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외과적 치료
결장(Colon)
Key: x= complete * = partial o = optional
| Segment | Colon | Lymph nodes | Other Organs | |
|---|---|---|---|---|
| Local tumor destruction without specimen Includes cryosurgery, fulguration, laser surgery (vaporization), electrocautery |
* | |||
| Local excision with pathologic specimen Includes endoscopic snare, excisional laser surgery, polypectomy |
* | |||
| Partial(subtotal) colectomy but less than hemicolectomy; includes wedge resection, segmental resection, cecectomy(cecum), transverse colectomy, sigmoidectomy(sigmoid), ileocolectomy, enterocolectomy, partial resection of a colonic flexure | x | * | x | o |
| Hemicolectomy but less than total colectomy Includes colectomy (right/ascending or left/descending) from mid-transverse laterally |
* | x | o | |
| Total colectomy Includes cecum through to sigmoid/rectosigmoid or part of rectum |
x | x | o | |
| Colectomy, Not Otherwise Specified, NOS | */x | * | x | o |
| Colectomy of any type plus partial/ total removal of other organs |
*/x | x | o | |
| Surgery of regional and/or distant sites or nodes | * |
* Other organs: mesentery, mesocolon, peritoneum, omentum, terminal ileum
직장(Rectum)
Key: x= complete * = partiall o = optional ●=see note under procedure
| Rectum | Recto-sigmoid | Lymph nodes | Sphincter | Other Organs | Permanent Colostomy |
|
|---|---|---|---|---|---|---|
|
Local tumor
destruction without specimen Includes cryosurgery, fulguration, laser surgery (vaporization), electrocautery |
* | |||||
|
Local excision with
pathologic specimen Includes endoscopic snare, excisional laser surgery, polypectomy |
* | |||||
| Partial proctectomy | x | |||||
|
Rectal resection, Not Otherwise Specified |
x | x | x | o | ||
| Wedge or segmental resection | x | o | o | |||
|
Transsacral rectosigmoidectomy |
x | x | x | |||
| Hartmann's operation | x | x | x | rectal-pouch | descending | |
| Anterior/posterior resection |
x | x | x | |||
|
Pull-through resection
with sphincter preservation; includes: Altemeier's operation, Soave's submucosal resection |
x | o | x | |||
| Duhamel's operation | x | x | x | sigmoid | ||
| Swenson's procedure | x | x | x | * | ||
| Turnbull procedure | x | o | x | pre-served | ||
| Abdomino-perineal
resection
(complete proctectomy) descending ● anus, perineal skin, fat and nerves |
x | x | x | x | ● | x |
| Miles' operation ● perianal excision of rectum and anus |
x | x | x | x | ● | X descending |
| Rankin's operation | x | o | x | x | x | |
|
Pelvic exenteration (partial or total) |
x | o | x | x | x | x |
|
Surgery of regional and/or distant sites or nodes |
*/x |
* Other organs: bladder, prostate, pelvic contents, bony pelvis, pelvic blood vessels, ligamentous attachments
