Multivisceral Resections for Locally Advanced Colorectal Cancer: Morbidity and Mortality

Abstract

Introduction: Multivisceral organ resection is recommended in patients with locally advanced colorectal cancer. The aim of this study was to determine the influence of additional organ resection on morbidity and mortality on short term. Methods: Patients who underwent curative resection for colorectal cancer were included in the study. They were divided into two groups as multivisceral resection groups (MRGs) and standard resection groups (SRGs). The patients were com- pared in terms of demographics, tumor localization, operation time, blood loss, length of hospital stay, and post-operative morbidity and mortality. In statistical analysis, Mann–Whitney U and chi-square tests were used. Results: Thirty-two (10.1%) of 316 patients were in the MRG and 284 (89.9%) in the SRG. Male/female ratio, presence of co- morbid diseases, and tumor localization were similar in the groups. Hospital stay (8.4±4.2 vs. 8.2±6.2 days) was also similar. Operation time (221±62.3 vs. 181±70.1 min) was longer and blood loss (180 [50–410] cc vs. 150 [40–390] cc) was significantly higher in the MRG (p