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Gastric cancer surgery in cirrhotic patients: Result of gastrectomy with D2 Iymph node dissection

DC FieldValueLanguage
dc.contributor.author김준억-
dc.contributor.author노성훈-
dc.contributor.author정재호-
dc.contributor.author형우진-
dc.date.accessioned2017-10-26T06:34:42Z-
dc.date.available2017-10-26T06:34:42Z-
dc.date.issued2005-
dc.identifier.issn1007-9327-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/151024-
dc.description.abstractAIM: To explore the feasibility of performing gastrectomy with D2 lymphadenectomy in gastric cancer patients with liver cirrhosis. METHODS: A total of 7,178 patients were admitted with a diagnosis of liver cirrhosis from January 1993 to December 2003. We reviewed the records of 142 patients who were diagnosed with liver cirrhosis and gastric adenocarcinoma during the same period. Gastrectomy with D2 lymph node dissection for carcinoma of the stomach was performed in 94 patients with histologically proven hepatic cirrhosis. RESULTS: All but 12 patients were classified as Child's class A. Only 35 patients (37.2%) were diagnosed with cirrhosis before operation. Seventy-three patients underwent a subtotal gastrectomy (77.7%) and 21 patients (22.3%) underwent a total gastrectomy, each with D2 or more lymph node dissection. Two patients (3.8%) who had prophylactic intra-operative drain placement, died of postoperative complications from hepatorenal failure with intractable ascites. Thirty-seven patients (39.4%) experienced postoperative complications. The extent of gastric resection did not influence the morbidity whereas serum aspartate aminotransferase level (P = 0.011) and transfusion did (P = 0.008). The most common postoperative complication was ascites (13.9%) followed by wound infection (10.6%). CONCLUSION: We concluded that the presence of compensated cirrhosis, i.e. Child class A, is not a contraindication against gastrectomy with D2 or more lymph node dissection, when curative resection for gastric cancer is possible. Hepatic reserve and meticulous hemostasis are the likely determinants of operative prognosis.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherBaishideng Publishing Group-
dc.relation.isPartOfWORLD JOURNAL OF GASTROENTEROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHFemale-
dc.subject.MESHGastrectomy/adverse effects-
dc.subject.MESHGastrectomy/methods*-
dc.subject.MESHHumans-
dc.subject.MESHLiver Cirrhosis/complications*-
dc.subject.MESHLymph Node Excision-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHStomach Neoplasms/complications*-
dc.subject.MESHStomach Neoplasms/surgery*-
dc.titleGastric cancer surgery in cirrhotic patients: Result of gastrectomy with D2 Iymph node dissection-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorJun Ho Lee-
dc.contributor.googleauthorJunuk Kim-
dc.contributor.googleauthorJae Ho Cheong-
dc.contributor.googleauthorWoo Jin Hyung-
dc.contributor.googleauthorSeung Ho Choi-
dc.contributor.googleauthorSung Hoon Noh-
dc.identifier.doiOAK-2005-04214-
dc.contributor.localIdA00954-
dc.contributor.localIdA01281-
dc.contributor.localIdA03717-
dc.contributor.localIdA04382-
dc.relation.journalcodeJ02795-
dc.identifier.eissn2219-2840-
dc.identifier.pmid16094699-
dc.subject.keywordGastric cancer-
dc.subject.keywordLiver cirrhosis-
dc.subject.keywordD2 lymph node dissection-
dc.subject.keywordMorbidity-
dc.subject.keywordMortality-
dc.contributor.alternativeNameKim, Junuk-
dc.contributor.alternativeNameNoh, Sung Hoon-
dc.contributor.alternativeNameCheong, Jae Ho-
dc.contributor.alternativeNameHyung, Woo Jin-
dc.citation.volume11-
dc.citation.number30-
dc.citation.startPage4623-
dc.citation.endPage4627-
dc.identifier.bibliographicCitationWORLD JOURNAL OF GASTROENTEROLOGY, Vol.11(30) : 4623-4627, 2005-
dc.date.modified2017-05-04-
dc.identifier.rimsid43374-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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