The Treatment of the Patients with Far Advanced Colo-rectal Cancer

Takeo Mori

Department of Surgery, Tokyo Metropolitan Komagome Hospital

The most effective treatment for colo-rectal cancer is surgical resection. Even in the patients with far advanced disease such as liver metastasis, peritoneal dissemination or locally extended tumor, the survival after 5 year is almost the same as that for patients with cancer in stage III from other part of gastrointestinal tract. To make the best decision and constructive attitude for resection is the most important. For this purpose, the down staging technique is valuable. We have tried to make the hepatic resection after continuous infusion of 5 FU to unresectable liver metastasis, and 3 years survival rate is 45%. At the same time the preservation of the function is also very important even in the patients with far advanced cancer. The preserving method of the autonomic nerve system for the lower rectal cancer and augmentation technique using small bowel for the covering of the wide defect of duodenum and urinary bladder have been achieved in many cases with successful results.

Key words
relative non curative, hepatic resection after continuous infusion, King's method (Komagome type)

Reprint requests
Takeo Mori Department of Surgery, Tokyo Metropolitan Komagome Hospita
3-18-22 Honkomagome, Bunkyo-ku, Tokyo, 113 JAPAN

Accepted
May 21, 1997

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