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.91 No.3
- 발행연도
- 2016.9
- 수록면
- 112 - 117 (6page)
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초록· 키워드
오류제보하기
Purpose: The aim of this study was to compare two methods of tumor localization during totally laparoscopic distal gastrectomy(TLDG) in patients with gastric cancer.
Methods: From March 2014 to November 2014, patients in whom TLDG had been engaged for middle third gastric cancer enrolled in this study. The patients were allocated to either the radiography or endoscopy group based on the type of tumor localization technique. Clinicopathologic outcomes were compared between the 2 groups.
Results: The accrual was suspended in November 2014 when 39 patients had been enrolled because a failed localization happened in the radiography group. The radiography and endoscopy groups included 17 (43.6 %) and 22 patients (56.4 %), respectively. Mean length of the proximal resection margin did not differ between the radiography and endoscopy groups (4.0 ± 2.6 and 2.8 ± 1.2 cm, respectively; P = 0.077). Mean localization time was longer in the radiography group than in the endoscopy group (22.7 ± 11.4 and 6.9 ± 1.8 minutes, respectively, P < 0.001). There were no statistically significant differences in the incidence of severe complications between the 2 groups (5.9% and 4.5%, respectively, P = 0.851).
Conclusion: As an intraoperative tumor localization for TLDG, radiologic method was unsafe even though other comparable parameters were not different from that of endoscopy group. Moreover, intraoperative endoscopic localization may be advantageous because it is highly accurate and contributes to reducing operation time.
Methods: From March 2014 to November 2014, patients in whom TLDG had been engaged for middle third gastric cancer enrolled in this study. The patients were allocated to either the radiography or endoscopy group based on the type of tumor localization technique. Clinicopathologic outcomes were compared between the 2 groups.
Results: The accrual was suspended in November 2014 when 39 patients had been enrolled because a failed localization happened in the radiography group. The radiography and endoscopy groups included 17 (43.6 %) and 22 patients (56.4 %), respectively. Mean length of the proximal resection margin did not differ between the radiography and endoscopy groups (4.0 ± 2.6 and 2.8 ± 1.2 cm, respectively; P = 0.077). Mean localization time was longer in the radiography group than in the endoscopy group (22.7 ± 11.4 and 6.9 ± 1.8 minutes, respectively, P < 0.001). There were no statistically significant differences in the incidence of severe complications between the 2 groups (5.9% and 4.5%, respectively, P = 0.851).
Conclusion: As an intraoperative tumor localization for TLDG, radiologic method was unsafe even though other comparable parameters were not different from that of endoscopy group. Moreover, intraoperative endoscopic localization may be advantageous because it is highly accurate and contributes to reducing operation time.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (19)
참고문헌 신청
[학술지(정기간행물)] - Oh Jeong / 2011 / Clinicopathological Features and Surgical Treatment of Gastric Cancer in South Korea: The Results of 2009 Nationwide Survey on Surgically Treated Gastric Cancer Patients / Journal of Gastric Cancer 11 (2) : 69 ~ 77
[학술지(정기간행물)] - Hochwald SN. / 1999 / Is lymphadenectomy necessary for early gastric cancer? / Ann Surg Oncol 6 : 664 ~ 670
[학술지(정기간행물)] - Kitano S. / 1994 / Laparoscopy-assisted Billroth I gastrectomy / Surg Laparosc Endosc 4 : 146 ~ 148
[학술지(정기간행물)] - Kim HH. / 2014 / Long-term results of laparoscopic gastrectomy for gastric cancer : a large-scale case-control and casemat ched Korean multicenter study / J Clin Oncol 32 : 627 ~ 633
[학술지(정기간행물)] - Ikeda O. / 2009 / Advantages of totally laparoscopic distal gastrectomy over laparoscopically assisted distal gastrec tomy for gastric cancer / Surg Endosc 23 : 2374 ~ 2379
[학술지(정기간행물)] - Hochwald SN. / 1999 / Is lymphadenectomy necessary for early gastric cancer? / Ann Surg Oncol 6 : 664 ~ 670
[학술지(정기간행물)] - Kitano S. / 1994 / Laparoscopy-assisted Billroth I gastrectomy / Surg Laparosc Endosc 4 : 146 ~ 148
[학술지(정기간행물)] - Kim HH. / 2014 / Long-term results of laparoscopic gastrectomy for gastric cancer : a large-scale case-control and casemat ched Korean multicenter study / J Clin Oncol 32 : 627 ~ 633
[학술지(정기간행물)] - Ikeda O. / 2009 / Advantages of totally laparoscopic distal gastrectomy over laparoscopically assisted distal gastrec tomy for gastric cancer / Surg Endosc 23 : 2374 ~ 2379
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UCI(KEPA) : I410-ECN-0101-2017-514-001094331