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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 29 - 35 (7page)
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Purpose: This study aimed to compare short-term postoperative and oncologic outcomes of a transanal endoscopic total mesorectal excision (TME) to those of a transabdominal robotic TME. Methods: A total of 62 patients with rectal cancer underwent transanal (n = 26) or robotic (n = 36) TME between June 2013 and December 2014. After case-matching by tumor location and TNM stage, 45 patients were included for analysis. The median follow-up period was 21.3 months. Operative, histopathologic and postoperative outcomes and recurrences were analyzed. Results: Patients younger than 60 years of age were more frequently observed in the robotic TME group (75.0% vs. 47.6%, P = 0.059), but tumor location, cT and cN category, and preoperative chemoradiotherapy were not different between the 2 groups. Estimated blood loss was greater in the transanal group (283 mL vs. 155 mL, P = 0.061); however, the operation time and the rate of a diverting ileostomy and subsequent ileostomy repair were not different between the groups. The proximal resection margin was longer in the transanal TME group (20.8 cm ± 16.0 cm, P = 0.030), but the distal resection margins, involvements of the circumferential resection margin, TME quality, numbers of retrieved lymph nodes, postoperative complications, including anastomotic leak and voiding difficulty, and recurrence rates for the 2 groups were not statistically different. Conclusion: Transanal endoscopic and transabdominal robotic TME showed similar histopathologic and postoperative outcomes with the exception of the estimated blood loss and the proximal resection margin for a select group of patients.
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참고문헌 (30)
참고문헌 신청
Stevenson AR / 2015 / Effect of laparoscopic-assisted resection vs open resection on pathological outcomes in rectal cancer: The ALaCaRT randomized clinical trial / JAMA 314:1356~1363
Fleshman J / 2015 / Effect of laparoscopic-assisted resection vs open resection of stage II or III rectal cancer on pathologic outcomes: The ACOSOG Z6051 randomized clinical trial / JAMA 314:1346~1355
Halabi WJ / 2013 / Robotic-assisted colorectal surgery in the United States: a nationwide analysis of trends and outcomes / World J Surg 37:2782~2790
Trastulli S / 2012 / Robotic resection compared with laparoscopic rectal resection for cancer: systematic review and meta-analysis of short-term outcome / Colorectal Dis 14:e134~e156
Baik SH / 2009 / Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study / Ann Surg Oncol 16:1480~1487
Fleshman J / 2015 / Effect of laparoscopic-assisted resection vs open resection of stage II or III rectal cancer on pathologic outcomes: The ACOSOG Z6051 randomized clinical trial / JAMA 314:1346~1355
Halabi WJ / 2013 / Robotic-assisted colorectal surgery in the United States: a nationwide analysis of trends and outcomes / World J Surg 37:2782~2790
Trastulli S / 2012 / Robotic resection compared with laparoscopic rectal resection for cancer: systematic review and meta-analysis of short-term outcome / Colorectal Dis 14:e134~e156
Baik SH / 2009 / Robotic versus laparoscopic low anterior resection of rectal cancer: short-term outcome of a prospective comparative study / Ann Surg Oncol 16:1480~1487
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