. Am J Surg 1977;133:548–50.
Bacon HE, Martin PV. The rationale of palliative resection for primary cancer, of the colon and rectum complicated by liver and lung metastasis. Dis Colon Rectum 1964;7:211–7.
Wanebo HJ, Semoglou C, Attiyeh F, Stearns MJ Jr. Surgical management of patients with primary operable colorectal cancer and synchronous liver metastases. Am J Surg 1978;135:81–5.
Lockhart-Mummery HF. Surgery in patients with advanced carcinoma of the colon and rectum. Dis Colon Rectum 1959;2:36–9.
Cady B, Monson DO, Swinton NW Sr. Survival of patients after colonic resection for carcinoma with simultaneous liver metastases. Surg Gynecol Obstet 1970;131:697–700.
Bordos DC, Baker RR, Cameron JL. An evaluation of palliative abdominoperineal resection for carcinoma of the rectum. Surg Gynecol Obstet 1974;139:731–3.
Oxley EM, Ellis H. Prognosis of carcinoma of the large bowel in the presence of liver metastases. Br J Surg 1969;56:149–52.
Stearns MW Jr, Binkley GE. Palliative surgery for cance of the rectum and colon. Cancer 1954;7:1016–9.
Bussey HJ. The survival rate of patients with advanced rectal cancer. Proc R Soc Med 1969;62:1221–3.
Goligher JC. Surgery of the anus, rectum and colon. 3rd ed. London: Bailliere Tindall, 1975:796.
Daland EM, Welch CE, Nathanson I. One hundred untreated cancers of the rectum. N Engl J Med 1936;214:451–8.
Nielsen J, Balslev I, Jensen HE. Carcinoma of the colon with liver metastases: operative indications and prognosis. Acta Chir Scand 1971;137:463–5.
Goligher JC. Surgery of the anus, rectum and colon. 3rd ed. London: Bailliere Tindall, 1975;595.
Silverman DT, Murray JL, Smart CR, Brown CC, Myers MH. Estimated median survival times of patients with colorectal cancer based on experience with 9,745 patients. Am J Surg 1977;133:289–97.
Modlin J, Walker HS. Palliative resections in cancer of the colon and rectum. Cancer 1949;2:767–76.
Author information
Authors and Affiliations
Additional information
Read at the meeting of the american Society of Colon and Rectal Surgeons, Hollywood, Florida, May 11 to 16, 1980.
About this article
Cite this article
Joffe, J., Gordon, P.H. Palliative resection for colorectal carinoma. Dis Colon Rectum 24, 355–360 (1981). https://doi.org/10.1007/BF02603417
Issue Date:
DOI: https://doi.org/10.1007/BF02603417