지원사업
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
- 2014.1
- 수록면
- 61 - 69 (9page)
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Purpose: To identify the effect of insufficient lymph node dissection (LND) on the survival of patients with pT2 gastric cancer. Materials and Methods: A total of 340 patients (120 patients with insufficient LND and others with D2 LND) who underwent gastrectomy for pT2 gastric cancer between January 2008 and December 2010 were included. Results: The incidence of preoperatively diagnosed early gastric cancer was higher and there were fewer metastatic lymph nodes (LNs) in the insufficient LND group than the D2 group, but there was no survival difference between two groups (p=0.365). Among the 89 patients with metastatic LNs after D2 LND, 13 patients (14.6%) had metastatic LNs at selected N2 stations (#10, 11, or 12a), but none of these patients were in the pN1 category. One patient had five metastatic LNs at station #11p with no metastatic LNs at any other stations. The number of metastatic LNs was identified as the only risk factor for LN metastasis at selected N2 stations by logistic regression. Conclusion: If a patient has pN0 or pN1 category after insufficient LND for pT2 gastric cancer, the surgery can be regarded as secure. However, for patients with pN2 or pN3 category, more careful examination is required.
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참고문헌 (22)
참고문헌 신청
Adachi Y / 1995 / Long-term survival after resection for advanced gastric carcinoma / J Clin Gastroenterol 21 : 208 ~ 210
Cardoso R / 2012 / A systematic review and meta-analysis of the utility of EUS for preoperative staging for gastric cancer / Gastric Cancer 15 (Suppl 1) : S19 ~ S26
Cuschieri A / 1999 / Patient survival after D1 and D2 resections for gastric cancer: long-term results of the MRC randomized surgical trial. Surgical Co-operative Group / Br
Edge SB / 2010 / AJCC Cancer Staging Handbook. 7th ed / Springer
Furukawa K / 2011 / Diagnosis of the invasion depth of gastric cancer using MDCT with virtual gastroscopy: comparison with staging with endoscopic ultrasound / AJR Am J Roen
Cardoso R / 2012 / A systematic review and meta-analysis of the utility of EUS for preoperative staging for gastric cancer / Gastric Cancer 15 (Suppl 1) : S19 ~ S26
Cuschieri A / 1999 / Patient survival after D1 and D2 resections for gastric cancer: long-term results of the MRC randomized surgical trial. Surgical Co-operative Group / Br
Edge SB / 2010 / AJCC Cancer Staging Handbook. 7th ed / Springer
Furukawa K / 2011 / Diagnosis of the invasion depth of gastric cancer using MDCT with virtual gastroscopy: comparison with staging with endoscopic ultrasound / AJR Am J Roen
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