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대장의 양성질환 및 악성용종에 대한 복강경 대장절제술

Laparoscopic-assisted Colorectal Resection in Malignant Polyps and Benign Disease

대한대장항문학회지 2001년 17권 2호 p.84 ~ 90
강중구 ( Kang Jung-Gu ) - 국민건강보험공단 일산병원 외과학교실

김남규 ( Kim Nam-Kyu ) - 연세대학교 의과대학 외과학교실
윤성현 ( Yun Seong-Hyeon ) - 국민건강보험관리공단 일산병원 외과학교실
박재균 ( Park Jea-Kun ) - 연세대학교 의과대학 외과학교실
손승국 ( Sohn Seung-Kook ) - 연세대학교 의과대학 외과학교실
민진식 ( Min Jin-Sik ) - 연세대학교 의과대학 외과학교실

Abstract


Purpose: Laparoscopic colorectal procedures are widely used for benign disease but controversial for malignant disease. In early colorectal cancer, laparoscopic colectomy can be performed safely on the basis of oncologic principles. The purpose of this study is to evaluate the safety and effectiveness of laparoscopic-assisted colorectal resection for malignant polyps and benign disease.

Methods: Twenty five patients submitted to surgical treatment between Oct. 1996 to June 2000 were reviewed retrospectively.

Results: Malignant polyps comprized 7 cases whose resection margins were all positive for cancer cells after endoscopic polypectomy and benign diseases in 18 cases (benign polyp: 7, diverticular disease: 4, submucosal tumor: 4 etc.). The common sugical procedures were anterior or low anterior resection (7 cases) and segmental resection (6 cases). There was no conversion to an open surgery. In malignant polyps, pathologic results revealed early cancer with no lymph node metastasis. There was no operative mortality. Postoperative recovery was uneventful except 2 cases (9.0%) of complications, which were, prolonged ileus in one patient and subcutaneous emphysema in another patient.

Conclusion: Laparoscopic-assisted resection can be recommended as a safe and effective procedure for treatment of colonic malignant polyps and benign disease.

키워드

복강경 대장절제술;양성질환;악성용종
Laparoscopic surgery;Colorectal disease;Polyp
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