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자료유형
학술저널
저자정보
Sang-Ho Jeong (Gyeongsang National University) Ji-Ho Park (Gyeongsang National University) Sang-Kyung Choi (Gyeongsang National University) Soon-Chan Hong (Gyeongsang National University) Eun-Jung Jung (Gyeongsang National University) Young-Tae Ju (Gyeongsang National University) Chi-Young Jeong (Gyeongsang National University) Miyeong Park (Gyeongsang National University) Woo-Song Ha (Gyeongsang National University) Young-Joon Lee (Gyeongsang National University)
저널정보
대한종양외과학회 KOREAN JOURNAL OF CLINICAL ONCOLOGY Korean Journal of Clinical Oncology 제13권 제2호
발행연도
2017.12
수록면
113 - 117 (5page)

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Purpose: The inclusion criteria for laparoscopic gastrectomy have recently been expanded, and this has led to an increase in the number of publications describing the laparoscopic treatment of advanced gastric cancer. The aim of this study was to evaluate morbidity in advanced stage gastric cancer (ASGC; tumor, node, metastasis [TNM] stage II–III) compared with that in early stage gastric cancer (ESGC; TNM stage I) in patients undergoing laparoscopic assisted distal gastrectomy (LADG).
Methods: The clinical data of 448 consecutive patients who underwent LADG with R0 resection for gastric cancer at the Gyeongsang National University Hospital were retrospectively analyzed.
Results: The morbidity and mortality rates for radical distal gastrectomy were 20.3% (91/448) and 0.2% (1/448), respectively. Wound problems were the most common complication (4.7%, n=21), followed by leakage (4.5%, n=20), and postoperative bleeding (3.8%, n=17). We found ASGC had higher frequencies of postoperative ileus (0.8% vs. 5.4%), wound problems (3.1% vs. 10.9%), and pulmonary complications (4% vs. 7%) than ESGC in the LADG (P<0.05).
Conclusion: Among patients who underwent LADG, ASGC patients had higher rates of postoperative ileus and wound and pulmonary complications than ESGC patients. ASGC patients should be closely monitored for these complications after LADG.

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