Laparoscopic Surgery for Colorectal Cancer in Korea: Nationwide Data from 2008~2013
Laparoscopic Surgery for Colorectal Cancer in Korea: Nationwide Data from 2008~2013
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韩国腹腔镜结直肠癌手术：2008~2013年全国数据
DOI：
10.7602/jmis.2015.18.2.39
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Suk
中科院分区：
文献类型：
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作者：
Sun Jin Park;K. Lee;Suk
本研究的目的是报告韩国腹腔镜结直肠癌（CRC）手术目前实践的全国性数据。2008年至2013年的全国结直肠癌手术数据来自健康保险审查和评估服务数据库，并对CRC手术患者进行了回顾性分析。我们评估了六年来每种结直肠切除术中腹腔镜的使用趋势。2008年至2013年，全国共有105，305例结直肠癌患者接受切除术，其中55.3%的病例接受了腹腔镜手术。腹腔镜手术比例从2008年的42.6%上升到2013年的64.7%。结肠癌最常见的部位是乙状结肠，其次是升结肠和直肠乙状结肠交界处，共占所有结肠癌病例的64.9%。前三位手术是低位前切除术、半结肠切除术和前切除术，共占所有CRC的87.3%。对于低位前切除术，腹腔镜手术率从2008年的44.8%增加到2013年的69.8%。直肠癌腹会阴切除术的比例从2008年的10.6%持续下降至2013年的7.5%。在过去的六年中，共进行了2520例机器人CRC手术。直肠癌的机器人手术数量稳步增加，而结肠癌的机器人手术数量则有所下降。总体而言，2008年CRC的微创手术率为43.5%，2013年增加到65.7%。在韩国，CRC的腹腔镜切除率非常高，并继续显示出稳定的增长。
The aim of this study was to report nationwide data on the current practice of laparoscopic colorectal cancer (CRC) surgery in Korea. Nationwide surgical data for colorectal cancer from 2008 to 2013 were obtained from the Health Insurance Review & Assessment Service database and a retrospective analysis of CRC surgery patients was conducted. The trends in laparoscopy use for each procedure of colorectal resection over six years were evaluated. From 2008 to 2013, a total of 105,305 patients nationwide underwent resection for CRC, and 55.3% of the cases underwent laparoscopic surgery. The proportion of laparoscopic resection increased from 42.6% in 2008 to 64.7% in 2013. The most common site of colon cancer was sigmoid, followed by ascending, and rectosigmoid junction, which together accounted for 64.9% of all colon cancer cases. The three leading procedures were low anterior resection, hemicolectomy, and anterior resection, which together accounted for 87.3% of all CRCs. For low anterior resection, the rate of laparoscopy increased from 44.8% in 2008 to 69.8% in 2013. The percentage of abdominoperineal resection for rectal cancer continued to decrease from 10.6% in 2008 to 7.5% in 2013. Over the six years, a total of 2520 robotic surgeries for CRC were performed. The number of robotic surgeries for rectal cancer showed a steady increase, whereas that for colon cancer decreased. Overall, the rate of minimally invasive surgeries for CRC was 43.5% in 2008 and increased to 65.7% in 2013. The laparoscopic resection rate for CRC in Korea is very high and continues to show a steady increase.