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.97 No.3
- 발행연도
- 2019.9
- 수록면
- 130 - 135 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Many studies have concluded that cancer patients may have better outcomes when their surgery is performed in high-volume centers, especially when the procedure is pancreaticoduodenectomy (PD). However, some studies concluded that experienced surgeons or incorporation of expertise from high-volume centers may achieve satisfactory outcomes after PD in low-volume centers.
Methods: I retrospectively collected and analyzed the outcomes of PD for periampullary cancers treated with curative intent in my center.
Results: From August 2, 2005 to December 10, 2018, 160 pancreatic resections were done with curative intent in my center. The number of operations per year was 1 in 2005 and gradually increased to 21 in 2018. Thirty-day mortality was 0, and 90-day mortality was 1 (0.6%). Morbidity was found in 65 cases (40.6%). The median follow-up period was 23.2 months and 5-year survival rates were 28.5% for pancreas head cancer, 48.2% for distal CBD cancer, and 72.6% for AOV cancer. I divided patients into 2 groups by the number of annual operations, which is more than 21 per 2 years. The 2 groups showed no differences in terms of morbidity and mortality.
Conclusion: A well-trained low-volume surgeon may perform PD safely at a well-equipped low-volume center.
Methods: I retrospectively collected and analyzed the outcomes of PD for periampullary cancers treated with curative intent in my center.
Results: From August 2, 2005 to December 10, 2018, 160 pancreatic resections were done with curative intent in my center. The number of operations per year was 1 in 2005 and gradually increased to 21 in 2018. Thirty-day mortality was 0, and 90-day mortality was 1 (0.6%). Morbidity was found in 65 cases (40.6%). The median follow-up period was 23.2 months and 5-year survival rates were 28.5% for pancreas head cancer, 48.2% for distal CBD cancer, and 72.6% for AOV cancer. I divided patients into 2 groups by the number of annual operations, which is more than 21 per 2 years. The 2 groups showed no differences in terms of morbidity and mortality.
Conclusion: A well-trained low-volume surgeon may perform PD safely at a well-equipped low-volume center.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (25)
참고문헌 신청
Begg CB / 1998 / Impact of hospital volume on operative mortality for major cancer surgery / JAMA 280:1747~1751
Birkmeyer JD / 2003 / Surgeon volume and operative mortality in the United States / N Engl J Med 349:2117~2127
Finlayson EV / 2003 / Effects of hospital volume on life expectancy after selected cancer operations in older adults : a decision analysis / J Am Coll Surg 196:410~417
Fong Y / 2005 / Long-term survival is superior after resection for cancer in highvolume centers / Ann Surg 242:540~544
Birkmeyer JD / 2006 / Volume and process of care in high-risk cancer surgery / Cancer 106:2476~2481
Birkmeyer JD / 2003 / Surgeon volume and operative mortality in the United States / N Engl J Med 349:2117~2127
Finlayson EV / 2003 / Effects of hospital volume on life expectancy after selected cancer operations in older adults : a decision analysis / J Am Coll Surg 196:410~417
Fong Y / 2005 / Long-term survival is superior after resection for cancer in highvolume centers / Ann Surg 242:540~544
Birkmeyer JD / 2006 / Volume and process of care in high-risk cancer surgery / Cancer 106:2476~2481
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UCI(KEPA) : I410-ECN-0101-2019-514-001232775