위절제술을 시행한 4기 위암 환자들의 근치도에 따른 예후

서유정; 배정민; 김세원; 김상운; 송선교

추천

검색

질문

자료유형: 학술저널

저자정보: 서유정 (영남대학교) 배정민 (영남대학교) 김세원 (영남대학교) 김상운 (영남대학교) 송선교 (영남대학교)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.77 No.3

발행연도: 2009.9

수록면: 170 - 176 (7page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: This study was conducted to evaluate the survival differences between curative stage Ⅳ and non-curative stage Ⅳ gastric cancers after gastrectomy.
Methods: Stage Ⅳ gastric cancer patients who received gastrectomy were selected from our surgical data-base from 1995 to 2004. These patients were separated into two groups according to the curability by surgery. We analyzed the survival differences between curative stage Ⅳ patients and non-curative stage Ⅳ patients. Survival analysis was performed by Kaplan-Meier survival analysis.
Results: During a 10-year period, gastrectomy was performed in 2,214 patients. 224 patients were diagnosed as stage Ⅳ. 144 patients were male and 80 patients were female. 97 patients received total gastrectomy. 127 patients received subtotal gastrectomy. 173 patients were diagnosed with curative stage Ⅳ and 51 patients were non-curative stage Ⅳ. Overall 3-year and 5-year survival rates of stage Ⅳ gastric cancer patients in this study were 31.5% and 18.4%. 3-YSR of curative and non-curative stage Ⅳ were 36.0% and 16.7% respectively (P-value=0.0204). 5-YSR of curative and non-curative stage Ⅳ was 21.9% and 4.2% (P-value=0.0169).
Conclusion: Significant survival differences were found between curative and non-curative stage Ⅳ. Although direct tumor extension or distant metastasis exists, gastrectomy with combined resection was important to improve prognosis if it is possible to resect. When it comes to the matter of survival rate, the subclassification of stage Ⅳ gastric cancer should be considered for further management.

#Gastric cancer #Stage Ⅳ #Curability #Survival rate #위암 #4기 #근치도 #생존율

참고문헌 (21)

참고문헌 신청

1. [학술지(정기간행물)] - 김유석 / 2008 / 4기 위암 환자의 임상적 특성 / 대한위암학회지 8 (2) : 91 ~ 96

2. [학술지(정기간행물)] - An JY / 2009 / Proposal to subclassify stage IV gastric cancer into IVA, IVB, and IVM / Arch Surg 144 : 38 ~ 45

3. [학술지(정기간행물)] - Park JM / 2007 / pN3M0 gastric cancer: the category that allows the sub-classification of stage-IV gastric cancer (IVa and IVb) / Ann Surg Oncol 14 : 2535 ~ 2542

4. [학술지(정기간행물)] - 최새별 / 2006 / 절제술을 시행한 4기 위암 환자의 예후 및 예후 인자 / 대한위암학회지 6 (1) : 18 ~ 24

5. [학술지(정기간행물)] - 하태경 / 2006 / 원격 전이 여부에 따른 4기 위암의 세분류(IVa 및 IVb) / 대한위암학회지 6 (3) : 173 ~ 180

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!