0 283

Cited 11 times in

Minimally invasive versus open total mesorectal excision for rectal cancer: Long-term results from a case-matched study of 633 patients

DC FieldValueLanguage
dc.contributor.author김남규-
dc.contributor.author민병소-
dc.contributor.author백승혁-
dc.contributor.author이강영-
dc.contributor.author조민수-
dc.contributor.author허혁-
dc.date.accessioned2018-03-26T16:49:08Z-
dc.date.available2018-03-26T16:49:08Z-
dc.date.issued2015-
dc.identifier.issn0039-6060-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/156850-
dc.description.abstractBACKGROUND: This study compared the long-term oncologic outcomes of patients with rectal cancer who underwent either laparoscopic or robotic total mesorectal excision (TME) via minimally invasive surgery (MIS) to those patient who underwent open TME. METHODS: This study was a retrospective, case-control study; patients in the 2 groups were matched according to age, sex, MIS vs open operation, body mass index, tumor location, pathologic TNM stage (ie, tumor-node-metastasis), neoadjuvant treatment, and adjuvant treatment. RESULTS: A total of 633 patients (MIS, n = 211; open, n = 422) were assessed. The median follow-up period was 64 (2-124) months. Patient characteristics did not differ between the groups. Overall postoperative complication rates did not differ between the groups (16.0% [MIS]; 17.0% [open]; P = .76). Rates of the involvement of the circumferential resection margin did not differ between the groups (4.0% [MIS]; 5.0% [open]; P = .84). The 5-year overall survival, disease-specific survival, disease-free survival, and local recurrence rates were not different between the MIS and open groups (overall survival = 88.4% vs 85.3%, P = .23; disease-specific survival = 88.8% vs 87.4%, P = .53, disease-free survival = 80.7% vs 78.4%, P = .74; local recurrence = 5.7% vs 5.1%, P = .95). In subgroup analysis, no differences were found in terms of the long-term, oncologic outcomes, oncologic adequacy, and postoperative complications among 3 groups. CONCLUSION: We found no differences in the oncologic outcomes between MIS and open surgery, suggesting that MIS for rectal cancer is a safe option for rectal cancer that does not increase the risk of serious complications.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherMosby-
dc.relation.isPartOfSURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdenocarcinoma/mortality-
dc.subject.MESHAdenocarcinoma/pathology-
dc.subject.MESHAdenocarcinoma/surgery*-
dc.subject.MESHAged-
dc.subject.MESHCase-Control Studies-
dc.subject.MESHColectomy/methods*-
dc.subject.MESHColectomy/mortality-
dc.subject.MESHDisease-Free Survival-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHKaplan-Meier Estimate-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMinimally Invasive Surgical Procedures/methods-
dc.subject.MESHMinimally Invasive Surgical Procedures/mortality-
dc.subject.MESHMultivariate Analysis-
dc.subject.MESHNeoplasm Recurrence, Local/mortality-
dc.subject.MESHNeoplasm Recurrence, Local/pathology*-
dc.subject.MESHProctoscopy/methods*-
dc.subject.MESHProctoscopy/mortality-
dc.subject.MESHRectal Neoplasms/mortality-
dc.subject.MESHRectal Neoplasms/pathology-
dc.subject.MESHRectal Neoplasms/surgery*-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Assessment-
dc.subject.MESHRobotic Surgical Procedures/methods*-
dc.subject.MESHRobotic Surgical Procedures/mortality-
dc.subject.MESHSurvival Analysis-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.titleMinimally invasive versus open total mesorectal excision for rectal cancer: Long-term results from a case-matched study of 633 patients-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Surgery-
dc.contributor.googleauthorMin Soo Cho-
dc.contributor.googleauthorChang Woo Kim-
dc.contributor.googleauthorSe Jin Baek-
dc.contributor.googleauthorHyuk Hur-
dc.contributor.googleauthorByung Soh Min-
dc.contributor.googleauthorSeung Hyuk Baik-
dc.contributor.googleauthorKang Young Lee-
dc.contributor.googleauthorNam Kyu Kim-
dc.identifier.doi10.1016/j.surg.2015.01.010-
dc.contributor.localIdA00353-
dc.contributor.localIdA01402-
dc.contributor.localIdA01827-
dc.contributor.localIdA02640-
dc.contributor.localIdA03817-
dc.contributor.localIdA04373-
dc.relation.journalcodeJ02700-
dc.identifier.eissn1532-7361-
dc.identifier.pmid25737005-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0039606015000264-
dc.contributor.alternativeNameKim, Nam Kyu-
dc.contributor.alternativeNameMin, Byung Soh-
dc.contributor.alternativeNameBaik, Seung Hyuk-
dc.contributor.alternativeNameLee, Kang Young-
dc.contributor.alternativeNameCho, Min Soo-
dc.contributor.alternativeNameHur, Hyuk-
dc.contributor.affiliatedAuthorKim, Nam Kyu-
dc.contributor.affiliatedAuthorMin, Byung Soh-
dc.contributor.affiliatedAuthorBaik, Seung Hyuk-
dc.contributor.affiliatedAuthorLee, Kang Young-
dc.contributor.affiliatedAuthorCho, Min Soo-
dc.contributor.affiliatedAuthorHur, Hyuk-
dc.citation.volume157-
dc.citation.number6-
dc.citation.startPage1121-
dc.citation.endPage1129-
dc.identifier.bibliographicCitationSURGERY, Vol.157(6) : 1121-1129, 2015-
dc.identifier.rimsid39978-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.