지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.84 No.2
- 발행연도
- 2013.2
- 수록면
- 94 - 100 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: The aim of this study was to analyze oncologic outcomes after transanal local excision (LE) to ensure adequate surveillance of recurrence in order to treat with curative intent. Methods: Between January 2000 and June 2009, 102 patients who underwent transanal LE for rectal adenocarcinoma were retrospectively reviewed. Results: Of the 102 patients, 53 (52.0%) were male. The mean age was 57 ± 11 years. Postoperative pathologic examination revealed 93 cases (91.2%) of pathologic T stage (pT)1 and 9 cases (8.8%) of pT2. Forty-eight patients (47.1%) underwent adjuvant postoperative radiotherapy. The median follow-up interval was 60 months (range, 3 to 146 months). Seven (6.9%) out of 15 patients who suffered recurrence had locoregional recurrence, three (2.9%) had systemic recurrence and five (4.9%) had both systemic and locoregional recurrence. The latter five patients and two of the three patients with systemic recurrence died because of the disease recurrence. On the other hand, only one of the seven patients with locoregional recurrence died because of disease recurrence. Conclusion: Systemic recurrence after transanal LE results in fatal consequences. Therefore, not only is it important to identify ideal candidates for LE, but intensive postoperative surveillance is important as well to identify curable recurrence as soon as possible.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (26)
참고문헌 신청
1. [학술지(정기간행물)] - Beral DL / 2005 / Is local excision of T2/T3 rectal cancers adequate? / Recent Results Cancer Res 165 : 120 ~ 135
2. [학술지(정기간행물)] - Chang HC / 2012 / Risk factors for lymph node metastasis in pT1 and pT2 rectal cancer: a single-institute experience in 943 patients and literature review / Ann Surg Oncol 19 : 2477 ~ 2484
3. [학술지(정기간행물)] - You YN. / 2011 / Local excision: is it an adequate substitute for radical resection in T1/T2 patients? / Semin Radiat Oncol 21 : 178 ~ 184
4. [학술지(정기간행물)] - Endreseth BH / 2005 / Transanal excision vs. major surgery for T1 rectal cancer / Dis Colon Rectum 48 : 1380 ~ 1388
5. [학술지(정기간행물)] - Bentrem DJ / 2005 / T1 adenocarcinoma of the rectum: transanal excision or radical surgery? / Ann Surg 242 : 472 ~ 477
2. [학술지(정기간행물)] - Chang HC / 2012 / Risk factors for lymph node metastasis in pT1 and pT2 rectal cancer: a single-institute experience in 943 patients and literature review / Ann Surg Oncol 19 : 2477 ~ 2484
3. [학술지(정기간행물)] - You YN. / 2011 / Local excision: is it an adequate substitute for radical resection in T1/T2 patients? / Semin Radiat Oncol 21 : 178 ~ 184
4. [학술지(정기간행물)] - Endreseth BH / 2005 / Transanal excision vs. major surgery for T1 rectal cancer / Dis Colon Rectum 48 : 1380 ~ 1388
5. [학술지(정기간행물)] - Bentrem DJ / 2005 / T1 adenocarcinoma of the rectum: transanal excision or radical surgery? / Ann Surg 242 : 472 ~ 477
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UCI(KEPA) : I410-ECN-0101-2014-514-000359579