Intestinal Autotransplantation Results in Prolonged Survival for Locally Advanced or Recurrent Colon Cancer Involving SMA

Intestinal autotransplantation (iatx) combined with extended resections of multiple organs, including the superior mesenteric artery (SMA), was performed on 10 patients with locally advanced or recurrent colon cancer invading the SMA. The study found that iatx, either alone or in combination with pancreaticoduodenectomy, is a safe procedure and is associated with a 68% recurrence-free survival and 80% overall survival rate at 3 years after surgery. The patients experienced postoperative complications, but 80% of them were alive without evidence of disease during the follow-up period of 23.9 months.