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Assessment of open versus laparoscopy-assisted gastrectomy in lymph node-positive early gastric cancer: a retrospective cohort analysis

DC FieldValueLanguage
dc.contributor.author노성훈-
dc.contributor.author안지영-
dc.contributor.author정재호-
dc.contributor.author최승호-
dc.contributor.author허건웅-
dc.contributor.author형우진-
dc.date.accessioned2015-04-23T16:44:57Z-
dc.date.available2015-04-23T16:44:57Z-
dc.date.issued2010-
dc.identifier.issn0022-4790-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/101153-
dc.description.abstractBACKGROUND: Laparoscopy-assisted gastrectomy (LAG) is still limited for early gastric cancer (EGC) with low possibility of lymph node (LN) metastasis, due to the concern for incomplete LN dissection and controversial long-term outcomes. We assessed oncological outcomes of laparoscopy-assisted versus open gastrectomy (OG) for patients with LN positive EGC. METHODS: Between 2003 and 2007, 204 patients underwent surgery for LN positive EGC. We evaluated adequacy of LN dissection and early and long-term outcomes after OG (n = 162) and LAG (n = 42). RESULTS: Operative time was longer but hospital stay was shorter for LAG than OG. Postoperative complications occurred in 14 patients (8.6%) after OG and 1 patient (2.4%) after LAG (P = 0.316). Mean number of retrieved LNs and number of retrieved and metastatic LNs for each station did not differ between the two groups. During median 35 months of follow-up, 14 patients (8.6%) developed recurrence after OG, compared with 4 patients (9.5%) after LAG (P = 0.769). Overall 5-year disease-free survival was 89.9% and 89.7% after OG and LAG. Status of LN metastasis was the only independent prognostic factor for disease-free survival. CONCLUSIONS: LAG is an oncologically safe procedure even for LN positive EGC. Adequate LN dissection and comparable long-term outcomes to OG can be achieved by LAG.-
dc.description.statementOfResponsibilityopen-
dc.format.extent77~81-
dc.relation.isPartOfJOURNAL OF SURGICAL ONCOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHCohort Studies-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHGastrectomy*-
dc.subject.MESHHumans-
dc.subject.MESHLaparoscopy*-
dc.subject.MESHLength of Stay-
dc.subject.MESHLymph Node Excision-
dc.subject.MESHLymph Nodes/pathology-
dc.subject.MESHLymphatic Metastasis-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Staging-
dc.subject.MESHPrognosis-
dc.subject.MESHProspective Studies-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStomach Neoplasms/pathology*-
dc.subject.MESHStomach Neoplasms/surgery*-
dc.subject.MESHSurvival Rate-
dc.titleAssessment of open versus laparoscopy-assisted gastrectomy in lymph node-positive early gastric cancer: a retrospective cohort analysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorJi Yeong An-
dc.contributor.googleauthorGeon-Ung Heo-
dc.contributor.googleauthorJae-Ho Cheong-
dc.contributor.googleauthorWoo Jin Hyung-
dc.contributor.googleauthorSeung Ho Choi-
dc.contributor.googleauthorSung Hoon Noh-
dc.identifier.doi10.1002/jso.21554-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04102-
dc.contributor.localIdA01281-
dc.contributor.localIdA03717-
dc.contributor.localIdA04340-
dc.contributor.localIdA04382-
dc.relation.journalcodeJ01762-
dc.identifier.eissn1096-9098-
dc.identifier.pmid20578083-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1002/jso.21554/abstract-
dc.contributor.alternativeNameNoh, Sung Hoon-
dc.contributor.alternativeNameAn, Ji Yeong-
dc.contributor.alternativeNameCheong, Jae Ho-
dc.contributor.alternativeNameChoi, Seung Ho-
dc.contributor.alternativeNameHeo, Geon Ung-
dc.contributor.alternativeNameHyung, Woo Jin-
dc.contributor.affiliatedAuthorChoi, Seung Ho-
dc.contributor.affiliatedAuthorNoh, Sung Hoon-
dc.contributor.affiliatedAuthorCheong, Jae Ho-
dc.contributor.affiliatedAuthorHeo, Geon Ung-
dc.contributor.affiliatedAuthorHyung, Woo Jin-
dc.citation.volume102-
dc.citation.number1-
dc.citation.startPage77-
dc.citation.endPage81-
dc.identifier.bibliographicCitationJOURNAL OF SURGICAL ONCOLOGY, Vol.102(1) : 77-81, 2010-
dc.identifier.rimsid52103-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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