지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.11
- 수록면
- 349 - 354 (6page)
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초록· 키워드
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Purpose: Combined organ resection is a common operation in gastric cancer surgery. The aim of this study is to investigate the risk of combined minor organ resection (GB, gynecologic organ, appendix etc) in gastric cancer surgery.
Methods: The clinical data from 673 consecutive patients who underwent gastrectomy for gastric cancer at a single center were retrospectively analyzed. We investigated clinical data between open groups (OG) and laparoscopy groups (LAG), and we divided the patients into 3 groups: no resection group, minor organ resection group and major organ (spleen, pancreas, and colon) resection group.
Results: There were higher complication rates in major organ resection group (59.3%, 53.8%) than no resection (32.3%, 19.1%) or minor organ resection groups (38.7%, 20%) both in OG and LAG (P＜0.05). However, there were longer hospital stays in minor (22.2 days) and major resection groups (24.1) than no resection group (16.2) in OG, but stays were longer in major resection group (30.9) than minor (14.5) and no resection group (16.2) in LAG (P＜0.01). Operative times were longer in minor (287 min) and major organ resection group (310) than no resection group (243) in OG (P＜0.00). However, operation time was longer in major resection group (505) than minor (415) and no resection group (370) in LAG (P=0.00).
Conclusion: Combined minor organ resection with gastrectomy does not increase morbidity, and there is no statistical difference in hospital stay and op time than no resection group in LAG.
Methods: The clinical data from 673 consecutive patients who underwent gastrectomy for gastric cancer at a single center were retrospectively analyzed. We investigated clinical data between open groups (OG) and laparoscopy groups (LAG), and we divided the patients into 3 groups: no resection group, minor organ resection group and major organ (spleen, pancreas, and colon) resection group.
Results: There were higher complication rates in major organ resection group (59.3%, 53.8%) than no resection (32.3%, 19.1%) or minor organ resection groups (38.7%, 20%) both in OG and LAG (P＜0.05). However, there were longer hospital stays in minor (22.2 days) and major resection groups (24.1) than no resection group (16.2) in OG, but stays were longer in major resection group (30.9) than minor (14.5) and no resection group (16.2) in LAG (P＜0.01). Operative times were longer in minor (287 min) and major organ resection group (310) than no resection group (243) in OG (P＜0.00). However, operation time was longer in major resection group (505) than minor (415) and no resection group (370) in LAG (P=0.00).
Conclusion: Combined minor organ resection with gastrectomy does not increase morbidity, and there is no statistical difference in hospital stay and op time than no resection group in LAG.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (15)
참고문헌 신청
1. [학술지(정기간행물)] - Ozer I / 2009 / Surgical outcomes and survival after multiorgan resection for locally advanced gastric cancer / Am J Surg 198 : 25 ~ 30
2. [학술지(정기간행물)] - Martin RC 2nd / 2002 / Extended local resection for advanced gastric cancer: increased survival versus increased morbidity / Ann Surg 236 : 159 ~ 165
3. [학술지(정기간행물)] - Hiratsuka T / 2007 / Simultaneous operation of laparoscopy-assisted distal gastrectomy with laparoscopic cholecystectomy / Hepatogastroenterology 54 : 1645 ~ 1647
4. [학술지(정기간행물)] - Park DJ / 2005 / Predictors of operative morbidity and mortality in gastric cancer surgery / Br J Surg 92 : 1099 ~ 1102
5. [학술지(정기간행물)] - Colen KL / 2004 / Multiorgan resection for gastric cancer: intraoperative and computed tomography assessment of locally advanced disease is inaccurate / J Gastrointest Surg 8 : 899 ~ 902
2. [학술지(정기간행물)] - Martin RC 2nd / 2002 / Extended local resection for advanced gastric cancer: increased survival versus increased morbidity / Ann Surg 236 : 159 ~ 165
3. [학술지(정기간행물)] - Hiratsuka T / 2007 / Simultaneous operation of laparoscopy-assisted distal gastrectomy with laparoscopic cholecystectomy / Hepatogastroenterology 54 : 1645 ~ 1647
4. [학술지(정기간행물)] - Park DJ / 2005 / Predictors of operative morbidity and mortality in gastric cancer surgery / Br J Surg 92 : 1099 ~ 1102
5. [학술지(정기간행물)] - Colen KL / 2004 / Multiorgan resection for gastric cancer: intraoperative and computed tomography assessment of locally advanced disease is inaccurate / J Gastrointest Surg 8 : 899 ~ 902
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