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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
- 167 - 174 (8page)
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The aim of this review is to evaluate the outcomes after an intersphincteric resection (ISR) for patients with low-lying rectal cancer. Reports published in the literature regarding surgical, oncological, and functional outcomes of an ISR were reviewed. The morbidity after an ISR was 7.7%–32%, and anastomotic leakage was the most common adverse event. Local recurrence rates ranged from 0% to 12%, 5-year overall survival rates ranged from 62% to 92%, and rates of major incontinence ranged from 0% to 25.8% after an ISR. An ISR is a safe procedure for sphincter-saving rectal surgery in patients with very low rectal cancer; it does not compromise the oncological outcomes of the resection and is a valuable alternative to an abdominoperineal resection. While the functional outcomes after an ISR were found to be acceptable, the long-term functional outcome and quality of life still require careful investigation. ISRs have been performed with surgical and oncologic safety on patients with low-lying rectal cancer. However, patients must be selected very carefully for an ISR, considering the associated functional derangement and the limited extent of the resection.
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등록된 정보가 없습니다.
참고문헌 (50)
참고문헌 신청
Cohen Z / 1983 / Double stapling technique for low anterior resection / Dis Colon Rectum 26:231~235
Baran JJ / 1992 / The double-staple technique in colorectal anastomoses: a critical review / Am Surg 58:270~272
Heald RJ / 2007 / Mastery of surgery / Lippincott-Raven :1542~1555
Heald RJ / 1998 / Rectal cancer: the Basingstoke experience of total mesorectal excision, 1978-1997 / Arch Surg 133:894~899
Pollett WG / 1983 / The relationship between the extent of distal clearance and survival and local recurrence rates after curative anterior resection for carcinoma of the rectum / Ann Surg 198:159~163
Baran JJ / 1992 / The double-staple technique in colorectal anastomoses: a critical review / Am Surg 58:270~272
Heald RJ / 2007 / Mastery of surgery / Lippincott-Raven :1542~1555
Heald RJ / 1998 / Rectal cancer: the Basingstoke experience of total mesorectal excision, 1978-1997 / Arch Surg 133:894~899
Pollett WG / 1983 / The relationship between the extent of distal clearance and survival and local recurrence rates after curative anterior resection for carcinoma of the rectum / Ann Surg 198:159~163
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