Multivisceral Resection in Patients with Advanced Abdominal Tumors

Hasselgren, Kristina; Sandström, Per; Gasslander, Thomas; Björnsson, Bergþór

doi:10.1177/1457496915622128

Cited by 8 publications

(10 citation statements)

References 25 publications

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“…Short and long-term outcomes of multivisceral resections were studied for other abdominal tumors such as colon, stomach, kidney, and pancreas. [16][17][18][19] In a recent study, Dias et al 20 MLRs are rare procedures even in high-volume centers, with frequencies varying from 1% to 11.2%. 7,9,12,24 Hand et al 7 are used in the literature: "multivisceral," "multiorgan," or "extended resection."…”

Section: Subgroup Analysismentioning

confidence: 99%

“…5,9 Keeping in mind the limitations and impropriety of the term, as not only "visceras" (eg, VCI and diaphragm) were included in MLR group, we choose de term "multivisceral" since it is the most commonly employed in the literature. 7,19,22 In face of a lack of standard definition of MLRs, some studies included non en-bloc liver resections, 5,10 resulting in heterogeneous cohorts. In our study, we defined MLR as hepatectomy with en-block resection of at least one adjacent organ or structure not usually removed in a standard procedure.…”

Section: Subgroup Analysismentioning

confidence: 99%

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Combined liver and multivisceral resections: A comparative analysis of short and long‐term outcomes

Júnior

Coelho

Tustumi

et al. 2020

Journal of Surgical Oncology

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Background: En bloc liver and adjacent organs resections are technically demanding procedures. Few case series and nonmatched comparative studies reported the outcomes of multivisceral liver resections (MLRs). Objectives: To compare the short and long-term outcomes of patients submitted MLRs with those submitted to isolated hepatectomies. Methods: From a prospective database, a case-matched 1:2 study was performed comparing MLRs and isolated hepatectomy. Additionally, a risk analysis was performed to evaluate the association between MLRs and perioperative morbidity, mortality, and long-term survival. Results: Fifty-three MLRs were compared with 106 matched controls. Patients undergoing MLRs had longer operative time (430 [320-525] vs 360 [270-440] minutes,

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Section: Subgroup Analysismentioning

confidence: 99%

Section: Subgroup Analysismentioning

confidence: 99%

Combined liver and multivisceral resections: A comparative analysis of short and long‐term outcomes

Júnior

Coelho

Tustumi

et al. 2020

Journal of Surgical Oncology

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“…In a study conducted by Hasselgren et al, involving 42 patients undergoing multivisceral resections, no significant correlation between postopertaive morbidity, number of resected organs and number of anastomoses was noted, however a tendency in postoperative complications became apparent in cases where more than 4 organs were resected [12]. In similar operable cases, even with potentially increased morbidity, multivisceral resection seems to be the only feasible solution [12]. Treatment options of malignant lesions arising from FCs have previously been described in literature, although mostly with palliative management and the lack of appropriate follow-up, or survival data [13].…”

Section: Discussionmentioning

confidence: 92%

“…Eighteen patients (27%), received genomically guided treatment (GGT) and successfully reached progression-free survival, thus GGT was found beneficial and feasible in these cases [11]. In a study conducted by Hasselgren et al, involving 42 patients undergoing multivisceral resections, no significant correlation between postopertaive morbidity, number of resected organs and number of anastomoses was noted, however a tendency in postoperative complications became apparent in cases where more than 4 organs were resected [12]. In similar operable cases, even with potentially increased morbidity, multivisceral resection seems to be the only feasible solution [12].…”

Section: Discussionmentioning

confidence: 99%

Adenocarcinoma arising from a foregut cyst of the diaphragm: importance of multimodality treatment: a case report

et al. 2020

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Background Benign foregut cysts usually develop in the thorax most of all in the mediastinum. Rare cases involving various abdominal organs, such as liver, stomach or pancreas have been previously published, mostly occurring in the retroperitoneum. Case presentation We herein present an adenocarcinoma of a foregut cyst involving the left side of the diaphragm, left lower lobe of the lung, and left lobe of the liver, successfully removed through multivisceral resection. In between drug holidays, postoperative oncological treatment has been ongoing for nearly 4 years. In terms of chemotherapy, FOLFOX 4 regime, capacitabine monotherapy and later on next generation sequencing has been attempted, although the patient refused the later treatment option. Despite multimodality (combined surgical and oncological) treatment, local- and later on loco-regional recurrence has been detected on follow-up staging, influencing further chemotherapy regime. Taking both the fairly unknown type of the tumor and uncertain response rate to oncological therapy into account, prolonged tumor pace with fairly stable general patient state was reached throughout the course of the disease. Conclusion Through surgical tumor resection, and postoperative chemotherapy the patient managed to maintain an acceptable quality of life without major symptoms during ongoing treatment. During our own case, with multiple organ involvement, multivisceral resection, with multimodality treatment had considerable effect in prolonging the lifespan of the patient.

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“…В группе МВР послеоперационный койко-день увеличен [4,5,13,17] и в среднем более чем в 1,5 раза превышает этот же показатель при стандартных оперативных вмешательствах. Объем кровопотери, по данным крупного скандинавского исследования [21], ожидаемо выше при МВР и составляет в среднем 800 мл (25-3800 мл), а среднее время операции -316 мин (115-850 мин). По данным отечественных хирургов Ю.А.…”

Section: Reviews Of Literatureunclassified

Multvisceral resections in the treatment of colon cancer

Korolev¹,

Сидоров²,

Ложкин³

et al. 2018

Onkol. Z. im. P.A. Gercena

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Московский научно-исследовательский онкологический институт им. П.А. Герцена-филиал ФГБУ «Национальный медицинский исследовательский радиологический центр» Минздрава России, Москва, Россия Первичный и рецидивный местно-распространенный рак ободочной кишки является серьезной проблемой в хирургической онкологии. Объемы оперативных вмешательств при колоректальном раке с вовлечением окружающих органов преследуют цель достижения «чистых» краев резекции. Как для первичных, так и для рецидивных опухолей показатели длительной общей выживаемости могут быть достигнуты, но только при выполнении радикального оперативного вмешательства при отсутствии остаточной опухоли. В данном обзоре проведены эпидемиологическая, клинико-морфологическая оценка опухолей ободочной кишки, анализ возможностей мультивисцеральных резекций в лечении местно-распространенного колоректального рака, а также непосредственные и отдаленные их результаты. Ключевые слова: местно-распространенный рак, колоректальный рак, мультивисцеральные резекции, стадия pT4b, заболеваемость и смертность, выживаемость.

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Multivisceral Resection in Patients with Advanced Abdominal Tumors

Abstract: Multivisceral resection can result in R0, potentially curing patients with advanced tumors. Here, no correlation between extensive resections and complications was observed. Only postoperative blood transfusion was correlated with severe complications.

Cited by 8 publications

References 25 publications

Combined liver and multivisceral resections: A comparative analysis of short and long‐term outcomes

Combined liver and multivisceral resections: A comparative analysis of short and long‐term outcomes

Adenocarcinoma arising from a foregut cyst of the diaphragm: importance of multimodality treatment: a case report

Multvisceral resections in the treatment of colon cancer

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