80세 이상 고령에서 발생한 대장암의 특징

이재명; 김희철; 박인자; 김대동; 유창식; 김진천

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자료유형: 학술저널

저자정보: 이재명 (울산대학교) 김희철 (울산대학교) 박인자 (울산대학교) 김대동 (울산대학교) 유창식 (울산대학교) 김진천 (울산대학교)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.23 No.6

발행연도: 2007.1

수록면: 490 - 496 (7page)

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이 논문의 연구 히스토리 (2)

2007

80세 이상 고령에서 발생한 대장암의 특징

이재명 , 김희철 , 박인자 외 3명 Annals of Coloproctology 2007.01 학술저널

2006

80세 이상 고령에서 발생한 대장암의 특징

이재명 , 김희철 , 윤용식 외 5명 대한외과학회 학술대회 초록집 2006.05 학술대회자료

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Purpose: The frequency of surgery for elderly Koreans with colorectal cancer has increased because of the current life expectancy rates. The purpose of this study is to identify the characteristics of colorectal cancer in very elderly patients, to determine the optimal treatment decision, and to evaluate the patients prognosis. Methods: Between 1989∼2005, 181 patients (96 men and 85 women, median age 82) over the age of 80 with colorectal cancer underwent surgery at OO hospital, Korea. Medical records with these patients’ co-morbidities, symptoms, clinico-pathologic characteristics, complications, survival, and other relevant data were obtained and analyzed retrospectively. Results: The principal clinical symptoms were bleeding (45.3%) and bowel habit change (40.9%). Of these patients, 126 had at least one preoperative co-morbidity, and hypertension (29.3%), and cardiac disease (16.0%) were common. Curative surgery was performed in 82.9% (n=150). Emergency surgery was performed in 6.1% (n=11), and the principal cause was obstruction. The most common location of the colorectal cancer was the rectum (39.8%). There were postoperative complications in 36.4% of the patients, including voiding difficulty (12.2%) and wound infection (9.9%). The thirty-day mortality rate was 0.6% (n=1). A preoperative, low PaO2 level significantly increased the incidence of postoperative complications (P=0.036). The five-year survival rate of the curative resection group was higher than that in the remaining patients (44.3% vs. 38.8%, P＜0.001). Conclusions: Although the preoperative morbidity was high in these very elderly patients, it could be lowered with strict patient management. In addition, these patients showed a relatively good survival rate. Therefore, we believe that major, curative, colorectal surgery should be performed in selected very elderly patients.

#Colorectal neoplasms #Aged 80 and over #Operations #Morbidity #Survival

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