고령 환자에게 시행된 복강경 대장직장절제술

김민권; 이호석; 박창균; 조유진; 황덕원; 노상익

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자료유형: 학술저널

저자정보: 김민권 (서울보훈병원) 이호석 (서울보훈병원) 박창균 (서울보훈병원) 조유진 (서울보훈병원) 황덕원 (서울보훈병원) 노상익 (서울보훈병원)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.73 No.5

발행연도: 2007.11

수록면: 412 - 418 (7page)

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Purpose: The purpose of this study is to assess the periopertive morbidity and mortality rates in relation to the principal variables in aged patients who undergo laparoscopic colorectal resection.
Methods: From March 2001 to March 2006, the prospective laparoscopic colorectal resection database was used to identify 233 patients. Among them, 132 were 70 years of age or older and they were classified as the aged group. 101 were younger than 70 years of age and they were classified as the younger group.
Results: Comorbidity was more common in the aged group than in the younger group (67.4% and 53.5%, respectively) (P=0.030). There were higher ASA scores in the aged group (Ⅰ: 2.3% Ⅱ: 68.2% Ⅲ: 29.5%) than in the younger group (Ⅰ: 27.7% II: 56.4% Ⅲ: 15.8%) (P＜0.0001). There was a higher postoperative complication rate for the aged group than for the younger group (25.0% and 8.9%, respectively) (P=0.002). Only one case of mortality (0.8%) was found in the aged group. The period of the postoperative hospital stay was longer for the aged group than that for the younger group (21.9±3/416.3 days and 16.3±3/48.1days, respectively) (P=0.002). For the aged group, univariate analysis revealed that the operative procedure, disease, the T stage and the operation time were significant variables for the postoperative complications, and multivariate analysis identified the operation time as an independent variable faor the postoperative complications.
Conclusion: More prudent care is needed to prevent postoperative complications for the aged patients who undergo laparoscopic colorectal resection, and particularly for those who can be expected to have a longer operation time.

#Aged patients #Laparoscopic colorectal resection #Complication #고령 환자 #복강경 대장직장절제술 #합병증

참고문헌 (26)

참고문헌 신청

1. [기타자료] - Centers for Disease Control and Prevention / 2002 / Advance Data No.329

2. [학술지(정기간행물)] - Law WL / 2002 / Laparoscopic colorectal resection: a safe option for elderly patients / J AM Coll Sug 195 : 768 ~ 773

3. [학술지(정기간행물)] - Wise WE Jr / 1991 / Abdominal colon and rectal operations in the elderly / Dis Colon Rectum 34 : 959 ~ 963

4. [학술지(정기간행물)] - Bender JS / 1996 / Outcome following colon surgery in the octogenarian / Am Surg 62 : 276 ~ 279

5. [학술지(정기간행물)] - Spivak H / 1996 / Colorectal surgery in octogenarians / J Am Coll Surg 183 : 46 ~ 50

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