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題名 | Minimally Invasive Surgery of Colorectal Cancer for Patients with End-stage Renal Disease=末期腎衰竭病患罹患大腸直腸癌接受微創手術之成效 |
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作者 | 廖守富; 顏珉玄; 陳姿君; 洪基翔; 黃約翰; 林本仁; 梁金銅; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷期 | 31:1 2020.03[民109.03] |
頁次 | 頁49-54 |
分類號 | 416.245 |
關鍵詞 | 末期腎衰竭; 大腸直腸癌; 微創手術; ESRD; Colorectal cancer; Minimally invasive surgery; |
語文 | 英文(English) |
中文摘要 | 目的:藉由本研究呈現微創手術使用於末期腎衰竭病患罹患大腸直腸癌之治療成效。方法:我們回溯性蒐集單一醫學中心末期腎衰竭病患於2007年1月至2018年6月間罹患大腸直腸腫瘤並經腹腔鏡或機器人輔助大腸直腸腫瘤切除之案例。病患之臨床資訊、術中及術後臨床資料、加護病房住院日數、總住院日數、三十日內併發症及死亡率皆同步蒐集並加以分析。結果:共計二十名病患被納入此篇研究。手術相關死亡率為5%,手術後出現併發症機率為30%。其中,四位病患出現體內體液過多之併發症,需經血液透析與插管呼吸治療。另有兩位病患出現手術相關併發症,經治療後皆順利出院且無後遺症。五年存活率為58.1%。結論:本研究顯示末期腎衰竭病患罹患大腸直腸癌後經微創手術治療,其手術併發症發生機率與死亡率為可接受的。 |
英文摘要 | Purpose. To present the clinical outcome of the patient with end-stage renal disease (ESRD) who underwent minimally invasive colectomy. Materials and Methods. We retrospectively reviewed the patients with ESRD receiving laparoscopic or robotic surgery for colorectal cancer from Jan. 2007 to Jun. 2018 in a single institute. We analyzed the characteristics of the patients, intraoperative and postoperative variables, intensive care unit (ICU) stay, hospitalization, 30-day morbidity, and mortality rates. Results. Twenty patients were included in this study. The overall mortality rate was 5%. The morbidity rate within 30 days was 30%, with four of these patients having fluid overload caused by their renal disease. Two patients had surgery-related morbidity and both resolved without any deficit. The 5-year survival rate was 58.1%. Conclusion. This study showed low morbidity and mortality rates in patients with ESRD. Minimally invasive approach for colorectal cancer in ESRD patients is a safe and feasible method. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。