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
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.86 No.4
- 발행연도
- 2014.4
- 수록면
- 199 - 205 (7page)
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초록· 키워드
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Purpose: The present study aims to elucidate the treatment strategies of laparoscopic resection for gastroduodenal submucosal tumors (SMTs).
Methods: Data of 125 gastroduodenal STMs were collected retrospectively resected from August, 2004 to February, 2013. Surgical outcomes according to tumor locations, pathologic results and survival data for gastrointestinal stromal tumors (GISTs) were collected and analyzed.
Results: There were 55 male and 70 female patients with mean age 57.9 ± 12.7 years old. Mean tumor size of gastric SMTs was 2.7 ± 1.64 cm (range, 0.4?8.5 cm). GIST was the most common (n = 70, 56%). Regarding the tumor location, all the fundic lesions were GISTs and leiomyoma was occurred 58.8% of cardiac lesions. Ectopic pancreas and schwannomas were mostly located at body portion, 73% and 80%, respectively. SMTs located at duodenal bulb comprise 4 GISTs and 3 carcinoids. Surgical results comparing between lesions located at cardia, near-pylorus and else had no difference in operation time, hospital stay and complications. In terms of outcome of GIST, all patients underwent curative resection except one case of peritoneal sarcomatosis. There was one recurrence in a high risk group following resection. The cumulative 5-year disease free survival rate was 93.5% in all GISTs. There were two postoperative complications, one gastric outlet obstruction and one leakage following wedge resection.
Conclusion: Laparoscopic wedge resection is a safe and feasible procedure for the small to medium sized gastroduodenal SMTs even their locations are near cardia or pylorus.
Methods: Data of 125 gastroduodenal STMs were collected retrospectively resected from August, 2004 to February, 2013. Surgical outcomes according to tumor locations, pathologic results and survival data for gastrointestinal stromal tumors (GISTs) were collected and analyzed.
Results: There were 55 male and 70 female patients with mean age 57.9 ± 12.7 years old. Mean tumor size of gastric SMTs was 2.7 ± 1.64 cm (range, 0.4?8.5 cm). GIST was the most common (n = 70, 56%). Regarding the tumor location, all the fundic lesions were GISTs and leiomyoma was occurred 58.8% of cardiac lesions. Ectopic pancreas and schwannomas were mostly located at body portion, 73% and 80%, respectively. SMTs located at duodenal bulb comprise 4 GISTs and 3 carcinoids. Surgical results comparing between lesions located at cardia, near-pylorus and else had no difference in operation time, hospital stay and complications. In terms of outcome of GIST, all patients underwent curative resection except one case of peritoneal sarcomatosis. There was one recurrence in a high risk group following resection. The cumulative 5-year disease free survival rate was 93.5% in all GISTs. There were two postoperative complications, one gastric outlet obstruction and one leakage following wedge resection.
Conclusion: Laparoscopic wedge resection is a safe and feasible procedure for the small to medium sized gastroduodenal SMTs even their locations are near cardia or pylorus.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (13)
참고문헌 신청
1. [학술지(정기간행물)] - Berindoague R. / 2006 / Laparoscopic resection of clinically suspected gastric stromal tumors / Surg Innov 13 : 231 ~ 237
2. [학술지(정기간행물)] - Otani Y. / 2006 / Operative indications for relatively small(2-5 cm)gastrointestinal stromal tumor of the stomach based on analysis of 60 operated cases / Surgery 139 : 484 ~ 492
3. [학술지(정기간행물)] - Ryu KJ. / 2011 / Laparoscopic resection of small gastric submucosal tumors / Surg Endosc 25 : 271 ~ 277
4. [학술지(정기간행물)] - Privette A. / 2008 / Laparoscopic approaches to resection of suspected gastric gastrointestinal stromal tumors based on tumor location / Surg Endosc 22 : 487 ~ 494
5. [학술지(정기간행물)] - Fletcher CD. / 2002 / Diagnosis of gastrointestinal stromal tumors : a consensus approach / Hum Pathol 33 : 459 ~ 465
2. [학술지(정기간행물)] - Otani Y. / 2006 / Operative indications for relatively small(2-5 cm)gastrointestinal stromal tumor of the stomach based on analysis of 60 operated cases / Surgery 139 : 484 ~ 492
3. [학술지(정기간행물)] - Ryu KJ. / 2011 / Laparoscopic resection of small gastric submucosal tumors / Surg Endosc 25 : 271 ~ 277
4. [학술지(정기간행물)] - Privette A. / 2008 / Laparoscopic approaches to resection of suspected gastric gastrointestinal stromal tumors based on tumor location / Surg Endosc 22 : 487 ~ 494
5. [학술지(정기간행물)] - Fletcher CD. / 2002 / Diagnosis of gastrointestinal stromal tumors : a consensus approach / Hum Pathol 33 : 459 ~ 465
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UCI(KEPA) : I410-ECN-0101-2015-510-001432275