Multivisceral resection in advanced colon cancer. Case report of a multidisciplinary university team and review of the literature.
Abstract
Abstract: Multivisceral resections (MVR) in colorrectal cancer are complex technical
procedures. They intend curative intent by an “en bloc” resection with free margins, of the tumor and adjacent organs. A broad knowledge in anatomy and modifications caused by the tumor and coadyuvant oncological treatments is required. Numerous surgical teams may participate, including digestive surgery, urology, orthopedics, gynecology and plastic surgery besides oncology, radiotherapy, psychology and physiatry, among others. This procedure can determinate considerable morbidity with anatomic and functional sequalae, for which patients must be strictly selectionated.
We present the case of a female patient with a left colon mucinous adenocarcinoma penetrating to the iliopsoas muscle and the anterolateral abdominal wall that required, for her treatment, a multivisceral resection including left colon, iliac muscle and crest and part of the anterolateral abdominal wall.