직장암의 재발 유형으로 분석해 본 직장 장간막 전 절제의 의의
Total Mesorectal Excision: Is It a Valid Prognostic Factor for Recurrence?
우석, 서광욱, 조용관, 김명욱,
소속 상세정보
우석 ( Woo Seok )
아주대학교 의과대학 외과학교실
서광욱 ( Suh Kwang-Wook )
아주대학교 의과대학 외과학교실
조용관 ( Cho Yong-Kwan )
아주대학교 의과대학 외과학교실
김명욱 ( Kim Myung-Wook )
아주대학교 의과대학 외과학교실
KMID : 0356719990150020107
Abstract
Purpose: This study was aimed to identify whether total mesorectal excision (TME) is a valid prognostic factor for recurrence following curative surgery for rectal carcinoma.
Methods: For 110 high-risk rectal carcinoma patients, recurrence rate and patterns of re currence were compared between patients undergoing TME and those with classical dis section.
Results: Both local recurrence and distant metastasis were significantly lower in TME group than those in classical dissection group. Time interval from operation to the initial recurrence was also significantly delayed in TME group. By comaparing with other prognostic variables, TME was found to be a significant prognostic factor for the recur rence.
Conclusion: We think TME is an important prognostic factor for the recurrence following curative resection in rectal carcinoma.
키워드
Total mesorectal excision;Rectal carcinoma;Recurrence
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