Cited 0 times in
위암 환자에서 감시 림프절 및 고립 림프절 전이에 근거한 최소 림프절 절제에 대한 재고
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 노성훈 | - |
dc.date.accessioned | 2016-05-16T11:14:56Z | - |
dc.date.available | 2016-05-16T11:14:56Z | - |
dc.date.issued | 2004 | - |
dc.identifier.issn | 1598-1320 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/144124 | - |
dc.description.abstract | Purpose: The incidence of nodal metastases is as low as 2 to $20\%$ in early gastric cancer, so there is a trend to lessen the extent of surgery. In addition, the adequate range for a lymphadenectomy is controversial, especially in early gastric cancer. In this study, we tried to find the minimal range for a lymphadenectomy by analyzing sentinel-node and solitary lymph-node metastases in gastric cancer. Materials and Methods: The total of 78 patients who underwent a curative gastrectomy with a D2 lymphadenectomy for early gastric cancer between 2000 and 2002 in the Department of Surgery, Yonsei University, Seoul, Korea, were included for the evaluation of sentinel-node metastases.. After a laparotomy, 25 mg of indocyanine green was mixed in 5 ml of normal saline, and all the dye was injected into the subserosal layer around the primary tumor. All nodes stained within 5 minutes were marked. In addition, a total of 141 patients, who underwent a curative gastrectomy between 1997 and 2001 at the Department of Surgery, Yonsei University, Seoul, Korea, were analyzed for solitary lymph- node metastases. Results: Among the 78 patients, sentinel nodes were detected in 69 patients ($88.5\%$). The sentinel nodes in 60 cases ($87.0\%$) were located in the perigastric area. However, 9 cases ($13.0\%$) had sentinel nodes in the N2 group. In the 141 cases that had a solitary metastatic node, 125 cases ($88.6\%$) demonstrated the metastatic lymph node in the perigastric area, and 16 cases ($11.4\%$) showed that the metastatic node in the N2 group. Conclusion: Taken together, removal of a perigastric lymph node could miss early metastases in gastric cancer, so a D1 lymphadenectomy should not be the minimal range of dissection if a lymphadenectomy is necessary. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 272~276 | - |
dc.relation.isPartOf | Journal of the Korean Gastric Cancer Association (대한위암학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 위암 환자에서 감시 림프절 및 고립 림프절 전이에 근거한 최소 림프절 절제에 대한 재고 | - |
dc.title.alternative | The Minimal Range of a Lymphadenectomy in Gastric Cancer according to an Analysis of Sentinel Lymph Node and Solitary Lymph Node Metastasis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | 황호경 | - |
dc.contributor.googleauthor | 형우진 | - |
dc.contributor.googleauthor | 최승호 | - |
dc.contributor.googleauthor | 노성훈 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01281 | - |
dc.relation.journalcode | J01825 | - |
dc.subject.keyword | Gastric cancer | - |
dc.subject.keyword | Sentinel node | - |
dc.subject.keyword | Solitary lymph node metastasis | - |
dc.subject.keyword | Lymphadenectomy | - |
dc.contributor.alternativeName | Noh, Sung Hoon | - |
dc.contributor.affiliatedAuthor | Noh, Sung Hoon | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 4 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 272 | - |
dc.citation.endPage | 276 | - |
dc.identifier.bibliographicCitation | Journal of the Korean Gastric Cancer Association (대한위암학회지), Vol.4(4) : 272-276, 2004 | - |
dc.identifier.rimsid | 56619 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.