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진행성 하부위암에서 췌십이지장절제술

Other Titles
 Pancreaticoduodenectomy in Advanced Distal Gastric Cancer 
Authors
 오성진  ;  정재호  ;  노성훈  ;  최승호  ;  형우진  ;  이재훈 
Citation
 JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.65(6) : 528-533, 2003 
Journal Title
JOURNAL OF THE KOREAN SURGICAL SOCIETY (대한외과학회지)
ISSN
 1226-0053 
Issue Date
2003
MeSH
gastric cancer ; pancreaticoduodenectomy ; pall-iative ; subtotal gastrectomy
Keywords
gastric cancer ; pancreaticoduodenectomy ; pall-iative ; subtotal gastrectomy
Abstract
Purpose: In spite of a very poor prognosis for primary gastric cancer invading neighboring organs, combined resection of the involved adjacent organ may improve. Whether pancreaticoduodenectomy in advanced distal gastric cancer improves the survival is controversial. We conducted this study to evaluate the results of pancreaticoduodenectomy in advanced distal gastric cancer. Methods: We retrospectively analysed 29 patients who underwent surgery at the Department of Surgery, Yonsei University College of Medicine, between January 1994 and December 2001. Patients included in this study had locally advanced distal gastric cancer, without evidence of distant metastasis, which had invaded to the duodenum and/or pancreas head, or conglomerated infrapyloric lymph nodes. Patients were divided into two groups: pancreaticoduodenectomy (PC)(n=12), or palliative subtotal gastrectomy (PSTG)(n=17). We compared the clinicopathologic features, operative outcomes, recurrence and survival between these two groups. Results: There were no differences in clinicopathologic features between the two groups. Operation time, incidence and amount of perioperative transfusion, postoperative hospital stay and morbidity were greater in the PD group than in the PSTG group. However, there was no postoperative mortality in either group. Five patients had systemic recurrence (liver, lung, and paraaortic LN metastases) in the PD group, while most patients experienced regional disease progression in the PSTG group. The survival of the PD group was significantly better than that of the PSTG group (P=0.0006). Conclusion: Pancreaticoduodenectomy can be safely performed and improves the prognosis for patients with locally far advanced distal gastric cancer that is associated with invasion into the duodenum and/or pancreas head, or conglomerated infrapyloric lymph nodes.
Files in This Item:
T200305092.pdf Download
DOI
OAK-2003-00855
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Choi, Seung Ho(최승호) ORCID logo https://orcid.org/0000-0002-9872-3594
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/114015
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