The effects of laparoscopic assisted total gastrectomy on surgical outcomes in the treatment of gastric cancer

Min Gyu Kim; Beom Su Kim; Tae Hwan Kim; Kap Choong Kim; Jeong Hwan Yook; Byung Sik Kim

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자료유형: 학술저널

저자정보: Min Gyu Kim (University of Ulsan) Beom Su Kim (University of Ulsan) Tae Hwan Kim (University of Ulsan) Kap Choong Kim (University of Ulsan) Jeong Hwan Yook (University of Ulsan) Byung Sik Kim (University of Ulsan)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.80 No.4

발행연도: 2011.4

수록면: 245 - 250 (6page)

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Purpose: To evaluate the effectiveness of laparoscopic assisted total gastrectomy (LATG), we compared its early surgical outcomes with those of conventional open total gastrectomy (OTG) in patients who were diagnosed as having early gastric cancer preoperatively. Methods: We retrospectively analyzed early surgical outcomes in 190 consecutive patients who underwent total gastrectomy for early gastric cancer between January 2009 to April 2010. The patients were divided into those who underwent LATG and those who underwent OTG. Their early surgical outcomes were analyzed to evaluate the effectiveness of LATG. Results: There was no significant difference in postoperative complication rates (P = 0.291). But in the analysis of other early surgical outcomes, we found that LATG could improve time to first flatus (P ＜ 0.001), time to commencement of soft diet (P = 0.034), administration of analgesics (P = 0.024), pain score (Numeric Rating Scale), and hospital discharge (P = 0.045). Conclusion: Although LATG didn’t show better results for postoperative complications than those of OTG, LATG contributes to the improvement of early surgical outcomes, including bowel movement, pain score and hospital discharge. Therefore, we suggest that LATG could be a method to improve early surgical outcomes in patients who need total gastrectomy.

#Early gastric cancer #Laparoscopic assisted total gastrectomy #Open total gastrectomy

참고문헌 (11)

참고문헌 신청

1. [학술지(정기간행물)] - Kitano S / 1994 / Laparoscopy- assisted Billroth I gastrectomy / Surg Laparosc Endosc 4 : 146 ~ 148

2. [학술지(정기간행물)] - Kim W / 2008 / The impact of comorbidity on surgical outcomes in laparoscopy-assisted distal gastrectomy: a retrospective analysis of multicenter results / Ann Surg 248 : 793 ~ 799

3. [학술지(정기간행물)] - Kim YW / 2008 / Improved quality of life outcomes after laparoscopy-assisted distal gastrectomy for early gastric cancer: results of a prospective randomized clinical trial / Ann Surg 248 : 721 ~ 727

4. [학술지(정기간행물)] - 이주호 / 200502 / A prospective randomized study comparing open vs laparoscopy-assisted distal gastrectomy in early gastric cancer / SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES 19 : 168 ~ 173

5. [학술지(정기간행물)] - Lee SI / 2006 / Comparative study of laparoscopy-assisted distal gastrectomy and open distal gastrectomy / J Am Coll Surg 202 : 874 ~ 880

이 논문의 저자 정보

Min Gyu Kim

소속기관 Hanyang University School of Medicine

주요연구분야 사회과학 > 경제학 의약학 > 임상의학 > 일반 외과학

논문수 23 이용수 1,280

Beom Su Kim

소속기관 University of Ulsan College of Medicine