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
- 2017.12
- 수록면
- 96 - 101 (6page)
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초록· 키워드
오류제보하기
Purpose: Colonic stenting as a bridge to surgery is an alternative to emergency surgery in patients with acute malignant colonic obstruction. This study aimed to compare the outcomes of early and late surgery after colonic stenting for obstructive colorectal cancer.
Methods: From March 2004 to August 2014, the medical records of obstructive colorectal cancer patients who underwent surgery after colonic stent insertion were retrospectively reviewed. The patients were divided into early surgery (≤7 days after stenting) and late surgery (>7 days after stenting) groups.
Results: Eighty-four patients underwent colonic stenting for obstructive colorectal cancer. Forty-six patients were ultimately enrolled: 18 in the early and 28 in the late surgery groups. The mean ages were 63.7 and 71.8 years, respectively (P=0.01). Blood loss was lower in the early surgery group (median [interquartile range], 50 [50–50] mL vs. 50 [50–100] mL; P=0.020). The time to first flatus was longer in the early surgery group (3.0 [3.0–5.0] days vs. 2.0 [2.0–3.0] days; P=0.010). The time to first soft food intake was similar. Postoperative complications did not differ (16.7% vs. 14.3%, respectively; P=0.525) and no patients died.
Conclusion: Surgical outcomes were similar between early and late surgery. However, the former featured less blood loss, indicating less surgical difficulty. These results show that early surgery can be performed safely in obstructive colorectal cancer patients after colonic stenting if the patient’s clinical condition is amenable to early surgery.
Methods: From March 2004 to August 2014, the medical records of obstructive colorectal cancer patients who underwent surgery after colonic stent insertion were retrospectively reviewed. The patients were divided into early surgery (≤7 days after stenting) and late surgery (>7 days after stenting) groups.
Results: Eighty-four patients underwent colonic stenting for obstructive colorectal cancer. Forty-six patients were ultimately enrolled: 18 in the early and 28 in the late surgery groups. The mean ages were 63.7 and 71.8 years, respectively (P=0.01). Blood loss was lower in the early surgery group (median [interquartile range], 50 [50–50] mL vs. 50 [50–100] mL; P=0.020). The time to first flatus was longer in the early surgery group (3.0 [3.0–5.0] days vs. 2.0 [2.0–3.0] days; P=0.010). The time to first soft food intake was similar. Postoperative complications did not differ (16.7% vs. 14.3%, respectively; P=0.525) and no patients died.
Conclusion: Surgical outcomes were similar between early and late surgery. However, the former featured less blood loss, indicating less surgical difficulty. These results show that early surgery can be performed safely in obstructive colorectal cancer patients after colonic stenting if the patient’s clinical condition is amenable to early surgery.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (18)
참고문헌 신청
[학술지(정기간행물)] - Tan CJ / 2012 / Systematic review and meta-analysis of randomized clinical trials of self-expanding metallic stents as a bridge to surgery versus emergency surgery for malignant left-sided large bowel obstruction / Br J Surg 99 : 469 ~ 476
[학술지(정기간행물)] - Iversen LH / 2008 / Postoperative medical complications are the main cause of early death after emergency surgery for colonic cancer / Br J Surg 95 : 1012 ~ 1019
[학술지(정기간행물)] - Dulucq JL / 2006 / One-stage laparoscopic colorectal resection after placement of self-expanding metallic stents for colorectal obstruction: a prospective study / Dig Dis Sci 51 : 2365 ~ 2371
[학술지(정기간행물)] - Zhang Y / 2012 / Self-expanding metallic stent as a bridge to surgery versus emergency surgery for obstructive colorectal cancer: a meta-analysis / Surg Endosc 26 : 110 ~ 119
[학술지(정기간행물)] - van Hooft JE / 2014 / Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline / Gastrointest Endosc 80 : 747 ~ 761
[학술지(정기간행물)] - Iversen LH / 2008 / Postoperative medical complications are the main cause of early death after emergency surgery for colonic cancer / Br J Surg 95 : 1012 ~ 1019
[학술지(정기간행물)] - Dulucq JL / 2006 / One-stage laparoscopic colorectal resection after placement of self-expanding metallic stents for colorectal obstruction: a prospective study / Dig Dis Sci 51 : 2365 ~ 2371
[학술지(정기간행물)] - Zhang Y / 2012 / Self-expanding metallic stent as a bridge to surgery versus emergency surgery for obstructive colorectal cancer: a meta-analysis / Surg Endosc 26 : 110 ~ 119
[학술지(정기간행물)] - van Hooft JE / 2014 / Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline / Gastrointest Endosc 80 : 747 ~ 761
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UCI(KEPA) : I410-ECN-0101-2018-514-001685038