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A New Palliative Tool in the Treatment of Colorectal Cancer

David J. Russin, MD; Steven R. Kaplan, MD; Robert I. Goldberg, MD; Jamie S. Barkin, MD

Arch Surg. 1986;121(12):1399-1403.

Abstract
• Twenty-four patients with colorectal carcinoma and one patient with a recurrent, transitional-cell, vesical tumor invading the rectum but not amenable to surgical resection underwent neodymium-YAG laser therapy. There were 16 men and nine women with an average age of 75.6 years (range, 35 to 93 years). There were 14,6,1,1, and 3 tumors found in the rectum, rectosigmoid colon, transverse colon, descending colon, and ascending colon, respectively. Symptoms consisted of bleeding or partial obstruction. Twelve patients were high-risk surgical candidates, 11 patients had widespread disease, and two patients had another primary tumor not controlled by a previous surgical procedure. The tumor was eradicated in two patients. There were two complications, namely, a perforation and a rectovaginal fistula. Thirteen patients died from their disease. The remaining patients have been kept free from obstruction and bleeding.

(Arch Surg 1986;121:1399-1403)

Author Affiliations
From the Department of Surgery (Dr Russin) and the Division of Gastroenterology (Drs Kaplan, Goldberg, and Barkin), Mount Sinai Medical Center, Miami.

Footnotes
Accepted for publication Aug 13, 1986.

Read before the 39th Annual Meeting of the Society of Surgical Oncology, Washington, DC, May 14, 1986.

Reprint requests to 960 41st St, Miami Beach, FL 33140 (Dr Russin).

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