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
- 발행연도
- 2019.12
- 수록면
- 72 - 78 (7page)
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Purpose: Although laparoscopic surgery is widely accepted in the treatment of colorectal cancer, conversion to open surgery is associated with the rate of unfavorable outcomes. The aim of this study was to determine the factors associated with open conversion from laparoscopic surgery for colorectal cancer.
Methods: A total of 3,002 patients who underwent laparoscopic colectomy as an initial plan for the treatment of colorectal cancer located from the sigmoid colon to the rectum were retrospectively evaluated between January 2009 and December 2018 at Samsung Medical Center in Korea. Risk factors significantly associated with open conversion were determined using univariate and multivariate regression models.
Results: Among the 3,002 patients, open conversion was performed in 120 patients (4%). Age >60 years (adjusted odds ratio [AOR], 2.370), preoperative bowel obstruction (AOR, 2.348), clinical T4 stage (AOR, 2.201), and serum carcinoembryonic antigen level >5 ng/mL (AOR, 2.289) were significantly associated with open conversion. Moreover, mucinous carcinoma was a significantly more frequent histopathologic type than adenocarcinoma (10.0% vs. 3.2%, P<0.001) in the open conversion group with an AOR of 2.549 (confidence interval, 1.259-5.159; P=0.009).
Conclusion: The present study presented a novel finding, i.e. mucinous carcinoma as the histopathologic type could be an independent predictive factor for conversion from laparoscopic colectomy to open surgery. Identifying patients with mucinous carcinoma will help stratify the risk of open conversion preoperatively.
Methods: A total of 3,002 patients who underwent laparoscopic colectomy as an initial plan for the treatment of colorectal cancer located from the sigmoid colon to the rectum were retrospectively evaluated between January 2009 and December 2018 at Samsung Medical Center in Korea. Risk factors significantly associated with open conversion were determined using univariate and multivariate regression models.
Results: Among the 3,002 patients, open conversion was performed in 120 patients (4%). Age >60 years (adjusted odds ratio [AOR], 2.370), preoperative bowel obstruction (AOR, 2.348), clinical T4 stage (AOR, 2.201), and serum carcinoembryonic antigen level >5 ng/mL (AOR, 2.289) were significantly associated with open conversion. Moreover, mucinous carcinoma was a significantly more frequent histopathologic type than adenocarcinoma (10.0% vs. 3.2%, P<0.001) in the open conversion group with an AOR of 2.549 (confidence interval, 1.259-5.159; P=0.009).
Conclusion: The present study presented a novel finding, i.e. mucinous carcinoma as the histopathologic type could be an independent predictive factor for conversion from laparoscopic colectomy to open surgery. Identifying patients with mucinous carcinoma will help stratify the risk of open conversion preoperatively.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (29)
참고문헌 신청
2018 / 2017 and 2015 European Society of Coloproctology (ESCP) collaborating groups. The impact of conversion on the risk of major complication following laparoscopic colonic surgery: an international, multicentre prospective audit / Colorectal Dis 20(Suppl 6):69~89
Rabasova M / 2012 / Conversion risk factors in laparoscopic colorectal surgery / Wideochir Inne Tech Maloinwazyjne 7:240~245
Tekkis PP / 2005 / Conversion rates in laparoscopic colorectal surgery: a predictive model with, 1253 patients / Surg Endosc 19:47~54
Belizon A / 2006 / Converted laparoscopic colectomy: what are the consequences? / Surg Endosc 20:947~951
Kang CY / 2012 / Outcomes of laparoscopic colorectal surgery: data from the Nationwide Inpatient Sample 2009 / Am J Surg 204:952~957
Rabasova M / 2012 / Conversion risk factors in laparoscopic colorectal surgery / Wideochir Inne Tech Maloinwazyjne 7:240~245
Tekkis PP / 2005 / Conversion rates in laparoscopic colorectal surgery: a predictive model with, 1253 patients / Surg Endosc 19:47~54
Belizon A / 2006 / Converted laparoscopic colectomy: what are the consequences? / Surg Endosc 20:947~951
Kang CY / 2012 / Outcomes of laparoscopic colorectal surgery: data from the Nationwide Inpatient Sample 2009 / Am J Surg 204:952~957
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