Cancer Specific Long-term Survival After Surgery for Carcinoma of the Splenic Flexure
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概要
- 論文の詳細を見る
Purpose: Carcinoma of the splenic flexure is uncommon and it is associated with a high risk of obstruction. However, survival after resection of this tumor is controversial. The aim of this study was to evaluate cancer specific long-term survival after surgery for splenic flexure cancers compared to survival for the colon cancer at other sites. Patients and Methods: Of 500 patients undergoing surgery for colon cancer, 16 (3.2%) had cancers of the splenic flexure. Clinicopathological features and cancer specific longterm survival after curative resection were evaluated. Results: Splenic flexure carcinomas were found to be associated with a high risk of obstruction (4 out of 16; 25.0%) and a high risk of penetration/perforation (1 out of 16; 6.2%) compared with colon cancers at other sites (P <0.0001 and P=0.0128, respectively). Operative mortality rate for patients with carcinomas of splenic flexure was significantly higher than that of other sites (6.3% versus 0.8%; P=0.0319). However, resection for splenic flexure tumors was usually possible, and there was no difference in cancer specific long-term survival after surgery between the patients with splenic flexure cancers and the other site colon cancers (P=0.3505). Conclusions: Carcinoma of the splenic flexure has a similar prognosis to colon cancer at other sites.
- 長崎大学の論文
著者
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Tsuji T
長崎大学 医学部第二内科
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Nagayasu Takeshi
長崎大学 大学院腫瘍外科
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Yamaguchi H
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Yamaguchi Hiroyuki
長崎大学 医歯薬総研究腫瘍外科学
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Tagawa Y
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Yasutake Toru
長崎大学 医歯薬学総合研究科腫瘍外科学
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辻 孝
Hokkaido Univ. Sapporo Jpn
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Nakagoe Tohru
First Department Of Surgery Nagasaki University School Of Medicine
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Sawai T
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Sawai Terumitsu
First Department Of Surgery Nagasaki University School Of Medicine
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SAWAI TERUMITSU
Department of Translational Medical Sciences, Division of Surgical Oncology, Nagaski University Grad
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JIBIKI Masaaki
The First Department of Surgery, Nagasaki University School of Medicine
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Tsuji Takashi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Ishikawa Hidemasa
The Department Of Internal Medicine Ii Fukushima Medical University School Of Medicine
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Nakashima Atsushi
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Yano Hiroshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Jibiki Masaaki
The First Department Of Surgery Nagasaki University School Of Medicine
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Ayabe Hiroyoshi
First Department Of Surgery Nagasaki University School Of Medicine
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Ayzbe Hiroyoshi
First Department Of Surgery Nagasaki University School Of Medicine
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Nagayasu Takeshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Ishikawa Hiroshi
Department Of Surgery Sasebo Municipal Hospital
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Tsuchiya Tomoshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Yano Hiroshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Nagayasu Takeshi
長崎大学 大学院医歯薬学総合研究科腫瘍外科第1外科
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