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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2003.1
- 수록면
- 52 - 58 (7page)
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초록· 키워드
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Purpose: One of the most controversial aspects of
surgery for esophageal cancer is the appropriate extent
of lymphadenectomy to achieve the best outcome. The
purpose of this study was to clarify the effects of an
extended lymphadenectomy (complete 2-field lymphadenectomy;
complete 2-FL or 3-field lymphadenectomy;
3-FL) in esophageal cancer surgery.
Materials and Methods: In order to prevent a local
recurrence and improve the long-term survival following
surgery, an extended lymphadenectomy has systematically
been performed at four hospitals of the Catholic
University College of Medicine since 1995. And since that
time, until the end of 2001, a total of 98 patients have
undergone the procedure. Their clinical results were
compared with those of 54 esophageal cancer patients
who received an incomplete 2-field lymphadenectomy
(incomplete 2-FL), between 1990 and 1994, at the same
hospitals.
Results: After an extended lymphadenectomy a recurrence
was noted in 41 cases (44.6%), a local recurrence
occurred in 23 cases (25.0%) and a metastatic recurrence
in 18 (19.6%), with the 5-year survival rate improved to
39.5%, than the 29% of the incomplete 2-FL. There was
no difference in the morbidity of the fatal complications
and the mortality between the two groups.
Conclusion: The long survival rate was improved with
an extended lymphadenectomy, but the morbidity and
mortality rate had not increased. (Cancer Res Treat. 2003;35:52-58)
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