0 293

Cited 6 times in

Intraoperative colonoscopy for the assessment and prevention of anastomotic leakage in low anterior resection for rectal cancer

DC FieldValueLanguage
dc.contributor.author김남규-
dc.contributor.author민병소-
dc.contributor.author양승윤-
dc.contributor.author이강영-
dc.contributor.author조민수-
dc.contributor.author한윤대-
dc.contributor.author한정희-
dc.contributor.author허혁-
dc.date.accessioned2018-07-20T08:32:08Z-
dc.date.available2018-07-20T08:32:08Z-
dc.date.issued2017-
dc.identifier.issn0179-1958-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/161270-
dc.description.abstractPURPOSE: Anastomotic leakage (AL) after stapled anastomosis in rectal cancer surgery is a major concern. Various types of intraoperative anastomotic air leakage tests (ALTs) have been proposed to reduce AL. This study aimed to evaluate the impact of intraoperative colonoscopy (IOC) as an intraoperative ALT in low anterior resection for rectal cancer. METHODS: A total of 1266 patients were retrospectively reviewed. Among them, 215 patients who underwent IOC as an ALT in rectal cancer surgery were identified. IOC was performed after anastomosis to visualize the anastomosis line and to perform an ALT by insufflating the neorectum. Propensity score matching was used to match this group at a 1:1 ratio with 215 patients who underwent ALT with a 250-mL bulb irrigation syringe. Anastomotic defects that were found intraoperatively were resolved either by means of primary repair of the anastomotic defect, if possible, or by performing a preventive diverting ileostomy. RESULTS: The patient characteristics, pathologic outcomes, and operation details showed no significant difference between the two groups. Comparison of the AL rate showed a significant difference between the groups (IOC group without intraoperative leaks vs. non-IOC group without intraoperative leaks 4.3 vs. 11.7%, P = 0.007). The incidence of preventive diverting ileostomy because of a positive ALT was significantly higher in the IOC group than in the non-IOC group (10 vs. 2 cases, P = 0.036). CONCLUSION: IOC can be a valuable method for the assessment of stapled anastomosis and has the additional benefit of directly visualizing the anastomosis line.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer International-
dc.relation.isPartOfINTERNATIONAL JOURNAL OF COLORECTAL DISEASE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAnastomosis, Surgical/adverse effects-
dc.subject.MESHAnastomotic Leak/etiology*-
dc.subject.MESHColonoscopy*-
dc.subject.MESHDigestive System Surgical Procedures/adverse effects*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIleostomy/adverse effects-
dc.subject.MESHIntraoperative Care*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPropensity Score-
dc.subject.MESHRectal Neoplasms/surgery*-
dc.subject.MESHTreatment Outcome-
dc.titleIntraoperative colonoscopy for the assessment and prevention of anastomotic leakage in low anterior resection for rectal cancer-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Surgery-
dc.contributor.googleauthorSeung Yoon Yang-
dc.contributor.googleauthorJeonghee Han-
dc.contributor.googleauthorYoon Dae Han-
dc.contributor.googleauthorMin Soo Cho-
dc.contributor.googleauthorHyuk Hur-
dc.contributor.googleauthorKang Young Lee-
dc.contributor.googleauthorNam Kyu Kim-
dc.contributor.googleauthorByung Soh Min-
dc.identifier.doi10.1007/s00384-017-2767-y-
dc.contributor.localIdA00353-
dc.contributor.localIdA01402-
dc.contributor.localIdA05359-
dc.contributor.localIdA02640-
dc.contributor.localIdA03817-
dc.contributor.localIdA04313-
dc.contributor.localIdA05065-
dc.contributor.localIdA04373-
dc.relation.journalcodeJ01100-
dc.identifier.eissn1432-1262-
dc.identifier.pmid28144745-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00384-017-2767-y-
dc.subject.keywordAnastomotic leakage-
dc.subject.keywordDiverting ileostomy-
dc.subject.keywordIntraoperative colonoscopy-
dc.subject.keywordLow anterior resection-
dc.subject.keywordRectal cancer-
dc.contributor.alternativeNameKim, Nam Kyu-
dc.contributor.alternativeNameMin, Byung Soh-
dc.contributor.alternativeNameYang, Seung Yoon-
dc.contributor.alternativeNameLee, Kang Young-
dc.contributor.alternativeNameCho, Min Soo-
dc.contributor.alternativeNameHan, Yoon Dae-
dc.contributor.alternativeNameHan, Jeong Hee-
dc.contributor.alternativeNameHur, Hyuk-
dc.contributor.affiliatedAuthorKim, Nam Kyu-
dc.contributor.affiliatedAuthorMin, Byung Soh-
dc.contributor.affiliatedAuthorYang, Seung Yoon-
dc.contributor.affiliatedAuthorLee, Kang Young-
dc.contributor.affiliatedAuthorCho, Min Soo-
dc.contributor.affiliatedAuthorHan, Yoon Dae-
dc.contributor.affiliatedAuthorHan, Jeong Hee-
dc.contributor.affiliatedAuthorHur, Hyuk-
dc.citation.volume32-
dc.citation.number5-
dc.citation.startPage709-
dc.citation.endPage714-
dc.identifier.bibliographicCitationINTERNATIONAL JOURNAL OF COLORECTAL DISEASE, Vol.32(5) : 709-714, 2017-
dc.identifier.rimsid61192-
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.