국소적으로 진행이 심한 S상 결장 및 직장암에서 골반 장기 적출술
Pelvic Exenteration for Locally Advanced Carcinoma Located in Sigmoid Colon and Rectum
정병옥, 김형록, 김동의, 김영진,
소속 상세정보
정병옥 ( Jung Byung-Ook )
전남대학교 의과대학 외과학교실 위장관외과
김형록 ( Kim Hyeong-Rok )
전남대학교 의과대학 외과학교실 위장관외과
김동의 ( Kim Dong-YI )
전남대학교 의과대학 외과학교실 위장관외과
김영진 ( Kim Young-Jin )
전남대학교 의과대학 외과학교실 위장관외과
KMID : 0356719990150050397
Abstract
Purpose: Extensive local growth of rectal carcinoma and sigmoid colon carcinoma without evidence of extrapelvic dissemination occurs infrequently but does represent a small number of potentially curable neoplasms. Such lesions may present with bulk-related problems such as pelvic pain and lower colonic obstruction or with rectum, the vagina, or the bladder. Evenin the absence of distant spread, many of these patients will have unresectable disease and will undergo an incomplete resection or proximal colostomy for pallliation. In selected patients, some of the locally advanced rectal cancer may be curable if total pelvic exenteration is performed.
Methods: This report describe a group of patients with locally advanced sigmoid or rectal carcinoma confined to the pelvis who underwent total pelvic exenteration at the Chonnam University Hospital.
Results: Seven patients had received total pelvic exenteration within five years and they were all men. One patient among them had recurred rectal cancer after previous abdominoperineal resection. Four rectal cancer and three sigmoid colon cancer were included and the range of age was third to eighth decade. According to modified Dukes’ stage, stage B3 were five, and C2 were two. Postoperative complications were presented in three patients. They were wound infection, mechanical ileus, and anastomotic leakage.
Conclusion: Postoperative death was presented in one patient due to sepsis with mechanical ileus. Long term follow up of these patients which was arranged from two to fourty-seven months showed five patients alive and one patient died.
키워드
Pelvic exenteration;Sigmoid colon;Rectum
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