PT  - JOURNAL ARTICLE
AU  - Al-Sheneber, Ibrahim F.
AU  - Meterissian, Sarkis H.
AU  - Loutfi, Antoine
AU  - Watters, A. Kevin
AU  - Shibata, Henry R.
TI  - Small-bowel resection for metastatic melanoma
DP  - 1996 Jun 01
TA  - Canadian Journal of Surgery
PG  - 199--203
VI  - 39
IP  - 3
4099  - http://canjsurg.ca/content/39/3/199.short
4100  - http://canjsurg.ca/content/39/3/199.full
SO  - CAN J SURG1996 Jun 01; 39
AB  - 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.