Document Detail

Small-bowel resection for metastatic melanoma.
MedLine Citation:
PMID:  8640618     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine whether complete resection of small-bowel metastases from melanoma improves patient survival.
DESIGN: A computer-aided chart review.
SETTING: Hospitals associated with McGill University.
PATIENTS: Twenty patients (17 men, 3 women), identified from 1524 patients with melanoma, who underwent surgery to the small bowel for metastases. Patient age and clinical presentation, tumour site and stage were recorded.
INTERVENTION: Exploratory laparotomy with complete or partial resection of involved small bowel.
MAIN OUTCOME MEASURES: Operative morbidity, mortality and length of survival related to the extent of small-bowel resection.
RESULTS: Eleven patients had complete resection, 8 patients had partial resection and 1 patient had a palliative bypass only. Long-term survival (ranging from 2 to 10 years) was 36% in those who had complete resection and 0% in those who had partial resection; operative morbidity and mortality were 20% and 15% respectively.
CONCLUSION: Complete resection of small-bowel metastases in patients with metastatic melanoma can result in long-term survival.
I F al-Sheneber; S H Meterissian; A Loutfi; A K Watters; H R Shibata
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  39     ISSN:  0008-428X     ISO Abbreviation:  Can J Surg     Publication Date:  1996 Jun 
Date Detail:
Created Date:  1996-07-12     Completed Date:  1996-07-12     Revised Date:  2014-04-01    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  199-203     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Hospital Mortality
Ileal Neoplasms / mortality,  secondary,  surgery*
Jejunal Neoplasms / mortality,  secondary,  surgery*
Melanoma / mortality,  secondary,  surgery*
Middle Aged
Retrospective Studies
Skin Neoplasms / pathology*
Survival Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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