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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
- 발행연도
- 2015.1
- 수록면
- 447 - 453 (7page)
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초록· 키워드
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Purpose: The aim of this study was to identify risk factors influencing permanent stomas after low anterior resection with temporary stomas for rectal cancer. Materialsand Methods: A total of 2528 consecutive rectal cancer patients who had undergonelow anterior resection were retrospectively reviewed. Risk factors for permanentstomas were evaluated among these patients. Results: Among 2528 cases of rectal cancer, a total of 231 patients had a temporary diverting stoma. Among these cases, 217 (93.9%) received a stoma reversal. The median period between primary surgery and stoma reversal was 7.5 months. The temporary and permanentstoma groups consisted of 203 and 28 patients, respectively. Multivariate analysis showed that independent risk factors for permanent stomas were anastomotic-related complications (p=0.001) and local recurrence (p=0.001). The 5-year overall survival for the temporary and permanent stoma groups were 87.0% and 70.5%, respectively (p<0.001). Conclusion: Rectal cancer patients who have temporarystomas after low anterior resection with local recurrence and anastomotic-related complications may be at increased risk for permanent stoma.
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Bokey EL / 1990 / Morbidity, mortality and survival following resection for carcinoma of the rectum at Concord Hospital / Aust N Z J Surg 60 : 253 ~ 259
Chun LJ / 2012 / Defunctioning loop ileostomy for pelvic anastomoses: predictors of morbidity and nonclosure / Dis Colon Rectum 55 : 167 ~ 174
David GG / 2010 / Loop ileostomy following anterior resection: is it really temporary? / Colorectal Dis 12 : 428 ~ 432
Hassan I / 2008 / Impact of pelvic radiotherapy on morbidity and durability of sphincter preservation after coloanal anastomosis for rectal cancers / Dis Colon Rectum 51 : 3
Heald RJ / 1981 / The low stapled anastomosis / Br J Surg 68 : 333 ~ 337
Chun LJ / 2012 / Defunctioning loop ileostomy for pelvic anastomoses: predictors of morbidity and nonclosure / Dis Colon Rectum 55 : 167 ~ 174
David GG / 2010 / Loop ileostomy following anterior resection: is it really temporary? / Colorectal Dis 12 : 428 ~ 432
Hassan I / 2008 / Impact of pelvic radiotherapy on morbidity and durability of sphincter preservation after coloanal anastomosis for rectal cancers / Dis Colon Rectum 51 : 3
Heald RJ / 1981 / The low stapled anastomosis / Br J Surg 68 : 333 ~ 337
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