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결장항문문합술을 통한 괄약근 보존 술식:장기 생존율을 바탕으로
DC Field | Value | Language |
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dc.contributor.author | 손승국 | - |
dc.date.accessioned | 2015-06-10T12:32:29Z | - |
dc.date.available | 2015-06-10T12:32:29Z | - |
dc.date.issued | 2006 | - |
dc.identifier.issn | 2287-9714 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/109992 | - |
dc.description.abstract | Purpose: Abdominoperineal resection (APR) was the conventional operation for the last 100 years, however it decreased recently for the improvement of sphincter preserving operations, especially of hand-sewn coloanal anastomosis (CAA). The aim of this study is to evaluate oncological results for the CAA. Methods: From January 1992 to August 2000, 107 consecutive patients with rectal cancer within 7 cm from anal verge who underwent a curative resection were evaluated retrospectively by operations (APR, CAA, and stapled low anterior resection, LAR). No temporary stoma was made for CAA and LAR. Results: The mean age is 57.4 and the distance from the anal verge was 4.12 cm (±1.55) for 65 males and 4.13 cm (±1.67) for 42 females (p>0.05). The age, gender, tumor location, size, resection margin, and stage were not statistically significant according to the operations. The CAA increased from 8% (early) to 64% (late), and the APR decreased from 59% (early) to 16% (late). The 5 year survival rate was 70.1% (84.3% for Dukes B and 40.8% for Dukes C). Survivals were not statistically significant according to the type of operation. The local recurrence rate was 7.4% (13.8% for stapled low anterior resection, 7.0% for APR, and 2.8% for CAA). Of the patients with a CAA, 54% had received preoperative radiation therapy (45∼55 Gy). In the late period, tumors located within 5 cm from the anal verge with fat or perirectal lymph nodes involved received preoperative radiation, and the sphincter-preserving rate was 80%. Conclusions: CAA is an effective technique, with a safe oncologic result, for sphincter preservation in very low rectal cancer. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 177~183 | - |
dc.language | Korean | - |
dc.publisher | 대한대장항문학회 | - |
dc.relation.isPartOf | Journal of the Korean Society of Coloproctology | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 결장항문문합술을 통한 괄약근 보존 술식:장기 생존율을 바탕으로 | - |
dc.title.alternative | Sphincter Preserving Operation by Coloanal Anastomosis: Long Term Survival | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | 이선일 | - |
dc.contributor.googleauthor | 박윤아 | - |
dc.contributor.googleauthor | 손승국 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01978 | - |
dc.relation.journalcode | J01864 | - |
dc.identifier.eissn | 2287-9722 | - |
dc.subject.keyword | Coloanal anastomosis | - |
dc.subject.keyword | Low rectal cancer | - |
dc.subject.keyword | 결장항문 문합술 | - |
dc.subject.keyword | 하부 직장암 | - |
dc.contributor.alternativeName | Sohn, Seung Kook | - |
dc.contributor.affiliatedAuthor | Sohn, Seung Kook | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 22 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 177 | - |
dc.citation.endPage | 183 | - |
dc.identifier.bibliographicCitation | Journal of the Korean Society of Coloproctology, Vol.22(3) : 177-183, 2006 | - |
dc.identifier.rimsid | 55076 | - |
dc.type.rims | ART | - |
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