폐색성 좌측 대장암에서 Stent 삽입의 종양학적 안정성
Oncological Safety of a Metallic Stent for a Left-sided Obstructive Colorectal Carcinoma
오승엽, 김진홍, 서광욱, 박승현, 이광재,
소속 상세정보
오승엽 ( Oh Seung-Yeop )
아주대학교 의과대학 외과학교실
김진홍 ( Kim Jin-Hong )
아주대학교 의과대학 소화기내과학교실
서광욱 ( Suh Kwang-Wook )
아주대학교 의과대학 외과학교실
박승현 ( Park Seung-Hyun )
아주대학교 의과대학 외과학교실
이광재 ( Lee Kwang-Jae )
아주대학교 의과대학 소화기내과학교실
KMID : 0356720070230030000
Abstract
Purpose:There is a controversy about the treatment of left-sided obstructive colorectal cancer. Recently, experience using an expandable metallic stent for relief of the obstruction has been increasing, but its oncological safety has not been confirmed. Therefore, we designed this study to evaluate the oncological safety of a metallic stent for the treatment of left-sided obstructive colorectal cancer.
Methods: Forty-six patients with left-sided obstructive colorectal cancer who underwent a curative resection from 1994 to 2004, were retrospectively evaluated. Nineteen emergency operations (1994～2003) and 27 metallic stent insertions (2000～2004) were compared based on clinicopathologic features, postoperative complications, recurrence rates, and survival rates.
Results: There were no significant differences in age, location, sex, and recurrence rate between the two groups. The complication rate in the emergency group was higher than it was in the stent group, but this difference was not statistically significant (26.3% vs. 14.8%; P=0.33). The overall and the disease-free survival rates were not significantly different.
Conclusions: Because there was no significant differences in survival rate and recurrence rate between the two groups, metallic stent insertion can be used safely in the preoperative treatment of obstructive left-sided colorectal cancer. J Korean Soc Coloproctol 2007;23:180-185
키워드
폐색성 좌측 대장암;자가확장성 스텐트;종양학적 결과
Obstructive left-sided colorectal cancer;Expandable metallic stent;Oncological outcome
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