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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2007.1
- 수록면
- 27 - 31 (5page)
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Purpose: Laparoscopic wedge resection (LWR) is replacing open wedge resection (OWR) as the standard surgical treatment for gastric submucosal tumors. However, few scientific comparisons exist as to whether LWR or OWR is better in terms of postoperative outcomes. This study was performed to compare these two treatment modalities for the treatment of gastric submucosal tumors by evaluating the postoperative outcomes.
Methods: Between 1993 and 2004, 112 patients with a gastric submucosal tumor had undergone either LWR (n=42) or OWR (n=70). Their medical records were retrospectively reviewed with regard to tumor size, operative time, time to first flatus, postoperative hospital stay and analgesics use.
Results: The demographics and tumor characteristics of the patients were similar in both groups. Four (9%) cases in the LWR group were converted to an open procedure. The mean operation time was longer in the LWR than the OWR group (100.6 vs. 84.3 min)(P=0.015). The time to first flatus (1.8±0.1 vs. 3.3±0.1 days, respectively, P＜0.0001) and soft diet intake (3.5±0.3 vs. 6.0±0.2 days, respectively, P＜0.0001) were shorter in the LWR compared to the OWR group. The postoperative hospital stay was significantly shorter in the LWR than in the OWR group (5.3±0.6 vs. 8.5±0.2 days) (P＜0.0001). The number of analgesics uses (2.7±0.4 times) in the LWR was less than that in the OWR group (2.7±0.4 vs. 4.1±0.5 times)(P=0.0056).
Conclusion: Laparoscopic wedge resection of a gastric submucosal tumor was superior to open wedge resection in terms of the postoperative outcomes. Laparoscopic wedge resection could be considered the first-line treatment for gastric submucosal tumors.
Methods: Between 1993 and 2004, 112 patients with a gastric submucosal tumor had undergone either LWR (n=42) or OWR (n=70). Their medical records were retrospectively reviewed with regard to tumor size, operative time, time to first flatus, postoperative hospital stay and analgesics use.
Results: The demographics and tumor characteristics of the patients were similar in both groups. Four (9%) cases in the LWR group were converted to an open procedure. The mean operation time was longer in the LWR than the OWR group (100.6 vs. 84.3 min)(P=0.015). The time to first flatus (1.8±0.1 vs. 3.3±0.1 days, respectively, P＜0.0001) and soft diet intake (3.5±0.3 vs. 6.0±0.2 days, respectively, P＜0.0001) were shorter in the LWR compared to the OWR group. The postoperative hospital stay was significantly shorter in the LWR than in the OWR group (5.3±0.6 vs. 8.5±0.2 days) (P＜0.0001). The number of analgesics uses (2.7±0.4 times) in the LWR was less than that in the OWR group (2.7±0.4 vs. 4.1±0.5 times)(P=0.0056).
Conclusion: Laparoscopic wedge resection of a gastric submucosal tumor was superior to open wedge resection in terms of the postoperative outcomes. Laparoscopic wedge resection could be considered the first-line treatment for gastric submucosal tumors.
목차
서론
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REFERENCES
참고문헌 (24)
참고문헌 신청
1. [학술지(정기간행물)] - Matthews BD / 2002 / Laparoscopic vs open resection of gastric stromal tumors / Surg Endosc 16 : 803 ~ 807
2. [학술지(정기간행물)] - 최봉수 / 2003 / 복강경을 이용한 양성 위종양의 치료 / 대한외과학회지 64 (1) : 33 ~ 38
3. [학술지(정기간행물)] - Iwahashi M / 2006 / Surgical management of small gastrointestinal stromal tumors of the stomach / World J Surg 30 : 28 ~ 35
4. [학술대회논문] - Blay JY / 2005 / Consensus meeting for the management of gastrointestinal stromal tumors. Report of the gist consensus conference of 20～21 march 2004, under the auspices of esmo / Ann Oncol 16 : 566 ~ 578
5. [학술지(정기간행물)] - Ueyama T / 1995 / Correlation between tumor volume doubling time and histologic findings in gastric smooth muscle tumors: clinical implications of tumor volume doubling time / J Surg Oncol 60 : 12 ~ 17
2. [학술지(정기간행물)] - 최봉수 / 2003 / 복강경을 이용한 양성 위종양의 치료 / 대한외과학회지 64 (1) : 33 ~ 38
3. [학술지(정기간행물)] - Iwahashi M / 2006 / Surgical management of small gastrointestinal stromal tumors of the stomach / World J Surg 30 : 28 ~ 35
4. [학술대회논문] - Blay JY / 2005 / Consensus meeting for the management of gastrointestinal stromal tumors. Report of the gist consensus conference of 20～21 march 2004, under the auspices of esmo / Ann Oncol 16 : 566 ~ 578
5. [학술지(정기간행물)] - Ueyama T / 1995 / Correlation between tumor volume doubling time and histologic findings in gastric smooth muscle tumors: clinical implications of tumor volume doubling time / J Surg Oncol 60 : 12 ~ 17
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UCI(KEPA) : I410-ECN-0101-2013-514-002674622