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 Annals of Surgical Treatment and Research Vol.95 No.1
- 발행연도
- 2018.7
- 수록면
- 37 - 44 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: The present study aimed to objectively evaluate robot-assisted abdominoperineal resection (APR) in comparison with open APR, in terms of operative elements and initial oncological outcomes.
Methods: A total of 118 patients with lower rectal adenocarcinoma who had undergone curative APR were consecutively enrolled between June 2010 and June 2016, i.e., robot-assisted group (n = 40) and open group (n = 78).
Results: Transabdominal extralevator muscle excision was more frequently performed in the robot-assisted group than in the open group (68% vs. 42%, P = 0.012). In the robot-assisted group, the pain score at one day after surgery was less than in the open group, and the resumption of bowel function was earlier (P = 0.043 and P = 0.002, respectively). The occurrence of circumferential resection margin involvement (CRM+) was more than 5 times greater in the open group than in the robot-assisted group, presenting a marginal significance (P = 0.057). Although important postoperative morbidity did not generally differ between the 2 groups, voiding difficulty and male sexual dysfunction appeared to be encountered more frequently in the open group than in the robot-assisted group.
Conclusion: The robot-assisted APR facilitated transabdominal extralevator excision and bowel recovery and demonstrated a trend towards reduced CRM+.
Methods: A total of 118 patients with lower rectal adenocarcinoma who had undergone curative APR were consecutively enrolled between June 2010 and June 2016, i.e., robot-assisted group (n = 40) and open group (n = 78).
Results: Transabdominal extralevator muscle excision was more frequently performed in the robot-assisted group than in the open group (68% vs. 42%, P = 0.012). In the robot-assisted group, the pain score at one day after surgery was less than in the open group, and the resumption of bowel function was earlier (P = 0.043 and P = 0.002, respectively). The occurrence of circumferential resection margin involvement (CRM+) was more than 5 times greater in the open group than in the robot-assisted group, presenting a marginal significance (P = 0.057). Although important postoperative morbidity did not generally differ between the 2 groups, voiding difficulty and male sexual dysfunction appeared to be encountered more frequently in the open group than in the robot-assisted group.
Conclusion: The robot-assisted APR facilitated transabdominal extralevator excision and bowel recovery and demonstrated a trend towards reduced CRM+.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (27)
참고문헌 신청
[학술지(정기간행물)] - Chau A / 2014 / Toward the end of abdominoperineal resection for rectal cancer? An 8-year experience in 189 consecutive patients with low rectal cancer / Ann Surg 260 : 801 ~ 805
[학술지(정기간행물)] - Weiser MR / 2009 / Sphincter preservation in low rectal cancer is facilitated by preoperative chemo radiation and intersphincteric dissection / Ann Surg 249 : 236 ~ 242
[학술지(정기간행물)] - How P / 2011 / A systematic review of cancer related patient out comes after anterior resection and abdo minoperineal excision for rectal cancer in the total mesorectal excision era / Surg Oncol 20 : e149 ~ e155
[학술지(정기간행물)] - Bossema E / 2008 / Patients' preferences for low rectal cancer surgery / Eur J Surg Oncol 34 : 42 ~ 48
[학술지(정기간행물)] - Zolciak A / 2006 / Abdominoperineal resection or anterior resection for rectal cancer: patient preferences before and after treatment / Colorectal Dis 8 : 575 ~ 580
[학술지(정기간행물)] - Weiser MR / 2009 / Sphincter preservation in low rectal cancer is facilitated by preoperative chemo radiation and intersphincteric dissection / Ann Surg 249 : 236 ~ 242
[학술지(정기간행물)] - How P / 2011 / A systematic review of cancer related patient out comes after anterior resection and abdo minoperineal excision for rectal cancer in the total mesorectal excision era / Surg Oncol 20 : e149 ~ e155
[학술지(정기간행물)] - Bossema E / 2008 / Patients' preferences for low rectal cancer surgery / Eur J Surg Oncol 34 : 42 ~ 48
[학술지(정기간행물)] - Zolciak A / 2006 / Abdominoperineal resection or anterior resection for rectal cancer: patient preferences before and after treatment / Colorectal Dis 8 : 575 ~ 580
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UCI(KEPA) : I410-ECN-0101-2018-514-003115720