직장암 환자에서 이중자동문합법을 이용한 저위전방절제술
Low Anterior Resection for Rectal Cancer Using Double Stapling Technique
조천준, 백무준, 김성용, 이문수, 김현철, 김창호, 송옥평, 박희주,
소속 상세정보
조천준 ( Jo Cheon-Chun )
순천향대학교 의과대학 천안병원 외과학교실
백무준 ( Baek Moo-Jun )
순천향대학교 의과대학 천안병원 외과학교실
김성용 ( Kim Sung-Yong )
순천향대학교 의과대학 천안병원 외과학교실
이문수 ( Lee Moon-Soo )
순천향대학교 의과대학 천안병원 외과학교실
김현철 ( Kim Hyung-Chul )
순천향대학교 의과대학 천안병원 외과학교실
김창호 ( Kim Chang-Ho )
순천향대학교 의과대학 천안병원 외과학교실
송옥평 ( Song Ok-Pyung )
순천향대학교 의과대학 천안병원 외과학교실
박희주 ( Park Hee-Joo )
순천향대학교 의과대학 천안병원 외과학교실
KMID : 0356720000160050323
Abstract
Purpose: Since its introduction by Knight and Griffen in 1980, the double stapling technique has gained widespread popularity in performing the low anterior resection for the rectal cancer. But their effectiveness is not clear. The purpose of this study is to evaluate the usefulness of the low anterior resection using the double stapling technique for rectal cancer in an oncological, technical standpoints.
Methods: Perioperative and follow up data were retrospectively reviewed in all patients undergoing the low anterior resection using the double stapling technique by same surgeons for rectal cancer over a 2.5 year period.
Results: Thirty two rectal cancer patients had double stapling technique anastomoses. There was no postoperative mortality. Intraoperative complications including rectal wall tearing, incomplete doughnuts, misfiring and extraction related problems occurred in 9 of 32 patients (28.2%). Early and late postoperative complications occurred in 9 (28.8%) and 8 (24.9%) of 32 patients. Early anastomotic leak developed in 1 patient (3.1%) and anastomotic site bleeding developed in 2 patient (6.3%). Lately, the local recurrence occurred in 3 patients (9.3%) and anastomotic site stricture occurred in 3 patients (9.3%).
Conclusion: The low anterior resection using the double stapling technique has relatively low rate of leakage, stricture, local recurrence. The double stapling technique can be performed for mid or low rectal cancer with greater safety
and facility.
키워드
Rectal cancer;Double stapling technique
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