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
- 2008.2
- 수록면
- 115 - 120 (6page)
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초록· 키워드
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Purpose: Despite known advantages of laparoscopy-assisted distal gastrectomy (LADG) over open surgery, including less blood loss, less pain, faster recovery, and shorter hospital stays, many surgeons still hesitate to perform LADG in overweight patients due to concerns about increased perioperative morbidity. We investigated whether surgical outcomes in LADG differ in overweight patients and normal patients, as well as the influence of surgical experience.
Methods: Between April 2004 and December 2006, 331 consecutive patients underwent LADG for preoperatively diagnosed early gastric cancer. Using the definition of overweight by western criteria, patients were classified into a low (n = 187, BMI ＜25 ㎏/㎡) and a high (n=144, BMI ＞25 ㎏/㎡) group. We retrospectively analyzed surgical outcomes, including operation time, retrieved lymph nodes, hospital courses, and postoperative complications.
Results: The only differences in overweight and normal patients were longer operation time, incision length, and fewer retrieved lymph nodes. As our surgical team accumulated experience (after 250 cases in our study), there were no differences at all between the two groups.
Conclusion: Technical difficulty in overweight patients could hamper some surgical outcomes but didn"t worsen the postoperative courses or complications. Moreover, those difficulties can be overcome as the surgical team accumulates experience.
Methods: Between April 2004 and December 2006, 331 consecutive patients underwent LADG for preoperatively diagnosed early gastric cancer. Using the definition of overweight by western criteria, patients were classified into a low (n = 187, BMI ＜25 ㎏/㎡) and a high (n=144, BMI ＞25 ㎏/㎡) group. We retrospectively analyzed surgical outcomes, including operation time, retrieved lymph nodes, hospital courses, and postoperative complications.
Results: The only differences in overweight and normal patients were longer operation time, incision length, and fewer retrieved lymph nodes. As our surgical team accumulated experience (after 250 cases in our study), there were no differences at all between the two groups.
Conclusion: Technical difficulty in overweight patients could hamper some surgical outcomes but didn"t worsen the postoperative courses or complications. Moreover, those difficulties can be overcome as the surgical team accumulates experience.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (22)
참고문헌 신청
1. [학술지(정기간행물)] - Jemal A / 2006 / Cancer statistics, 2006 / CA Cancer J Clin 56 : 106 ~ 130
2. [학술지(정기간행물)] - 대한위암학회 정보전산위원회 / 2007 / 2004년 전국 위암 등록사업 결과 보고 / 대한위암학회지 7 (1) : 47 ~ 54
3. [학술지(정기간행물)] - Katai H / 2006 / Function-preserving surgery for gastric cancer / Int J Clin Oncol 11 : 357 ~ 366
4. [학술지(정기간행물)] - Kitano S / 1994 / Laparoscopy-assisted Billroth I gastrectomy / Surg Laparosc Endosc 4 : 146 ~ 148
5. [학술지(정기간행물)] - 양한광 / 2004 / 전국 복강경 위 수술 현황 설문조사 / 대한위암학회지 4 (3) : 196 ~ 204
2. [학술지(정기간행물)] - 대한위암학회 정보전산위원회 / 2007 / 2004년 전국 위암 등록사업 결과 보고 / 대한위암학회지 7 (1) : 47 ~ 54
3. [학술지(정기간행물)] - Katai H / 2006 / Function-preserving surgery for gastric cancer / Int J Clin Oncol 11 : 357 ~ 366
4. [학술지(정기간행물)] - Kitano S / 1994 / Laparoscopy-assisted Billroth I gastrectomy / Surg Laparosc Endosc 4 : 146 ~ 148
5. [학술지(정기간행물)] - 양한광 / 2004 / 전국 복강경 위 수술 현황 설문조사 / 대한위암학회지 4 (3) : 196 ~ 204
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UCI(KEPA) : I410-ECN-0101-2013-514-002693590