횡행결장암의 복강경 횡행결장절제술의 단기간 임상 및 병리학적 성적
Short-term Clinico-pathological Outcomes of a Laparoscopic Transverse Colectomy for Transverse Colon Cancer
이윤석, 김준기, 김영하, 이인규, 김형진, 강원경, 박종경, 오승택,
소속 상세정보
이윤석 ( Lee Yoon-Suk )
가톨릭대학교 의과대학 외과학교실
김준기 ( Kim Jun-Gi )
가톨릭대학교 의과대학 외과학교실
김영하 ( Kim Young-Ha )
가톨릭대학교 의과대학 외과학교실
이인규 ( Lee In-Kyu )
가톨릭대학교 의과대학 외과학교실
김형진 ( Kim Hyung Jin )
가톨릭대학교 의과대학 외과학교실
강원경 ( Kang Won-Kyung )
가톨릭대학교 의과대학 외과학교실
박종경 ( Park Jong-Kyung )
가톨릭대학교 의과대학 외과학교실
오승택 ( Oh Seung-Tack )
가톨릭대학교 의과대학 외과학교실
KMID : 0356720080240020107
Abstract
Purpose: The COST study trial has demonstrated oncological safety by using laparoscopy for colon cancer. However, in a prior trial, the transverse colon was excluded. Therefore, it has not been determined whether laparoscopy can be used in the setting of transverse colon cancer. Moreover, a transverse colectomy for transverse colon cancer is controversial. This study evaluated the peri-operative and short-term oncological outcomes of a laparoscopic transverse colectomy.
Methods: A retrospective review of patients with colorectal cancer treated using laparoscopy from August 2004 to August 2007 was conducted. Peri-operative and short-term oncological outcomes were compared between an extended right or left colectomy and a transverse colectomy.
Results: Of 234 patients, 26 patients underwent laparoscopic surgery for transverse colon cancer. Extended right & left colectom were performed in 20 cases, and a transverse colectomy was performed in 6 cases. There were no significant differences between the two groups in terms of age, gender, BMI, blood loss, time to pass flatus, start of diet, hospital stay, tumor size, number of lymph nodes, and radial margin. The distal and the proximal resection margins of an extended Rt. or Lt. colectomy were longer than those of a transverse colectomy. One transverse colectomy was converted to open surgery because of a T4 lesion of transverse colon cancer. There were no differences between the two groups in terms of morbidity and mortality.
Conclusions: The results of this study show that a laparoscopic transverse colectomy has acceptable peri-operative and short-term oncological outcomes compared to an extended right and left colectomy. However, further investigations are needed to establish the long-term oncological safety of laparoscopic surgery, including transverse colectomy, for transverse colon cancer. J Korean Soc Coloproctol 2008;24:107- 112
키워드
결장암;횡행결장;복강경 수술
Colon cancer;Transverse colon;Laparoscopy
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