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장폐색을 동반한 좌측 대장암에서 자가팽창형 금속 스텐트 삽입의 임상적 효과: 응급 수술과의 비교

Other Titles
 Clinical Outcomes of Self-Expanding Metal Stent Insertion for Obstructive Left-Sided Colorectal Cancer: Comparison with Emergency Operation 
Authors
 김도영  ;  김태일  ;  김규원  ;  김경규  ;  김병창  ;  신성재  ;  박승우  ;  이용찬  ;  송시영  ;  김원호  ;  이강영  ;  김남규 
Citation
 Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지), Vol.32(4) : 253-259, 2006 
Journal Title
 Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지) 
ISSN
 2234-2400 
Issue Date
2006
Keywords
Stent ; Colorectal cancer
Abstract
Background/Aims: The aim of this study was to compare the outcome of colorectal stenting with that of performing emergency operation for the patients with malignant left-sided colon obstruction. Methods: The patients with obstructing left-sided colorectal cancer were treated with 'bridge to surgery stenting' and this was followed by operation (group A, n=20), emergency operation (group B, n=21), palliative stenting (group C, n=16), and emergency palliative operation (group D, n=15). Results: The primary anastomosis rate was significantly higher for group A than for group B (65.0 vs. 33.3%, respectively, p<0.05). None of the patients in group A required intensive care and 3 patients in group B required intensive care. Post-operative complications occurred in 2 and 3 patients in group A and B, respectively. The mean hospital stay showed the tendency to be shorter for group A than for group B (24 vs. 31 days, respectively, p>0.05). In regard to palliative treatment, the stoma creation rate was 86.7% for group D, and 2 patients in group D needed intensive care. The mean hospital stay was significantly shorter for group C than for group D (9.3 vs. 20.7 days, respectively, p<0.05). Conclusions: Stent placement is a useful alternative to emergency surgery for the management of malignant colorectal obstruction.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Tae Il(김태일) ORCID logo https://orcid.org/0000-0003-4807-890X
Park, Seung Woo(박승우) ORCID logo https://orcid.org/0000-0001-8230-964X
Song, Si Young(송시영) ORCID logo https://orcid.org/0000-0002-1417-4314
Lee, Kang Young(이강영)
Lee, Yong Chan(이용찬) ORCID logo https://orcid.org/0000-0001-8800-6906
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109465
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