근치절제 불가능 대장 및 직장암에 있어 고식적 절제의 의의
Palliative Resection for Incurable Colorectal Cancer
김대환, 백무준, 박내경, 이문수, 송옥평,
소속 상세정보
김대환 ( Kim Dae-Hwan )
순천향대학교 천안병원 외과학교실
백무준 ( Baek Moo-Jun )
순천향대학교 의과대학 천안병원 외과학교실
박내경 ( Park Nae-Kyung )
순천향대학교 의과대학 천안병원 외과학교실
이문수 ( Lee Moon-Soo )
순천향대학교 천안병원 외과학교실
송옥평 ( Song Ok-Pyung )
순천향대학교 의과대학 천안병원 외과학교실
KMID : 0356719980140010035
Abstract
Despite a recent trend toward increased screening and public awareness for colorectal cancer, 30% of patients present with incurable disease. This study was designed to identify objective criteria that might help surgeons decide which patients with incurable colorectal cancer will benefit from palliative resection. Among 33 patients considered incurable colorectal cancer, twenty one patients underwent palliative resection and twelve patients had bypass surgery. Incidence of postoperative complication after palliative resection was 61.9%(13 cases), and after bypass surgery was 58.3%(7 cases). Among patients treated by palliative resection, one patient required reoperation for postoperative bleeding. The operative mortality after palliative resection was 19%(4 cases), and after bypass surgery was 25%(3 cases). The median survival was 11.4 months for patients treated by palliative resection, and was 9.7 months for patients treated by bypass surgery. These results show that palliative resection can be done safely and effectively in patients with incurable colorectal cancer. We believe this approach improved the quality of the remaining life in these patients.
키워드
Incurable colorectal cancer;Palliative resection
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