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근치적 절제술을 시행한 대장암 환자에서 복강경 수술과 개복수술의 중기 결과

Mid-term Results of Laparoscopic Surgery and Open Surgery for Radical Treatment of Colorectal Cancer

대한대장항문학회지 2008년 24권 5호 p.373 ~ 379
이길재 ( Lee Gil-Jae ) - 가천의과학대학교 길병원 외과학교실

이정남 ( Lee Jung-Nam ) - 가천의과학대학교 길병원 외과학교실
오재환 ( Oh Jae-Hwan ) - 가천의과학대학교 길병원 외과학교실
백정흠 ( Baek Jeong-Heum ) - 가천의과학대학교 길병원 외과학교실

Abstract


Purpose: The aims of this study were to assess the oncologic safety of laparoscopic colorectal surgery compared to that of conventional open surgery and to compare the disease- free survival (DFS) rates between laparoscopic and open colorectal surgery for radical treatment of colorectal cancer.

Methods: From January 2001 to December 2005, 583 patients underwent laparoscopic or conventional open surgery. To address only radical treatment of colorectal cancer, we excluded subjects who had undergone emergency or palliative operation. Four hundred ninety patients were identified for this study. The laparoscopic (LG) and open group (OG) had 74 and 166 patients, respectively, for colon cancer, and 92 and 158 patients, respectively, for the rectal cancer.

Results: No difference was noted in the lengths of the distal margins of the resected bowels between the LG and the OG for rectal cancer (P>0.05). In addition, no significant difference was found in DFS rates between the LG and the OG for both colon and rectal cancer (P>0.05).

Conclusions: The laparoscopic technique does not seem to present any disadvantages and is safe and feasible for the treatment of colorectal cancer. No difference was found between laparoscopic and open surgery in terms of DFS for colorectal cancer. J Korean Soc Coloproctol 2008;24:373-379

키워드

복강경 수술;대장암;생존율
Laparoscopic surgery;Colorectal cancer;Survival
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