지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.2
- 수록면
- 93 - 99 (7page)
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Purpose: As life expectancy increases, elderly colorectal cancer patients are also increasing. Compared to younger patients, the elderly manifest higher co-morbidity with more advanced and emergent disease. However, recent studies have reported similar surgical approaches irrespective of age distribution. We evaluated the outcome and propriety of surgical treatment of colorectal cancer in the elderly.
Methods: The medial records of 464 colorectal patients, who underwent surgery during 2003 to 2007 in Ewha Womans University Mokdong Hospital were reviewed retrospectively. The patients were divided into three groups according to age: Ⅰ (younger than 70), Ⅱ (71∼80), Ⅲ (older than 81). Clinical and histological characteristics, surgical outcomes and survival rates were analyzed.
Results: Three hundred and thirty-eight patients belonged to group Ⅰ, and 104 patients to group Ⅱ, and group Ⅲ included 22 patients. Although, male patients were more prevalent in all three groups, female distribution was slightly higher in group Ⅲ. Clinical characteristics among the three groups did not reveal specific differences except TNM stage distribution. In group Ⅰ and Ⅱ, patients with stage Ⅱ were more common compared to group Ⅲ, whereas the latter showed most frequently stage Ⅲ. Histological characteristics and postoperative morbidity rates did not show any difference among the three groups. The survival rate was lowest in group Ⅲ. However, emergency operation was more frequent in group Ⅲ, in accordance with increased postoperative complications.
Conclusion: The elderly demonstrated comparable operative morbidity and mortality to the younger patients. Emergency operation was the only significantly influencing factor in the surgical outcome. Therefore, in colorectal cancer patients, surgical treatment in the elderly should be no longer contraindicated.
Methods: The medial records of 464 colorectal patients, who underwent surgery during 2003 to 2007 in Ewha Womans University Mokdong Hospital were reviewed retrospectively. The patients were divided into three groups according to age: Ⅰ (younger than 70), Ⅱ (71∼80), Ⅲ (older than 81). Clinical and histological characteristics, surgical outcomes and survival rates were analyzed.
Results: Three hundred and thirty-eight patients belonged to group Ⅰ, and 104 patients to group Ⅱ, and group Ⅲ included 22 patients. Although, male patients were more prevalent in all three groups, female distribution was slightly higher in group Ⅲ. Clinical characteristics among the three groups did not reveal specific differences except TNM stage distribution. In group Ⅰ and Ⅱ, patients with stage Ⅱ were more common compared to group Ⅲ, whereas the latter showed most frequently stage Ⅲ. Histological characteristics and postoperative morbidity rates did not show any difference among the three groups. The survival rate was lowest in group Ⅲ. However, emergency operation was more frequent in group Ⅲ, in accordance with increased postoperative complications.
Conclusion: The elderly demonstrated comparable operative morbidity and mortality to the younger patients. Emergency operation was the only significantly influencing factor in the surgical outcome. Therefore, in colorectal cancer patients, surgical treatment in the elderly should be no longer contraindicated.
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REFERENCES
참고문헌 (19)
참고문헌 신청
1. [인터넷자원] - World Health Organization / / http://www.who.int/ageing/en/
2. [보고서] - Kim JS / 2005 / Report 2005-15. A Prospect about Long-term Insurance Finance of Old People and Policy
3. [보고서] - Ministry of Health and Welfare / 2003 / Annual Report of the Korea Central Cancer Registry 2001
4. [보고서] - Ministry for Heath, Welfare and Family Affairs / 2008 / Annual Report of cancer incidence (2005) and survival (1993∼2005) in Korea
5. [학술지(정기간행물)] - Damhuis RA / 1996 / The influence of age on resection rates and postoperative mortality in 6457 patients with colorectal cancer / Int J Colorectal Dis 11 : 45 ~ 48
2. [보고서] - Kim JS / 2005 / Report 2005-15. A Prospect about Long-term Insurance Finance of Old People and Policy
3. [보고서] - Ministry of Health and Welfare / 2003 / Annual Report of the Korea Central Cancer Registry 2001
4. [보고서] - Ministry for Heath, Welfare and Family Affairs / 2008 / Annual Report of cancer incidence (2005) and survival (1993∼2005) in Korea
5. [학술지(정기간행물)] - Damhuis RA / 1996 / The influence of age on resection rates and postoperative mortality in 6457 patients with colorectal cancer / Int J Colorectal Dis 11 : 45 ~ 48
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UCI(KEPA) : I410-ECN-0101-2013-514-002679970