| 장폐색을 동반한 좌측 대장암에서 자가팽창형 금속 스텐트 삽입의 임상적 효과: 응급 수술과의 비교 |
| 김도영·김태일·김규원·김경규·김병창·신성재·박승우·이용찬·송시영·김원호·이강영*·김남규* |
| 연세대학교 의과대학 내과학교실, 소화기병연구소, *외과학교실 |
| Clinical Outcomes of Self-Expanding Metal Stent Insertion for Obstructive Left-Sided Colorectal Cancer: Comparison with Emergency Operation |
| Do Young Kim, M.D., Tae Il Kim, M.D., Kyu Won Kim, M.D., Kyung Kyu Kim, M.D., Byung Chang Kim, M.D., Sung Jae Shin, M.D., Seung Woo Park, M.D., Yong Chan Lee, M.D., Si Young Song, M.D., Won Ho Kim, M.D., Kang Young Lee, M.D.* and Nam Kyu Kim, M.D.* |
| Departments of Internal Medicine and *Surgery, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea |
|
|
|
|
| Abstract |
|
Background/Aims:
The aim of this study was to compare the outcome of colorectal stenting with that of performing emergency operation for the patients with malignant left-sided colon obstruction.
Methods:
The patients with obstructing left-sided colorectal cancer were treated with 'bridge to surgery stenting' and this was followed by operation (group A, n=20), emergency operation (group B, n=21), palliative stenting (group C, n=16), and emergency palliative operation (group D, n=15).
Results:
The primary anastomosis rate was significantly higher for group A than for group B (65.0 vs. 33.3%, respectively, p＜0.05). None of the patients in group A required intensive care and 3 patients in group B required intensive care. Post-operative complications occurred in 2 and 3 patients in group A and B, respectively. The mean hospital stay showed the tendency to be shorter for group A than for group B (24 vs. 31 days, respectively, p＞0.05). In regard to palliative treatment, the stoma creation rate was 86.7% for group D, and 2 patients in group D needed intensive care. The mean hospital stay was significantly shorter for group C than for group D (9.3 vs. 20.7 days, respectively, p＜0.05).
Conclusions:
Stent placement is a useful alternative to emergency surgery for the management of malignant colorectal obstruction. (Korean J Gastrointest Endosc 2006;32:253259) |
| Key Words:
Stent, Colorectal cancer |
| 주요어:
스텐트, 좌측 대장암 |
|
|
PDF Links
Full text via DOI 
Download Citation 
