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논문 기본 정보

자료유형
학술저널
저자정보
Chan Hee Park (Keimyung University School of Medicine) Seong Kyu Baek (Keimyung University School of Medicine) Ok Suk Bae (Keimyung University School of Medicine) Woon Kyung Jeong (Keimyung University School of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.89 No.4
발행연도
2015.9
수록면
183 - 189 (7page)

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Purpose: In some patients more than 70 years of age with obstructive colorectal cancer, their concerns about the postoperative complications lead them to refuse surgery after the insertion of a stent. This study aimed to compare the postoperative outcomes between obstructive colorectal cancer patients aged less than 70 years and those aged 70 years and more who underwent surgery after the insertion of a colonoscopic stent.
Methods: Patients with obstructive colorectal cancer who underwent surgery after the insertion of a colonoscopic stent between March 2004 and March 2014 were reviewed retrospectively by using medical records. The patients were divided into two groups: 22 patients were aged less than 70 years (group A) and 30 patients were aged more than 70 years (group B).
Results: Although no significant difference in comorbidity was noted between the two groups, the American Society of nesthesiologists (ASA) score was higher in group B. There was no significant difference in cancer location, stage, or the time from the insertion of the stent to operation. The perioperative results including operation time, blood loss, and length of stay were not significantly different between the groups. The postoperative complications were also not significantly different.
Conclusion: The surgical outcomes of elderly patients were similar to those of younger patients, despite higher ASA scores. These results indicate that surgery can be performed safely in elderly patients with obstructive colorectal cancer after the insertion of a stent.
#Colorectal neoplasms #Stents #Intestinal obstruction #Aged

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

참고문헌 (21)

참고문헌 신청
[학술지(정기간행물)] - Rutten HJ. / 2008 / Controversies of total mesorectal excision for rectal cancer in elderly patients / Lancet Oncol 9 : 494 ~ 501 google schola [학술지(정기간행물)] - 신애선 / 2012 / Increasing Trend of Colorectal Cancer Incidence in Korea, 1999-2009 / Cancer Research and Treatment 44 (4) : 219 ~ 226 dbpia [학술지(정기간행물)] - Tan CJ. / 2012 / Systematic review and meta-analysis of randomized clinical trials of self-expanding metallic stents as a bridge to surgery versus emergency surgery for malignant leftsided large bowel obstruction / Br J Surg 99 : 469 ~ 476 google schola [학술지(정기간행물)] - Bonin EA. / 2010 / Update on the indications and use of colonic stents / Curr Gastroenterol Rep 12 : 374 ~ 382 google schola [학술지(정기간행물)] - Dulucq JL. / 2006 / One-stage laparoscopic colorectal resection after placement of self-expanding metallic stents for colorectal obstruction : a prospective study / Dig Dis Sci 51 : 2365 ~ 2371 google schola

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UCI(KEPA) : I410-ECN-0101-2016-514-002004113