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
- 2016.1
- 수록면
- 12 - 19 (8page)
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Purpose: This study compared the perioperative and pathologic outcomes between an extralevator abdominoperineal resection (APR) in the prone position and a conventional APR. Methods: Between September 2011 and March 2014, an extralevator APR in the prone position was performed on 13 patients with rectal cancer and a conventional APR on 26 such patients. Patients’ demographics and perioperative and pathologic outcomes were obtained from the colorectal cancer database and electronic medical charts. Results: Age and preoperative carcinoembryonic antigen (CEA) level were significantly different between the conventional and the extralevator APR in the prone position (median age, 65 years vs. 55 years [P = 0.001]; median preoperative CEA level, 4.94 ng/mL vs. 1.81 ng/mL [P = 0.011]). For perioperative outcomes, 1 (3.8%) intraoperative bowel perforation occurred in the conventional APR group and 2 (15.3%) in the extralevator APR group. In the conventional and extralevator APR groups, 12 (46.2%) and 6 patients (46.2%) had postoperative complications, and 8 (66.7%) and 2 patients (33.4%) had major complications (Clavien-Dindo III/IV), respectively. The circumferential resection margin involvement rate was higher in the extralevator APR group compared with the conventional APR group (3 of 13 [23.1%] vs. 3 of 26 [11.5%]). Conclusion: The extralevator APR in the prone position for patients with advanced low rectal cancer has no advantages in perioperative and pathologic outcomes over a conventional APR for such patients. However, through early experience with a new surgical technique, we identified various reasons for the lack of favorable outcomes and expect sufficient experience to produce better peri- or postoperative outcomes.
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참고문헌 (39)
참고문헌 신청
Arbman G / 1996 / Local recurrence following total mesorectal excision for rectal cancer / Br J Surg 83:375~379
Heald RJ / 1998 / Rectal cancer: the Basingstoke experience of total mesorectal excision, 1978-1997 / Arch Surg 133:894~899
Martling A / 2005 / Impact of a surgical training programme on rectal cancer outcomes in Stockholm / Br J Surg 92:225~229
Wibe A / 2005 / Effect of hospital caseload on long-term outcome after standardization of rectal cancer surgery at a national level / Br J Surg 92:217~224
Marr R / 2005 / The modern abdominoperineal excision: the next challenge after total mesorectal excision / Ann Surg 242:74~82
Heald RJ / 1998 / Rectal cancer: the Basingstoke experience of total mesorectal excision, 1978-1997 / Arch Surg 133:894~899
Martling A / 2005 / Impact of a surgical training programme on rectal cancer outcomes in Stockholm / Br J Surg 92:225~229
Wibe A / 2005 / Effect of hospital caseload on long-term outcome after standardization of rectal cancer surgery at a national level / Br J Surg 92:217~224
Marr R / 2005 / The modern abdominoperineal excision: the next challenge after total mesorectal excision / Ann Surg 242:74~82
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