Colon Cancer With Bladder Invasion: A Single Center Experience

被引：0
作者：
Chiang, Tzu-Wei [1 ,2 ]
Chang, Li-Wen [3 ,4 ,5 ]
Chiang, Feng-Fan [1 ]
Li, Jian-Ri [3 ,4 ,5 ,6 ]
Hung, Sheng-Chun [3 ,4 ,5 ]
机构：
[1] Taichung Vet Gen Hosp, Div Colorectal Surg, Dept Surg, Taichung, Taiwan
[2] Taichung Vet Gen Hosp, Div Colorectal Surg, Chiayi Branch, Dept Surg, Taichung, Taiwan
[3] Taichung Vet Gen Hosp, Dept Urol, Taichung, Taiwan
[4] Natl Chung Hsing Univ, Dept Post Baccalaureate Med, Coll Med, 1650 Sec 4,Taiwan Blvd, Taichung, Taiwan
[5] Chung Shan Med Univ, Inst Med, Taichung, Taiwan
[6] Hungkuang Univ, Dept Med & Nursing, Taichung, Taiwan
来源：
IN VIVO | 2024年 / 38卷 / 06期
关键词：
Colon cancer; bladder invasion; overall survival; COLORECTAL-CANCER; URINARY-BLADDER; SURGICAL-MANAGEMENT; RESECTION; OUTCOMES; INVOLVEMENT; RECURRENCE; CYSTECTOMY; DIAGNOSIS; ADHERENT;
D O I：
10.21873/invivo.13782
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
Background/Aim: The aim of our study was to investigate the outcome of colon cancer with bladder invasion after surgical intervention. Patients and Methods: Between 2011 and 2022, a total of 41 patients diagnosed with colon cancer and bladder invasion underwent surgical procedures at Taichung Veterans General Hospital. The impact of various risk factors on overall survival (OS) was assessed using Kaplan-Meier analyses and Cox proportional hazards models. Results: Among the enrolled patients, 21 underwent radical cystectomy, while 20 underwent partial cystectomy. Twelve had tumors located in the rectum, 19 in the sigmoid colon, and 10 in both the rectum and sigmoid colon. The median OS was 71.8 months in stage 2, 50.8 months in stage 3, and 11.2 months in stage 4 (p=0.061). Median OS was 71.8 months in patients with negative surgical margins and 10.5 months in those with positive surgical margins (p=0.003). In multivariate regression analysis, positive surgical margins [hazard ratio (HR)=3.64, 95% confidence interval (CI)=1.28-10.34, p=0.015] and emergency operations (HR=4.57, 95%CI=1.34- 15.55, p=0.015) significantly impacted OS. Conclusion: Complete resection of colon cancer with bladder invasion can yield excellent oncologic outcomes. The decision between partial and radical cystectomy should balance surgical margin clearance and the preservation of quality of life. Both surgical margin involvement and emergency operations are independent risk factors for OS.
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收藏
页码：2990 / 3001
页数：12
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