Long-term outcomes after Natural Orifice Specimen Extraction versus conventional laparoscopy-assisted surgery for rectal cancer: a matched case-control study
DC Field | Value | Language |
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dc.contributor.author | Park, Jun Seok | - |
dc.contributor.author | Kang, Hyun | - |
dc.contributor.author | Park, Soo Yeun | - |
dc.contributor.author | Kim, Hye Jin | - |
dc.contributor.author | Lee, In Taek | - |
dc.contributor.author | Choi, Gyu-Seog | - |
dc.date.available | 2019-01-22T14:15:50Z | - |
dc.date.issued | 2018-01 | - |
dc.identifier.issn | 2288-6575 | - |
dc.identifier.issn | 2288-6796 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/1368 | - |
dc.description.abstract | 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 [Cl], 0.9%-7.4%) in the NOSE group and 3.0% (95% Cl, 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% Cl, 84.3%-94.3%) in the NOSE group and 87.3% (95% Cl, 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. | - |
dc.format.extent | 10 | - |
dc.publisher | KOREAN SURGICAL SOCIETY | - |
dc.title | Long-term outcomes after Natural Orifice Specimen Extraction versus conventional laparoscopy-assisted surgery for rectal cancer: a matched case-control study | - |
dc.type | Article | - |
dc.identifier.doi | 10.4174/astr.2018.94.1.26 | - |
dc.identifier.bibliographicCitation | ANNALS OF SURGICAL TREATMENT AND RESEARCH, v.94, no.1, pp 26 - 35 | - |
dc.identifier.kciid | ART002294275 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.wosid | 000419538400005 | - |
dc.identifier.scopusid | 2-s2.0-85040718854 | - |
dc.citation.endPage | 35 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 26 | - |
dc.citation.title | ANNALS OF SURGICAL TREATMENT AND RESEARCH | - |
dc.citation.volume | 94 | - |
dc.type.docType | Article | - |
dc.publisher.location | 대한민국 | - |
dc.subject.keywordAuthor | Natural Orifice Endoscopic Surgery | - |
dc.subject.keywordAuthor | Survival | - |
dc.subject.keywordAuthor | Rectal cancer | - |
dc.subject.keywordAuthor | Laparoscopy | - |
dc.subject.keywordPlus | RIGHT HEMICOLECTOMY | - |
dc.subject.keywordPlus | RANDOMIZED-TRIAL | - |
dc.subject.keywordPlus | RESECTION | - |
dc.subject.keywordPlus | COLECTOMY | - |
dc.subject.keywordPlus | CHOLECYSTECTOMY | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | ANASTOMOSIS | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
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