Skip to main content
SpringerLink
Log in

Outcome of surgical management of the bladder in advanced colorectal cancer

  • Original Article
  • Published:
International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Sugarbaker ED (1946) Coincident removal of additional structures in resections for carcinoma of the colon and rectum. Ann Surg 123:1036–1046

    Article  PubMed  CAS  Google Scholar 

  2. Lehnert T, Methner M, Pollok A, Schaible A, Hinz U, Herfarth C (2002) Multivisceral resection for locally advanced primary colon and rectal cancer. An analysis of prognostic factors in 201 patients. Ann Surg 235:217–225

    Article  PubMed  Google Scholar 

  3. Gebhardt C, Meyer W, Ruckriegel S, Meier U (1999) Multivisceral resection of advanced colorectal carcinoma. Langenbecks Arch Surg 384:194–199

    Article  PubMed  CAS  Google Scholar 

  4. Montesani C, Ribotta G, Milito R et al (1991) Extended resection in the treatment of colorectal cancer. Int J Colorectal Dis 6:161–164

    Article  PubMed  CAS  Google Scholar 

  5. Sokmen S, Terzi C, Unek T, Alanyah H, Fusun M (1999) Multivisceral resections for primary advanced rectal cancer. Int J Colorectal Dis 14:282–285

    Article  PubMed  CAS  Google Scholar 

  6. Luna-Perez P, Rodoriguez-Ramirez SE, Barrera MG, Zeferino M, Labastida S (2002) Multivisceral resection for colon cancer. J Surg Oncol 80:100–104

    Article  PubMed  Google Scholar 

  7. Hunter JA, Ryan JA, Schultz P (1987) En bloc resection of colon cancer adherent to other organs. Am J Surg 145:67–71

    Google Scholar 

  8. Gall FP, Tonak J, Altendorf A (1987) Multivisceral resections in colorectal cancer. Dis Colon Rectum 30:337–341

    PubMed  CAS  Google Scholar 

  9. Eisenberg SB, Kraybill WG, Lopez MJ (1990) Long-term results of surgical resection of locally advanced colorectal cancer. Surgery 108:779–786

    PubMed  CAS  Google Scholar 

  10. McGlone TP, Bernie WA, Elliott DW (1982) Survival following extended operations for extracolonic invasion by colon cancer. Arch Surg 117:595–599

    PubMed  CAS  Google Scholar 

  11. Pittam MR, Thornton H, Ellis H (1984) Survival after extended resection for locally advanced carcinoma of the colon and rectum. Ann R Coll Surg Engl 66:81–84

    PubMed  CAS  Google Scholar 

  12. Rowe VL, Frost DB, Huang S (1997) Extended resection for locally advanced colorectal carcinoma. Ann Surg Oncol 4:131–136

    Article  PubMed  CAS  Google Scholar 

  13. Izbicki JR, Hosch SB, Knoefel WT, Passlick B, Bloechle C, Broesch CE (1995) Extended resections are beneficial for patients with locally advanced colorectal cancer. Dis Colon Rectum 38:1251–1256

    Article  PubMed  CAS  Google Scholar 

  14. Aleksic M, Hennes N, Ulrich B (1998) Surgical treatmet of locally advanced rectal cancer. Options and Strategies Dig Surg 15:342–346

    CAS  Google Scholar 

  15. Poeze M, Houbiers JG, Velde CJ, Wobbes T, Meyenfeldt MF (1995) Radical resection of locally advanced colorectal cancer. Br J Surg 82:1386–1390

    PubMed  CAS  Google Scholar 

  16. Heslov SF, Frost DB (1988) Extended resection for primary colorectal carcinoma involving adjacent organs or structures. Cancer 62:1637–1640

    Article  PubMed  CAS  Google Scholar 

  17. Staib L, Link KH, Blatz A, Berger HG (2002) Surgery of colorectal cancer: surgical morbidity and five- and ten-year results in 2,400 patients—monoinstitutional experience. World J Surg 26:59–66

    Article  PubMed  Google Scholar 

  18. Nakafusa Y, Tanaka T, Tanaka M, Kitajima Y (2004) Comparison of multivisceral resection and standard operation for locally advanced colorectal cancer: analysis of prognostic factors for short-term and long-term outcome. Dis Colon Rectum 47:2055–2063

    Article  PubMed  Google Scholar 

  19. Eldar S, Kemny MM, Terz JJ (1985) Extended resections for carcinoma of the colon and rectum. Surg Gynecol Obstet 161:319

    PubMed  CAS  Google Scholar 

  20. Talamonti MS, Shumate CR, Carlson GW et al (1993) Locally advanced carcinoma of the colon and rectum involving the urinary bladder. Surg Gynecol Obstet 177:481

    PubMed  CAS  Google Scholar 

  21. Carne PW, Frye JN, Kennedy-Smith A et al (2004) Local invasion of the bladder with colorectal cancers: surgical management and patterns of local recurrence. Dis Colon Rectum 47:44–47

    Article  PubMed  CAS  Google Scholar 

  22. Fujisawa M, Nakamura T, Ohno M et al (2002) Surgical management of the urinary tract in patients with locally advanced colorectal cancer. Urology 60:983–987

    Article  PubMed  Google Scholar 

  23. Tekkis PP, Kinsman R, Thompson MR et al (2004) Association of Coloproctology of Great Britain, Ireland. The Association of Coloproctology of Great Britain and Ireland study of large bowel obstruction caused by colorectal cancer. Ann Surg 240:76–81

    Article  PubMed  Google Scholar 

  24. Lopez MJ, Monafo WW (1993) Role of extended resection in the initial treatment of locally advanced colorectal carcinoma. Surgery 113:365–372

    PubMed  CAS  Google Scholar 

  25. Davis CG, Ellis H (1975) Radical surgery in locally advanced cancer of large bowel. Clin Oncol 1:21–26

    Google Scholar 

  26. Merril JG, Dockerty MB, Waugh JM (1950) Carcinoma of the colon perforating into the anterior abdominal wall. Surgery 28:662–671

    Google Scholar 

  27. Taylor EF, Dockerty MB, Dixon CF (1955) The prognosis in carcinoma of the colon perforating into the urinary bladder. Surg Gynecol Obstet 96:193–199

    Google Scholar 

  28. Phillips JWS, Dockerty MB, Waugh JM (1955) Carcinoma of the hepatic flexure. Cancer 8:151–157

    Article  PubMed  CAS  Google Scholar 

  29. El-Domeri A, Whitely HW (1970) Prognostic significance of bowel wall involvement in carcinoma of the cecum. Cancer 26:552–556

    Article  Google Scholar 

  30. Butcher HR, Spjut HJ (1959) An evaluation of pelvic exenteration for advanced carcinoma of the lower colon. Cancer 12:681–687

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Coloproctological Surgery of The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi Zhuang Autonomous Region, People's Republic of China

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

Authors
  1. Feng Gao
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yun-fei Cao
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Li-sheng Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sen Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Zong-jiang Tang
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Jun-lin Liang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Feng Gao.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gao, F., Cao, Yf., Chen, Ls. et al. Outcome of surgical management of the bladder in advanced colorectal cancer. Int J Colorectal Dis 22, 21–24 (2007). https://doi.org/10.1007/s00384-006-0106-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00384-006-0106-9

Keywords

Search

Navigation