대장의 종양에 대한 복강경 전방 절제술의 임상적 경험 : 개복술과의 비교 분석
Laparoscopic Anterior Resection of Colorectal Tumor : Comparison with Open Anterior Resection
소속 상세정보
장원영/Weong Young Chang
이우영/전호경/Woo Yong Lee/Ho Kyung Chun
KMID : 0978820020050010032
Abstract
Purpose: The role of laparoscopic resection in the management of colorectal cancer is still unclear. The aim of this study was to compare perioperative results of patients treated by laparoscopic anterior resection versus open anterior
resection
for colorected tumor.
Method: From April 2000 to May 2002, thirty five laparoscopic anterior resection were performed for colorectal tomors at samsung medical center. Retrospective analysis was done with chart review and phone call. The were technical problems,
postoperative reocvery fastness and oncological righteousness.
Results: There was one conversion to open surgery due to adhesion by previous hysterectomy. The mean operative time for laparoscopic surgery was significantly longer than the time for open surgery (153.7 vs 83.2 min p=0.004). No
statistically
significantly difference were observed between the two groups in terms of the passage of flatus, first defecation, post-operative stay, length of resection margin, the size of tumor, morbidity, and the unmbers of havested lymph node.
Conclusions: Theses results suggest that laparoscopic anterior resection for colonic tumor seems to be technically feasible. However, for cancer surgery we must await the final results of large randomized studies before drawing any
definitive
conclusion.
키워드
복강경 대장절제술; 대장암; 전방 절제술; Laparoscopic colectomy; Colon cancer; Anterior resection;
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