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
- 2018.12
- 수록면
- 392 - 399 (8page)
- DOI
- 10.5230/jgc.2018.18.e39
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초록· 키워드
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Purpose: To determine the incidence of incisional hernia (IH) in mini-laparotomy wounds and analyze the risk factors of IH following laparoscopic distal gastrectomy in patients with gastric cancer.
Materials and Methods: A total of 565 patients who underwent laparoscopic distal gastrectomy for gastric cancer at Dong-A University Hospital, Busan, South Korea, between June 2010 and December 2015, were enrolled. IH was diagnosed through physical examination or computed tomography imaging. Incidence rate and risk factors of IH were evaluated through a long-term follow-up.
Results: Of those enrolled, 16 patients (2.8%) developed IH. The median duration of follow-up was 58 months (range, 25?90 months). Of the 16 patients with IH, 15 (93.7%) were diagnosed within 12 months postoperatively. Multivariate analysis showed that female sex (odds ratio [OR], 3.869; 95% confidence interval [CI], 1.325?11.296), higher body mass index (BMI; OR, 1.229; 95% CI, 1.048?1.422), and presence of comorbidity (OR, 3.806; 95% CI, 1.212?11.948) were significant risk factors of IH. The vast majority of IH cases (15/16 patients, 93.7%) developed in the totally laparoscopic distal gastrectomy (TLDG) group. However, the type of surgery (i.e., TLDG or laparoscopy-assisted distal gastrectomy) did not significantly affect the development of IH (P=0.060).
Conclusions: A median follow-up of 58 months showed that the overall incidence of IH in mini-laparotomy wounds was 2.8%. Multivariate analysis showed that female sex, higher BMI, and presence of comorbidity were significant risk factors of IH. Thus, surgeons should monitor the closure of mini-laparotomy wounds in patients with risk factors of IH undergoing laparoscopic distal gastrectomy.
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등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Mullassery D / 2016 / Incisional hernia in pediatric surgery - experience at a single UK tertiary centre / J Pediatr Surg 51:1791~1794
Itatsu K / 2014 / Incidence of and risk factors for incisional hernia after abdominal surgery / Br J Surg 101:1439~1447
Paya K / 2008 / Trocar-site hernia as a typical postoperative complication of minimally invasive surgery among preschool children / Surg Endosc 22:2724~2727
Cost NG / 2010 / Hernia after pediatric urological laparoscopy / J Urol 183:1163~1167
Lee L / 2018 / Incisional hernia after midline versus transverse specimen extraction incision: a randomized trial in patients undergoing laparoscopic colectomy / Ann Surg 268:41~47
Itatsu K / 2014 / Incidence of and risk factors for incisional hernia after abdominal surgery / Br J Surg 101:1439~1447
Paya K / 2008 / Trocar-site hernia as a typical postoperative complication of minimally invasive surgery among preschool children / Surg Endosc 22:2724~2727
Cost NG / 2010 / Hernia after pediatric urological laparoscopy / J Urol 183:1163~1167
Lee L / 2018 / Incisional hernia after midline versus transverse specimen extraction incision: a randomized trial in patients undergoing laparoscopic colectomy / Ann Surg 268:41~47
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