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
- 2019.1
- 수록면
- 474 - 482 (9page)
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초록· 키워드
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Purpose Since oncological outcomes of transanal colorectal tube (TCT) placement, an endoscopic treatment for colorectal cancer (CRC) with acute colorectal obstruction (ACO), remain unknown, this study analyzed long-term outcomes of TCT placement for stage II/III CRC with ACO. Materials and Methods Data were retrospectively reviewed from consecutive patients with distal stage II/III CRC who underwent surgery between January 2007 and December 2011 at two Japanese hospitals. One hospital conducted emergency surgery and the other performed TCT placement as the standard treatment for all CRCs with ACO. Propensity score (PS) matching was used to adjust baseline characteristics between two groups. Results Among 754 patients with distal stage II/III CRC, 680 did not have ACO (non-ACO group) and 74 had ACO (ACO group). The PS matching between both hospitals identified 234 pairs in the non-ACO group and 23 pairs in the ACO group. In the non-ACO group, the surgical quality was equivalent between the two institutions, with no significant differences in overall survival (OS) and disease-free survival (DFS). In the ACO group, the rate of primary resection/anastomosis was higher in the TCT group than in the surgery group (87.0% vs. 26.1%, p < 0.001). No significant differences were noted between the surgery and the TCT groups in OS (5-year OS, 61.9% vs. 51.5%; p=0.490) and DFS (5-year DFS, 45.9% vs. 38.3%; p=0.658). Conclusion TCT placement can achieve similar long-term outcomes to emergency surgery, with a high rate of primary resection/anastomosis for distal stage II/III colon cancer with ACO.
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참고문헌 (30)
참고문헌 신청
Ferlay J / 2015 / Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012 / Int J Cancer 136:E359~E386
De Salvo GL / 2004 / Curative surgery for obstruction from primary left colorectal carcinoma: primary or staged resection? / Cochrane Database Syst Rev (2):CD002101
McArdle CS / 2006 / The impact of blood loss, obstruction and perforation on survival in patients undergoing curative resection for colon cancer / Br J Surg 93:483~488
Biondo S / 2004 / Large bowel obstruction : predictive factors for postoperative mortality / Dis Colon Rectum 47:1889~1897
Katoh H / 2011 / Prognostic significance of preoperative bowel obstruction in stage III colorectal cancer / Ann Surg Oncol 18:2432~2441
De Salvo GL / 2004 / Curative surgery for obstruction from primary left colorectal carcinoma: primary or staged resection? / Cochrane Database Syst Rev (2):CD002101
McArdle CS / 2006 / The impact of blood loss, obstruction and perforation on survival in patients undergoing curative resection for colon cancer / Br J Surg 93:483~488
Biondo S / 2004 / Large bowel obstruction : predictive factors for postoperative mortality / Dis Colon Rectum 47:1889~1897
Katoh H / 2011 / Prognostic significance of preoperative bowel obstruction in stage III colorectal cancer / Ann Surg Oncol 18:2432~2441
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