CAJ | 학술논문

目的：探讨结肠次全切除、逆蠕动盲直吻合术治疗结肠多原发癌和梗阻性左半结肠癌的疗效。方法回顾性分析一期或分期行结肠次全切除、逆蠕动盲直吻合术治疗的12例同时性结肠多原发癌、梗阻性左半结肠癌以及结肠癌伴多发腺瘤患者的临床资料。结果所有患者无吻合口瘘等严重并发症发生，无手术死亡病例。随访2年（1-3年），2例患者发生肝、肺远处转移，其中1例于术后16月死亡，其余患者未发现复发和转移。术后一年日平均大便次数2（1-3）次，Wexner肛门失禁评分4.0±1.2。结论结肠次全切除、逆蠕动盲直吻合术是治疗结肠多原发癌和梗阻性左半结肠癌的一种安全、有效的术式，但长期肿瘤学疗效需进一步证实。
목적：탐토결장차전절제、역연동맹직문합술치료결장다원발암화경조성좌반결장암적료효。방법회고성분석일기혹분기행결장차전절제、역연동맹직문합술치료적12례동시성결장다원발암、경조성좌반결장암이급결장암반다발선류환자적림상자료。결과소유환자무문합구루등엄중병발증발생，무수술사망병례。수방2년（1-3년），2례환자발생간、폐원처전이，기중1례우술후16월사망，기여환자미발현복발화전이。술후일년일평균대편차수2（1-3）차，Wexner항문실금평분4.0±1.2。결론결장차전절제、역연동맹직문합술시치료결장다원발암화경조성좌반결장암적일충안전、유효적술식，단장기종류학료효수진일보증실。
Objective To assess functional outcome of subtotal colectomy with antiperistaltic cecoproctostomy in the treatment for synchornous colon cancer and obstructive left colon cancer. Methods We retrospectively analyzed the data from 12 patients who underwent one-stage or two-staged subtotal colectomy with antiperistaltic cecoproctostomy for synchornous colon cancer and obstructive left colon cancer. Results There was no surgical mortality. No patient had anastomotic leakage. Al patients were fol owed up for 1-3 years (median, 2 years). Two patients experienced liver and lung metastasis, and one of them died on the 16 month after operation. One year after operation, the number of daily bowel movements are 1-3 times (median, 2 times).The Wexner continence scores were 4.0±1.2. Conclusions Subtotal colectomy with antiperistaltic cecoproctostomy is a safe and effective in the treatment of synchornous colon cancer and obstructive left colon cancer. The long-term oncological results need to be further confirmed.