Korean J Gastrointest Endosc > Volume 36(5); 2008 > Article
Korean Journal of Gastrointestinal Endoscopy 2008;36(5): 268-273.
좌측 대장직장암 폐색에서 스텐트 삽입 후 근치 수술의 유용성 및 비용-효과 분석
윤순만ㆍ변정식ㆍ김정욱ㆍ김도훈ㆍ도미영ㆍ김병규ㆍ권승현ㆍ예병덕ㆍ명승재ㆍ양석균ㆍ김희철*ㆍ유창식*ㆍ김진천*ㆍ김진호
울산대학교 의과대학 서울아산병원 내과학교실, *외과학교실
Usefulness and Cost-effectiveness of Colorectal Stent Followed by Curative Resection for Left-sided Malignant Colorectal Obstruction
Soon Man Yoon, M.D., Jeong-Sik Byeon, M.D., Jong Wook Kim, M.D., Do Hoon Kim, M.D., Mi Young Do, M.D., Byunggyu Kim, M.D., Seunghyun Kwon, M.D., Byong Duk Ye, M.D., Seung-Jae Myung, M.D., Suk-Kyun Yang, M.D., Hee Cheol Kim, M.D.*, Chang Sik Yu, M.D.*, Jin
Departments of Internal Medicine and *Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Abstract

Background/Aims:
We aimed to evaluate the cost-effectiveness of preoperative stent insertion for treating left-sided malignant colorectal obstruction.
Methods:
Patients with left-sided malignant colorectal obstruction were included in this study. The stent group (ST, n=24) included those patients who were treated with preoperative stent insertion followed by curative surgical resection. The clinical course and management cost of the ST group was compared to those of the emergency operation group (EO, n=22).
Results:
The patients' age (60.6±3.1 yrs vs. 62.1±3.2 yrs, p=0.74) and the male to female ratio (12:12 vs. 15:7, p=0.25) were not different between the ST and EO groups. The distribution of the postoperative pathologic stages was also not different. All the patients in the ST group underwent only one surgical operation, while 6 patients (27.3%) in the EO group underwent 2 or more surgeries (p<0.01). The mean hospital stay in the ST group was 22.0±0.8 days compared to 26.3±2.4 days in the EO group (p=0.09). Postoperative care in the intensive care unit was necessary for one patient (4.2%) in the ST group, while 7 patients (31.8%) in EO group needed postoperative care (p=0.02). Postoperative complications developed in one patient in the ST group, while 6 patients in the EO experienced postoperative complications (p=0.04). The mean total cost per patient was 7,974,236 won for the ST group while this was 9,271,630 won for the EO group (p=0.06).
Conclusions:
Preopreative stent insertion for treating left-sided malignant colorectal obstruction is more cost-effective than an emergency operation. (Korean J Gastrointest Endosc 2008;36:268-273)
Key Words: Colorectal obstruction, Stent, Cost-effectiveness
주요어: 대장암 폐색, 스텐트, 비용-효과
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Share:      
METRICS
2,043
View
11
Download
Related articles
Usefulness and Future Prospects of Confocal Laser Endomicroscopy for Gastric Premalignant and Malignant Lesions  2015 November;48(6)
Status and Literature Review of Self-Expandable Metallic Stents for Malignant Colorectal Obstruction  2014 January;47(1)
A Comparative Study on the Efficacy of Covered Metal Stent and Plastic Stent in Unresectable Malignant Biliary Obstruction  2012 March;45(1)
The Effect of Self-Expanding Metallic Stent Insertion for the Treatment ofMalignant Colorectal Obstruction  2008 May;36(5)
A Comparative Study on the Efficacy of Covered Metal Stent and Plastic Stent in Malignant Biliary Obstruction  2003 August;27(2)
Editorial Office
Korean Society of Gastrointestinal Endoscopy
#817, 156 Yanghwa-ro (LG Palace, Donggyo-dong), Mapo-gu, Seoul, 04050, Korea
TEL: +82-2-335-1552   FAX: +82-2-335-2690    E-mail: CE@gie.or.kr
Copyright © Korean Society of Gastrointestinal Endoscopy.                 Developed in M2PI
Close layer