http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 주제어 : 복강내 항암화학요법 (검색결과 1 건)
- 무료
- 기관 내 무료
- 유료
-
대장암의 근치적 절제술 후 발생한 복막 재발의 위험 인자
강병모(Byung Mo Kang),최규석(Gyu Seog Choi),임경훈(Kyoung Hoon Lim),박인자(In Ja Park),전수한(Soo Han Jun) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.79 No.5
Purpose: Peritoneal recurrence after curative resection of colorectal cancer has been considered to be a lethal condition and to be suitable for palliative chemotherapy. Recently, aggressive approaches such as cytoreductive surgery and perioperative intraperitoneal chemotherapy were introduced for peritoneal malignancies to improve survival. The aim of this study is to identify the risk factors of peritoneal recurrence after curative resection of colorectal cancer and to determine the indication of early postoperative intraperitoneal chemotherapy (EPIC). Methods: From January 1997 to December 2007, a total of 2,320 patients’ records with curative resection for colorectal cancer were collected through the prospective colorectal cancer registry protocol in Kyungpook National University Hospital, Korea. Of those, a total of 1,929 patients were included for analysis of the relationship between perioperative clinicopathologic variables and peritoneal recurrence. Results: The study group was composed of 1,086 men and 843 women with a mean age of 61.1. In multivariate analysis, preoperative level of serum CA19-9>37 U/㎖ (odd ratio [OR] 3.217; 95% confidence interval [95% CI] 1.525∼6.788), right colon cancer (OR 2.524; 95% CI 1.158∼5.502), pT4 tumor (OR 2.131; 95% CI 1.009∼4.502) and positive apical lymph node (OR 3.045; 95% CI 1.023∼9.066) were independent risk factors of peritoneal recurrence after curative resection of colorectal cancer. Conclusion: In colorectal cancer patients with increased preoperative serum levels of CA19-9, right-sided location, serosal exposure or invasion of adjacent organ, and positive apical lymph node, more scrupulous surveillance for peritoneal recurrence was necessary during the postoperative follow-up period. In selective patients with risk factors of peritoneal recurrence, more aggressive strategies for management, such as EPIC, were able to be considered under the acceptable general condition and life-expectancy.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
