좌측 대장암에 의한 장폐색에서 근치적 절제술을 위한 Stent 삽입술
Stent Insertion as a Bridge to One Stage Operation in Malignant Obstruction of Left Colon (6 cases)
이강영, 김남규, 박준성, 박재균, 이용찬, 민진식,
소속 상세정보
이강영 ( Rhee Kang-Young )
연세대학교 의과대학 외과학교실
김남규 ( Kim Nam-Kyu )
연세대학교 의과대학 외과학교실
박준성 ( Park Joon-Seong )
연세대학교 의과대학 외과학교실
박재균 ( Park Jea-Kun )
연세대학교 의과대학 외과학교실
이용찬 ( Lee Yong-Chan )
연세대학교 의과대학 내과학교실
민진식 ( Min Jin-Sik )
연세대학교 의과대학 외과학교실
KMID : 0371320010600060667
Abstract
Surgical treatment of acute malignant obstruction of the left colon is problematic due to the poor general state of patients, lack of bowel preparation, and the urgency of the procedure itself. A multistage approach including emergent diverting
colostomy has traditionally been the method of surgical treatment for acute left sided colonic obstruction secondary to the tumor. However, these treatment efforts have been marred by an inability to complete the sequence of operations due to
numerous
medical co-morbidities in the patients. The use of a self expanding metallic stent to relieve colorectal malignant obstruction has been recently, described for the palliative purpose of relieving the obstruction and for converting emergency
surgery
into
elective surgery following routine preoperative bowel preparation. Either a covered or uncovered expandable colorectal stent (Choo colorectal endoprosthesis; Sooho Medi-Tech, Seoul, Korea) was inserted by endoscopic and fluoroscopic guidance in 6
patients with acute malignant left-sided colonic obstruction. We present these 6 patients who underwent self expandable metallic stent insertion for the treatment of left sided malignant colonic obstruction as a bridge to a single operation.
키워드
좌측 대장암; 장폐색; Stent; Left sided colon cancer; Intestinal obstruction; Stent;
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