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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.90 No.1
- 발행연도
- 2015.12
- 수록면
- 29 - 35 (7page)
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Purpose: Treatment of patients with para-aortic lymph node metastasis from colorectal cancer is controversial. The goal of this study was to investigate the technical feasibility of laparoscopic intrarenal para-aortic lymph node dissection in patients with colorectal cancer and clinically suspected para-aortic lymph node dissection.
Methods: The inclusion criteria for the laparoscopic approach were patients with infrarenal para-aortic lymph node metastasis from colorectal cancer. Patients who had any other distant metastatic lesion or metachronous para-aortic lymph node metastasis were excluded from this study. Perioperative outcomes and survival outcomes were analyzed.
Results: Between November 2004 and October 2013, 40 patients underwent laparoscopic para-aortic lymph node dissection. The mean operating time was 192.3 ± 68.8 minutes (range, 100–400 minutes) and the mean estimated blood loss was 65.6 ± 52.6 mL (range, 20–210 mL). No patient required open conversion. The postoperative complication rate was 15.0%. Sixteen patients (40.0%) had pathologically positive lymph nodes. In patients with metastatic para-aortic lymph nodes, the 3-year overall survival rate and disease-free survival rate were 65.7% and 40.2%, respectively.
Conclusion: The results of our study suggest that a laparoscopic approach for patients with colorectal cancer with metastatic para-aortic lymph nodes can be a reasonable option for selected patients.
Methods: The inclusion criteria for the laparoscopic approach were patients with infrarenal para-aortic lymph node metastasis from colorectal cancer. Patients who had any other distant metastatic lesion or metachronous para-aortic lymph node metastasis were excluded from this study. Perioperative outcomes and survival outcomes were analyzed.
Results: Between November 2004 and October 2013, 40 patients underwent laparoscopic para-aortic lymph node dissection. The mean operating time was 192.3 ± 68.8 minutes (range, 100–400 minutes) and the mean estimated blood loss was 65.6 ± 52.6 mL (range, 20–210 mL). No patient required open conversion. The postoperative complication rate was 15.0%. Sixteen patients (40.0%) had pathologically positive lymph nodes. In patients with metastatic para-aortic lymph nodes, the 3-year overall survival rate and disease-free survival rate were 65.7% and 40.2%, respectively.
Conclusion: The results of our study suggest that a laparoscopic approach for patients with colorectal cancer with metastatic para-aortic lymph nodes can be a reasonable option for selected patients.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (21)
참고문헌 신청
[학술지(정기간행물)] - Fleshman J. / 2007 / Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial / Ann Surg 246 : 655 ~ 662
[학술지(정기간행물)] - Colon Cancer Laparoscopic or Open Resection Study Group. / 2009 / Survival after laparoscopic surgery versus open surgery for colon cancer : long-term outcome of a randomised clinical trial / Lancet Oncol 10 : 44 ~ 52
[학술지(정기간행물)] - Marks J. / 2010 / Laparoscopic transanal abdominal transanal resection with sphincter preservation for rectal cancer in the distal 3 cm of the rectum after neoadjuvant therapy / Surg Endosc 24 : 2700 ~ 2707
[학술지(정기간행물)] - Park JS. / 2011 / Laparoscopic versus open intersphincteric resection and coloanal anastomosis for low rectal cancer : intermediateterm oncologic outcomes / Ann Surg 254 : 941 ~ 946
[학술지(정기간행물)] - Park JS. / 2011 / Laparoscopic extended lateral pelvic node dissection following total mesorectal excision for advanced rectal cancer : initial clinical experience / Surg Endosc 25 : 3322 ~ 3329
[학술지(정기간행물)] - Colon Cancer Laparoscopic or Open Resection Study Group. / 2009 / Survival after laparoscopic surgery versus open surgery for colon cancer : long-term outcome of a randomised clinical trial / Lancet Oncol 10 : 44 ~ 52
[학술지(정기간행물)] - Marks J. / 2010 / Laparoscopic transanal abdominal transanal resection with sphincter preservation for rectal cancer in the distal 3 cm of the rectum after neoadjuvant therapy / Surg Endosc 24 : 2700 ~ 2707
[학술지(정기간행물)] - Park JS. / 2011 / Laparoscopic versus open intersphincteric resection and coloanal anastomosis for low rectal cancer : intermediateterm oncologic outcomes / Ann Surg 254 : 941 ~ 946
[학술지(정기간행물)] - Park JS. / 2011 / Laparoscopic extended lateral pelvic node dissection following total mesorectal excision for advanced rectal cancer : initial clinical experience / Surg Endosc 25 : 3322 ~ 3329
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UCI(KEPA) : I410-ECN-0101-2016-514-002399293