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
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.94 No.4
- 발행연도
- 2018.4
- 수록면
- 203 - 208 (6page)
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초록· 키워드
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Purpose: The aim of this study was to identify the risk factors of stoma re-creation after closure of diverting ileostomy in patients with rectal cancer who underwent low anterior resection (LAR) or intersphincteric resection (ISR) with loop ileostomy.
Methods: We retrospectively reviewed 520 consecutive patients with rectal cancer who underwent LAR or ISR with loop ileostomy from January 2005 to December 2014 at Chonnam National University Hwasun Hospital. Risk factors for stoma re-creation after ileostomy closure were evaluated.
Results: Among 520 patients with rectal cancer who underwent LAR or ISR with loop ileostomy, 458 patients underwent stoma closure. Among these patients, 45 (9.8%) underwent stoma re-creation. The median period between primary surgery and stoma closure was 5.5 months (range, 0.5–78.3 months), and the median period between closure and recreation was 6.8 months (range, 0–71.5 months). Stoma re-creation was performed because of anastomosis-related complications (26, 57.8%), local recurrence (15, 33.3%), and anal sphincter dysfunction (3, 6.7%). Multivariate analysis showed that independent risk factors for stoma re-creation were anastomotic leakage (odds ratio [OR], 4.258; 95% confidence interval [CI], 1.814–9.993), postoperative radiotherapy (OR, 3.947; 95% CI, 1.624–9.594), and ISR (OR, 3.293; 95% CI, 1.462–7.417).
Conclusion: Anastomotic leakage, postoperative radiotherapy, and ISR were independent risk factors for stoma re-creation after closure of ileostomy in patients with rectal cancer.
Methods: We retrospectively reviewed 520 consecutive patients with rectal cancer who underwent LAR or ISR with loop ileostomy from January 2005 to December 2014 at Chonnam National University Hwasun Hospital. Risk factors for stoma re-creation after ileostomy closure were evaluated.
Results: Among 520 patients with rectal cancer who underwent LAR or ISR with loop ileostomy, 458 patients underwent stoma closure. Among these patients, 45 (9.8%) underwent stoma re-creation. The median period between primary surgery and stoma closure was 5.5 months (range, 0.5–78.3 months), and the median period between closure and recreation was 6.8 months (range, 0–71.5 months). Stoma re-creation was performed because of anastomosis-related complications (26, 57.8%), local recurrence (15, 33.3%), and anal sphincter dysfunction (3, 6.7%). Multivariate analysis showed that independent risk factors for stoma re-creation were anastomotic leakage (odds ratio [OR], 4.258; 95% confidence interval [CI], 1.814–9.993), postoperative radiotherapy (OR, 3.947; 95% CI, 1.624–9.594), and ISR (OR, 3.293; 95% CI, 1.462–7.417).
Conclusion: Anastomotic leakage, postoperative radiotherapy, and ISR were independent risk factors for stoma re-creation after closure of ileostomy in patients with rectal cancer.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (30)
참고문헌 신청
[학술지(정기간행물)] - Janjan NA / 1999 / Tumor downstaging and sphincter preservation with preoperative chemoradiation in locally advanced rectal cancer: the M. D. Anderson Cancer Center experience / Int J Radiat Oncol Biol Phys 44 : 1027 ~ 1038
[학술지(정기간행물)] - Kinoshita Y / 2017 / Health-related quality of life in patients with lower rectal cancer after sphinctersaving surgery: a prospective 6-month follow-up study / Eur J Cancer Care (Engl) 26 : e12417 ~
[학술지(정기간행물)] - Rullier E / 2005 / Sphincter-saving resection for all rectal carcinomas: the end of the 2-cm distal rule / Ann Surg 241 : 465 ~ 469
[학술지(정기간행물)] - Allal AS / 2000 / Sphinctersparing surgery after preoperative radiotherapy for low rectal cancers: feasibility, oncologic results and quality of life outcomes / Br J Cancer 82 : 1131 ~ 1137
[학술지(정기간행물)] - Wibe A / 2004 / Oncological outcomes after total mesorectal excision for cure for cancer of the lower rectum: anterior vs. abdominoperineal resection / Dis Colon Rectum 47 : 48 ~ 58
[학술지(정기간행물)] - Kinoshita Y / 2017 / Health-related quality of life in patients with lower rectal cancer after sphinctersaving surgery: a prospective 6-month follow-up study / Eur J Cancer Care (Engl) 26 : e12417 ~
[학술지(정기간행물)] - Rullier E / 2005 / Sphincter-saving resection for all rectal carcinomas: the end of the 2-cm distal rule / Ann Surg 241 : 465 ~ 469
[학술지(정기간행물)] - Allal AS / 2000 / Sphinctersparing surgery after preoperative radiotherapy for low rectal cancers: feasibility, oncologic results and quality of life outcomes / Br J Cancer 82 : 1131 ~ 1137
[학술지(정기간행물)] - Wibe A / 2004 / Oncological outcomes after total mesorectal excision for cure for cancer of the lower rectum: anterior vs. abdominoperineal resection / Dis Colon Rectum 47 : 48 ~ 58
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UCI(KEPA) : I410-ECN-0101-2018-514-001913111