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논문 기본 정보

자료유형
학술저널
저자정보
Woo Ram Kim (Yonsei University) Se Jin Baek (Yonsei University) Chang Woo Kim (Yonsei University) Hyun A Jang (Yonsei University) Min Soo Cho (Yonsei University) Sung Uk Bae (Yonsei University) Hyuk Hur (Yonsei University) Byung Soh Min (Yonsei University) Seung Hyuk Baik (Yonsei University) Kang Young Lee (Yonsei University) Nam Kyu Kim (Yonsei University) Seung Kuk Sohn (Yonsei University)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.86 No.1
발행연도
2014.1
수록면
28 - 34 (7page)

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초록· 키워드

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Purpose: Laparoscopic resection for transverse colon cancer is a technically challenging procedure that has been excluded from various large randomized controlled trials of which the long-term outcomes still need to be verified. The purpose of this study was to evaluate long-term oncologic outcomes for transverse colon cancer patients undergoing laparoscopic colectomy (LAC) or open colectomy (OC).
Methods: This retrospective review included patients with transverse colon cancer who received a colectomy between January 2006 and December 2010. Short-term and five-year oncologic outcomes were compared between these groups.
Results: A total of 131 patients were analyzed in the final study (LAC, 84 patients; OC, 47 patients). There were no significant differences in age, gender, body mass index, tumor location, operative procedure, or blood loss between groups, but the mean operative time in LAC was significantly longer (LAC, 246.8 minutes vs. OC, 213.8 minutes; P = 0.03). Hospital stay was much shorter for LAC than OC (9.1 days vs. 14.5 days, P < 0.01). Postoperative complication rates were not statistically different between the two groups. In terms of long-term oncologic data, the 5-year disease-free survival and overall survival were not statistically different between both groups, and subgroup analysis according to cancer stage also revealed no differences.
Conclusion: LAC for transverse colon cancer is feasible and safe with comparable short- and long-term outcomes.

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UCI(KEPA) : I410-ECN-0101-2015-510-000984690