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
- 2018.1
- 수록면
- 1 - 9 (9page)
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초록· 키워드
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OBJECTIVE: To determine factors affecting voiding recovery on the day of Foley catheter removal (postoperative day 7, POD7) after nerve-sparing radical hysterectomy (NSRH) for early-stage cervical cancer. METHODS: Early-stage cervical cancer patients, who underwent type C1 radical hysterectomy between January 2006 and June 2016 were included. Clinical and pathological data were reviewed. Association between inability to attain adequate voiding function on POD7 and potential predicting factors were evaluated in univariate and multivariate analysis. RESULTS: Of 755 patients, 383 (50.7%) resumed adequate voiding function on POD7 while 372 (49.3%) did not. Tumor size was larger in patients whose voiding function was inadequate (2.5 vs. 2.0 cm, p=0.001). Lengths of resected parametria and adjacent vagina were more extensive in patients with inadequate voiding function (p<0.001). In univariate analysis, factors significantly associated with inability to attain adequate voiding function included tumor size >4 cm (p<0.001), primary surgeon (p<0.001), postoperative urinary tract infection (p<0.01), grossly visible tumor (p<0.01), and not having prior conization (p<0.01). In multivariate analysis, tumor size >4 cm, postoperative urinary tract infection, and primary surgeon were significantly associated with inability to attain adequate voiding function on POD7. CONCLUSION: Extent of disease represented by tumor size, urinary tract infection as well as individual surgeon's technique independently predict resumption of adequate voiding function on POD7 following NSRH.
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참고문헌 (25)
참고문헌 신청
Sankaranarayanan R / 2008 / Cervical cancer: screening and therapeutic perspectives / Med Princ Pract 17:351~364
Landoni F / 1997 / Randomised study of radical surgery versus radiotherapy for stage Ib-IIa cervical cancer / Lancet 350:535~540
Zullo MA / 2003 / Vesical dysfunctions after radical hysterectomy for cervical cancer: a critical review / Crit Rev Oncol Hematol 48:287~293
Butler-Manuel SA / 1999 / Self-assessment of morbidity following radical hysterectomy for cervical cancer / J Obstet Gynaecol 19:180~183
Fujii S / 2007 / Anatomic identification and functional outcomes of the nerve sparing Okabayashi radical hysterectomy / Gynecol Oncol 107:4~13
Landoni F / 1997 / Randomised study of radical surgery versus radiotherapy for stage Ib-IIa cervical cancer / Lancet 350:535~540
Zullo MA / 2003 / Vesical dysfunctions after radical hysterectomy for cervical cancer: a critical review / Crit Rev Oncol Hematol 48:287~293
Butler-Manuel SA / 1999 / Self-assessment of morbidity following radical hysterectomy for cervical cancer / J Obstet Gynaecol 19:180~183
Fujii S / 2007 / Anatomic identification and functional outcomes of the nerve sparing Okabayashi radical hysterectomy / Gynecol Oncol 107:4~13
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