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
- 2020.1
- 수록면
- 148 - 154 (7page)
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초록· 키워드
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Purpose: The study aims to assess the functional outcome of anal sphincter-sparing procedures (SSP) with total mesorectal excision (TME) for anorectal adenocarcinoma. Methods: In a multicentric, prospective, single-group study in the period between December 2012 and November 2017, 93 patients presented with anorectal adenocarcinoma were included in the study. Sixty-nine patients underwent SSP with TME. SSP included the combined approach of transabdominal TME with intersphincteric resection (ISR) or transanal transabdominal TME. Using the per anal examination scoring system (PASS), postoperative anal function was assessed after 1 year. Results: Bowel motility time was 50±19 hours. The time needed for narcotic analgesia was 54±18.8 hours. Mean hospital stay was 15.4±10.25 days. Incidence of evident fecal incontinence after ISR is 10.6% (7 of 67 cases). The PASS findings of 69 cases are as follows: extremely hypotonic 8.6% (6 cases), slightly hypotonic 26.1% (18 cases), normal tone 58% (40 cases), slightly stenotic 3 cases (4.3%), or occluded 2.9% (2 cases). Urinary dysfunction occurred in 1 case (1.4%). Temporary diversion was performed in 61 patients (87.1%). Conclusion: Sphincter preservation with TME for anorectal adenocarcinoma helps avoid permanent stoma and provides reasonable functional outcomes. PASS is a new application for postoperative assessment of anal function.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Heald RJ / 1982 / The mesorectum in rectal cancer surgery--the clue to pelvic recurrence? / Br J Surg 69:613~616
Bai X / 2012 / Sphincter-preserving surgery after preoperative radiochemotherapy for T3 low rectal cancers / Oncol Lett 3:1336~1340
Karanjia ND / 1990 / ‘Close shave’ in anterior resection / Br J Surg 77:510~512
Han F / 2010 / A new sphincter-preserving operation for low rectal cancer : ultralow anterior resection and colorectal/coloanal anastomosis by supporting bundling-up method / Int J Colorectal Dis 25:873~880
Wibe A / 2004 / Oncological outcomes after total mesorectal excision for cure for cancer of the lower rectum: anterior vs. abdominoperineal resection / Dis Colon Rectum 47:48~58
Bai X / 2012 / Sphincter-preserving surgery after preoperative radiochemotherapy for T3 low rectal cancers / Oncol Lett 3:1336~1340
Karanjia ND / 1990 / ‘Close shave’ in anterior resection / Br J Surg 77:510~512
Han F / 2010 / A new sphincter-preserving operation for low rectal cancer : ultralow anterior resection and colorectal/coloanal anastomosis by supporting bundling-up method / Int J Colorectal Dis 25:873~880
Wibe A / 2004 / Oncological outcomes after total mesorectal excision for cure for cancer of the lower rectum: anterior vs. abdominoperineal resection / Dis Colon Rectum 47:48~58
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