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
- 2009.1
- 수록면
- 28 - 35 (8page)
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초록· 키워드
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Purpose: Ultralow anterior resection and coloanal anastomosis (hand-sewn) has commonly been used for preserving the anal sphincter in patients with low-lying distal rectal cancer. Preoperative chemoradiation therapy is a contributing factor to preserve the anal sphincter. Intersphincteric resection has been introduced and has begun to be applied to distal rectal cancer for anal sphincter preservation. The aim of this study was to report on patients who underwent intersphincteric resection and coloanal anastomosis for very low-lying rectal cancer.
Methods: Intersphincteric resection was performed in 21 patients with very low-lying rectal cancer (within 4 cm from the anal verge) between December 2004 and May 2008. All patients received colonic J pouch anal anastomosis and loop ileostomy. The patients were selected prospectively and followed up for the function of bowel movement and recurrence.
Results: Mean tumor distance from anal verge was 2.8 cm (range 2∼4 cm). No postoperative mortality was encountered. One patient developed ischemic colitis of colonic J-pouch after high doses of tomotherapy. Subsequently he received abdominoperineal resection and permanent colostomy. One patient underwent diverting colostomy for severe incontinence after ileostomy takedown. The other cases reported good anorectal function such as frequency of bowel movement and fecal incontinence. There were two local recurrences during a mean follow-up period of 11.6 months.
Conclusion: Based on a single surgeon’s experiences, postoperative morbidity and anorectal function after intersphincteric resection with coloanal anastomosis seems acceptable.
Methods: Intersphincteric resection was performed in 21 patients with very low-lying rectal cancer (within 4 cm from the anal verge) between December 2004 and May 2008. All patients received colonic J pouch anal anastomosis and loop ileostomy. The patients were selected prospectively and followed up for the function of bowel movement and recurrence.
Results: Mean tumor distance from anal verge was 2.8 cm (range 2∼4 cm). No postoperative mortality was encountered. One patient developed ischemic colitis of colonic J-pouch after high doses of tomotherapy. Subsequently he received abdominoperineal resection and permanent colostomy. One patient underwent diverting colostomy for severe incontinence after ileostomy takedown. The other cases reported good anorectal function such as frequency of bowel movement and fecal incontinence. There were two local recurrences during a mean follow-up period of 11.6 months.
Conclusion: Based on a single surgeon’s experiences, postoperative morbidity and anorectal function after intersphincteric resection with coloanal anastomosis seems acceptable.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (19)
참고문헌 신청
1. [학술지(정기간행물)] - Heald RJ / 1982 / The mesorectum in rectal cancer surgery-the clue to pelvic recurrence? / Br J Surg 69 : 613 ~ 616
2. [학술지(정기간행물)] - Chessin DB / 2004 / Surgical issues in rectal cancer: a 2004 update / Clin Colorectal Cancer 4 : 233 ~ 240
3. [학술지(정기간행물)] - Jeong SY / 2006 / Surgical treatment of rectal cancer: radical resection / Surg Oncol Clin N Am 15 : 95 ~ 107
4. [학술지(정기간행물)] - 김남규 / 2008 / 절제 가능한 직장암의 종양특이 직장간막절제술 후 종양학적 치료성적 및 안정성: 1,276예 분석 / Journal of the Korean Society of Coloproctolgy 24 (2) : 121 ~ 133
5. [학술지(정기간행물)] - Williams NS / 1983 / Reappraisal of the 5 centimetre rule of distal excision for carcinoma of the rectum: a study of distal intramural spread and of patients’ survival / Br J Surg 70 : 150 ~ 154
2. [학술지(정기간행물)] - Chessin DB / 2004 / Surgical issues in rectal cancer: a 2004 update / Clin Colorectal Cancer 4 : 233 ~ 240
3. [학술지(정기간행물)] - Jeong SY / 2006 / Surgical treatment of rectal cancer: radical resection / Surg Oncol Clin N Am 15 : 95 ~ 107
4. [학술지(정기간행물)] - 김남규 / 2008 / 절제 가능한 직장암의 종양특이 직장간막절제술 후 종양학적 치료성적 및 안정성: 1,276예 분석 / Journal of the Korean Society of Coloproctolgy 24 (2) : 121 ~ 133
5. [학술지(정기간행물)] - Williams NS / 1983 / Reappraisal of the 5 centimetre rule of distal excision for carcinoma of the rectum: a study of distal intramural spread and of patients’ survival / Br J Surg 70 : 150 ~ 154
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UCI(KEPA) : I410-ECN-0101-2013-514-002688315