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
- 발행연도
- 2012.1
- 수록면
- 952 - 959 (8page)
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Purpose: Laparoscopy-assisted distal gastrectomy (LADG) is a widely accepted surgery for early gastric cancer. However, its use in advanced gastric cancer has rarely been studied. The aim of this study is to investigate the feasibility and survival outcomes of LADG for pT2 gastric cancer. Materials and Methods: Between January 2004 and December 2009, we evaluated 67 and 52 patients who underwent open distal gastrectomy (ODG) and LADG, respectively, with diagnosis of pT2 gastric cancer. The clinicopathological characteristics, postoperative outcomes, and survival were retrospectively compared between the two groups. Results: There were statistically significant differences in the proximal margin of the clinicopathological parameters. The operation time was significantly longer in LADG than in ODG (207.7 vs. 159.9 minutes). There were 6 (9.0%) and 5 (9.6%) complications in ODG and LADG, respectively. During follow-up periods, tumor recurrence occurred in 7 (10.4%) patients of the ODG and in 4 (7.7%) patients of the LADG group. The 5-year survival rate of ODG and LADG was 88.6% and 91.3% (p=0.613), respectively. In view of lymph node involvement, 5-year survival rates were 96.0% in ODG versus 97.0% in LADG for patients with negative nodal metastasis (p=0.968) and 80.9% in ODG versus 78.7% in LADG for those with positive nodal metastasis (p=0.868). Conclusion: Although prospective study is necessary to compare LADG with open gastrectomy for the treatment of advanced gastric cancer, laparoscopy-assisted distal gastrectomy might be considered as an alternative treatment for some pT2 gastric cancer.
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참고문헌 (30)
참고문헌 신청
Park do J / 2007 / Subclassification of pT2 gastric adenocarcinoma according to depth of invasion (pT2a vs pT2b) and lymph node status (pN) / Surgery 141:757~763
Isozaki H / 1999 / Prognostic factors of advanced gastric carcinoma without serosal invasion (pT2 gastric carcinoma) / Hepatogastroenterology 46:2669~2672
김완수 / 2002 / T2 위암에서 림프절 절제술의 범위에 관한 고찰 / 대한외과학회지 63(6):468~472
Abe S / 1995 / Long-term results of operation for carcinoma of the stomach in T1/T2 stages: critical evaluation of the concept of early carcinoma of the stomach / J Am Coll Surg 181:389~396
Adachi Y / 1999 / Quality of life after laparoscopy-assisted Billroth I gastrectomy / Ann Surg 229 : 49 ~ 54
Isozaki H / 1999 / Prognostic factors of advanced gastric carcinoma without serosal invasion (pT2 gastric carcinoma) / Hepatogastroenterology 46:2669~2672
김완수 / 2002 / T2 위암에서 림프절 절제술의 범위에 관한 고찰 / 대한외과학회지 63(6):468~472
Abe S / 1995 / Long-term results of operation for carcinoma of the stomach in T1/T2 stages: critical evaluation of the concept of early carcinoma of the stomach / J Am Coll Surg 181:389~396
Adachi Y / 1999 / Quality of life after laparoscopy-assisted Billroth I gastrectomy / Ann Surg 229 : 49 ~ 54
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