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Laparoscopic Surgery for Splenic Flexure Colon Cancer
ÀÌÀ±¼®, ÇãÀ±Á¤, ÀÌÀαÔ, Á¶Çö¹Î, °¿ø°æ, ¹ÚÁ¾°æ, ¾ÈâÇõ, À̵µ»ó, ¿À½ÂÅÃ, ±èÁرâ, ±è¿µÇÏ,
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ÀÌÀ±¼® ( Lee Yoon-Suk )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
ÇãÀ±Á¤ ( Heo Yoon-Jung )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
ÀÌÀÎ±Ô ( Lee In-Kyu )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
Á¶Çö¹Î ( Cho Hyun-Min )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
°¿ø°æ ( Kang Won-Kyung )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
¹ÚÁ¾°æ ( Park Jong-Kyung )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
¾ÈâÇõ ( An Chang-Hyeok )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
À̵µ»ó ( Lee Do-Sang )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
¿À½ÂÅà ( Oh Seung-Tack )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
±èÁرâ ( Kim Jun-Gi )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
±è¿µÇÏ ( Kim Young-Ha )
°¡Å縯´ëÇб³ ÀÇ°ú´ëÇÐ ¿Ü°úÇб³½Ç
KMID : 0356720070230030167
Abstract
Purpose: While a carcinoma of the splenic flexure is uncommon, is associated with a high risk of obstruction, and has a dual lymphatic drainage system, A COST study excluded transverse colon cancer, including splenic flexure colon cancer. This study reviews our experience with splenic flexure colon cancer treated laparoscopically and discusses a appropriate, safe laparoscopic surgical procedure.
Methods: The authors reviewed the medical records of patients who underwent laparoscopic surgery for splenic flexure colon cancer from January 1995 to June 2006. The splenic flexure colon was defined as 5 cm from the splenic flexure proximally and distally by using radiologic studies. Curative surgery for splenic flexure colon cancer was defined as: primary cancer removal, a safe resected margin, no metastasis, and a complete lymphadenectomy including high ligation of left colic artery and of the left branch of the middle colic artery.
Results: A total of 407 patients underwent laparoscopic surgery for colon cancer; among them, 15 patients underwent a laparoscopic left colectomy for splenic flexure colon cancer. The mean age of the patients was 63.8 years, and the male-to-female ratio was 9£º6. The mean operation time was 325.3¡¾95.1 minutes, and the average hospital stay was 15.8¡¾4.9 days. The average number of harvested lymph nodes was 12.3¡¾9.7, the average distal resection margin was 15.3¡¾7.6 cm, and the average proximal margin was 10.7¡¾3.2 cm. One case of chyle discharge and one case of ileus developed, but were treated conservatively. There was no surgical mortality.
Conclusions: A laparoscopic left colectomy for splenic flexure colon cancer is a technically feasible and safe procedure with acceptable short-term outcomes in experienced hands. J Korean Soc Coloproctol 2007;23: 167-171
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Laparoscopy;Splenic flexure colon cancer
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