閉塞性大腸癌に対するbridge to surgeryとしての大腸ステントと経肛門イレウス管の比較検討

茂木, 大輔; 西村, 淳; 岡, 宏充; 川原, 聖佳子; 北見, 智恵; 牧野, 成人; 河内, 保之; 新国, 恵也

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Comparison of Short-and Long-term Outcomes After Insertion of Metallic Stent and Trans-anal Ileus Tube for Obstructive Colorectal Cancer as a Bridge to Surgery: A Retrospective Study

http://hdl.handle.net/10191/00051594

	名前 / ファイル	ライセンス	アクション
	132(11-12)_389-396.pdf (1.7 MB)

Item type

紀要論文 / Departmental Bulletin Paper(1)

公開日

2020-04-14

タイトル

閉塞性大腸癌に対するbridge to surgeryとしての大腸ステントと経肛門イレウス管の比較検討

タイトル

言語

タイトル

Comparison of Short-and Long-term Outcomes After Insertion of Metallic Stent and Trans-anal Ileus Tube for Obstructive Colorectal Cancer as a Bridge to Surgery: A Retrospective Study

言語

jpn

キーワード

主題Scheme

Other

主題

閉塞性大腸癌

キーワード

主題Scheme

Other

主題

大腸ステント

キーワード

主題Scheme

Other

主題

経肛門イレウス管

キーワード

主題Scheme

Other

主題

bridge to surgery

資源タイプ

資源

http://purl.org/coar/resource_type/c_6501

タイプ

departmental bulletin paper

その他のタイトル

Comparison of Short-and Long-term Outcomes After Insertion of Metallic Stent and Trans-anal Ileus Tube for Obstructive Colorectal Cancer as a Bridge to Surgery: A Retrospective Study

著者

著者別名

識別子

177769

識別子Scheme

WEKO

姓名

MOTEGI, Daisuke

著者別名

識別子

48558

識別子Scheme

WEKO

姓名

NISHIMURA, Atsushi

著者別名

識別子

71352

識別子Scheme

WEKO

姓名

OKA, Hiromitsu

著者別名

識別子

57653

識別子Scheme

WEKO

姓名

KAWAHARA, Mikako

著者別名

識別子

49599

識別子Scheme

WEKO

姓名

KITAMI, Chie

著者別名

識別子

48645

識別子Scheme

WEKO

姓名

MAKINO, Shigeto

著者別名

識別子

177770

識別子Scheme

WEKO

姓名

KAWACHI, Yasuyuki

著者別名

識別子

57656

識別子Scheme

WEKO

姓名

NIKKUNI, Keiya

抄録

内容記述タイプ

Abstract

内容記述

【目的】閉塞性大腸癌に対し緊急手術を回避するbridge to surgery（以下，BTS）のための経肛門的滅圧法には大腸ステントと経肛門イレウス管があるが，BTSを目的とするステント留置には賛否両論があるのが現状である．本研究では，当院における大腸ステントと経肛門イレウス管の短期，長期成績を探索的に比較検討した．
　【方法】当院で2011年1月から2016年12月までに閉塞性大腸癌に対してBTSのために経肛門的滅圧術を施行し，その後切除術を行った89例（ステント群：44例，イレウス管群：45例）の短期成績を比較した．長期成績はStage Ⅳを除く根治切除症例（ステント群：31例，イレウス管22例）で比較した．なおステントの保険収載時期により，ステント群は2012年4月以降の症例である．
　【結果】ステント群では優位に滅圧成功率が高く（90.9% vs 66.7%，P=0.005），人工肛門が必要な割合が低く（6.8% vs 55.6%，P<0.001），術後在院日数も短かった（8.5日 vs 17日，P<0.001）．根治切除症例においては，両群間で脈管侵襲の程度や再発率，全生存率に有意差は認めなかった．滅圧術の際に穿孔をきたした3例中（ステント群1例，イレウス管群2例），2例が腹膜播種再発をきたした．
　【結語】閉塞性大腸癌に対するBTSのための滅圧法として大腸ステントは非常に有用であるが，穿孔の回避に細心の注意が必要である．

書誌情報

新潟医学会雑誌
en : NIIGATA MEDICAL JOURNAL

巻 132, 号 11-12, p. 389-396, 発行日 2018-12

出版者

新潟医学会

ISSN

収録物識別子タイプ

ISSN

収録物識別子

00290440

書誌レコードID

収録物識別子タイプ

NCID

収録物識別子

AA10826261

著者版フラグ

値

publisher

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Comparison of Short-and Long-term Outcomes After Insertion of Metallic Stent and Trans-anal Ileus Tube for Obstructive Colorectal Cancer as a Bridge to Surgery: A Retrospective Study

× 茂木, 大輔

× 西村, 淳

× 岡, 宏充

× 川原, 聖佳子

× 北見, 智恵

× 牧野, 成人

× 河内, 保之

× 新国, 恵也

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