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
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.94 No.1
- 발행연도
- 2018.1
- 수록면
- 26 - 35 (10page)
이용수
초록· 키워드
오류제보하기
Purpose: The aim of this study was to compare the long-term outcomes of total laparoscopic surgery with Natural Orifice Specimen Extraction (NOSE) with those for conventional laparoscopy (CL)-assisted surgery for treating rectal cancers.
Methods: We reviewed the prospectively collected records of 844 patients (163 NOSE and 681 CL) who underwent curative surgery for mid- or upper rectal cancers from January 2006 to November 2012. We applied propensity score analyses and compared oncological outcomes for the NOSE and CL groups in a 1:1 matched cohort.
Results: After propensity score matching, each group included 138 patients; the NOSE and CL groups did not differ significantly in terms of baseline clinical characteristics. The median follow-up was 57.7 months (interquartile range, 42.4–82.5 months). The combined 5-year local recurrence rate for all tumor stages was 4.1% (95% confidence interval [CI], 0.9%–7.4%) in the NOSE group and 3.0% (95% CI, 0%–6.3%) in the CL group (P = 0.355). The combined 5-year disease-free survival rates for all stages were 89.3% (95% CI, 84.3%–94.3%) in the NOSE group and 87.3% (95% CI, 81.8%–92.9%) in the CL group (P = 0.639). The postoperative mean fecal incontinence scores at 6, 12, and 24 months were similar between the 2 groups.
Conclusion: In our experience, NOSE for mid- and upper rectal cancer had acceptable long-term oncologic outcomes comparable to those of conventional minimal invasive surgery and seems to be a safe alternative to reduce access trauma.
Methods: We reviewed the prospectively collected records of 844 patients (163 NOSE and 681 CL) who underwent curative surgery for mid- or upper rectal cancers from January 2006 to November 2012. We applied propensity score analyses and compared oncological outcomes for the NOSE and CL groups in a 1:1 matched cohort.
Results: After propensity score matching, each group included 138 patients; the NOSE and CL groups did not differ significantly in terms of baseline clinical characteristics. The median follow-up was 57.7 months (interquartile range, 42.4–82.5 months). The combined 5-year local recurrence rate for all tumor stages was 4.1% (95% confidence interval [CI], 0.9%–7.4%) in the NOSE group and 3.0% (95% CI, 0%–6.3%) in the CL group (P = 0.355). The combined 5-year disease-free survival rates for all stages were 89.3% (95% CI, 84.3%–94.3%) in the NOSE group and 87.3% (95% CI, 81.8%–92.9%) in the CL group (P = 0.639). The postoperative mean fecal incontinence scores at 6, 12, and 24 months were similar between the 2 groups.
Conclusion: In our experience, NOSE for mid- and upper rectal cancer had acceptable long-term oncologic outcomes comparable to those of conventional minimal invasive surgery and seems to be a safe alternative to reduce access trauma.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Robotic Rectal Cancer Surgery
대한임상종양학회 학술대회지
2016 .02
-
Robotic versus conventional laparoscopic surgery for rectal cancer : systematic review and meta-analysis
Annals of Surgical Treatment and Research
2015 .09
-
Optimal Complete Rectum Mobilization Focused on the Anatomy of the Pelvic Fascia and Autonomic Nerves: 30 Years of Experience at Severance Hospital
Yonsei Medical Journal
2021 .01
-
Early And Late Clinical Outcomes of Minimally Invasive Surgery for Rectal Cancer: Comparison of Robotic And Laparoscopic Approach with Propensity Score Matching
대한외과학회 학술대회 초록집
2020 .11
-
Impact of Time Interval Between Chemoradiation and Surgery on Pathological Complete Response and Survival in Rectal Cancer
Asian Pacific journal of cancer prevention : APJCP
2016 .01
-
Comparison of oncologic outcomes among the open, laparoscopic-assisted and robotic-assisted rectal cancer surgery
대한임상종양학회 학술대회지
2019 .02
-
Robotic Rectal Surgery : Comparison of Short-term Outcomes
대한외과학회 학술대회 초록집
2017 .11
-
Experience of sexual life in men with rectal cancer
성인간호학회 학술대회
2016 .06
-
Rectal Cancer Surgery: From Open to Transanal
대한임상종양학회 학술대회지
2018 .02
-
Learning Curve for Single Port Robot Assisted Rectal Cancer Surgery
대한외과학회 학술대회 초록집
2020 .11
-
Greater Precision in Imaging, Surgery and Radiation : The Way Forward in Rectal Cancer
대한외과학회 학술대회 초록집
2016 .11
-
Advances in surgery for locally advanced rectal cancer
Annals of Coloproctology
2022 .08
-
The Role of Robotic Surgery for Rectal Cancer: Overcoming Technical Challenges in Laparoscopic Surgery by Advanced Techniques
Journal of Korean Medical Science
2015 .01
-
Current status and role of robotic approach in patients with low-lying rectal cancer
Annals of Surgical Treatment and Research
2022 .07
-
Comparison of the quality of total mesorectal excision after robotic and laparoscopic surgery for rectal cancer: a multicenter, propensity score-matched study
KOREAN JOURNAL OF CLINICAL ONCOLOGY
2021 .12
-
Long-term Oncologic Outcomes of Recurrent Rectal Cancer; A Single Center Retrospective Cohort Study
대한외과학회 학술대회 초록집
2020 .11
-
Oncologic outcomes of stage IIIA rectal cancer : Comparison with IIA and IIB/C rectal cancer
대한외과학회 학술대회 초록집
2016 .05
-
Rectal Cancer 2022 – Global Perspectives, Advances & Technology
대한임상종양학회 학술대회지
2022 .02
-
Outcomes of Preoperative Chemoradiotherapy and Combined Chemotherapy with Radiotherapy Without Surgery for Locally Advanced Rectal Cancer
Asian Pacific journal of cancer prevention : APJCP
2016 .01
-
Association between Metformin Use and Survival in Nonmetastatic Rectal Cancer Treated with a Curative Resection: A Nationwide Population Study
Cancer Research and Treatment
2017 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2018-514-001683812