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복강경 보조 위 아전절제술 : 연속된 202예의 경험

Other Titles
 Laparoscopy Assisted Distal Subtotal Gastrectomy with Lymphadenectomy - 202 Consecutive Cases 
Authors
 손태일  ;  김성수  ;  최원혁  ;  정재호  ;  형우진  ;  최승호  ;  노성훈 
Citation
 Journal of the Korean Surgical Society (대한외과학회지), Vol.71(6) : 413-419, 2006-12 
Journal Title
 Journal of the Korean Surgical Society (대한외과학회지) 
ISSN
 1226-0053 
Issue Date
2006-12
Keywords
Gastric cancer ; Laparoscopy-assisted gastrectomy ; Lymph node dissection ; Postoperative morbidity
Abstract
Purpose: The number of laparoscopy-assisted distal gastrectomy procedures for the treatment of early gastric cancer patient to improve the quality of life has been gradually increasing. This study evaluated the technical feasibility, safety, and surgical results of LADG with lymphadenectomy by reviewing the initial experience. Methods: From May 2003 to December 2005, 202 LADG with lymphadenectomy were performed on patients with a preoperative diagnosis of EGC. The clinicopathological features and surgical outcomes were analyzed. Results: There were 128 males and 74 females with a mean age of 58 years (range 24~78). The mean operation time was 212 minutes (range 105~450) and the operation time has decreased gradually with increasing number of cases. There were 16 operative morbidities (7.9%) including three operative mortalities. The restoration of the bowel sound was noted at 3.1 postoperative days, soft diet was started at 4.4 postoperative days and the duration of the hospital stay was 7.7 days. There were 105 mucosal, 64 submucosal, 22 proper muscle, 4 subserosal and 7 serosal lesions. A total 163 patients were treated with D2, 37 with D1+β and 2 with D1+α LN dissection. The mean number of lymph nodes retrieved was 35 (range=10~81). Lymph node metastasis was noted in 30 patients. Conclusion: This study shows that laparoscopic procedure can be applied safely and effectively for the patients with EGC. However, a prospective study comparing laparoscopy-assisted versus open gastrectomy for the short- and long-term surgical outcomes is needed.
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
Cheong, Jae Ho(정재호) ORCID logo https://orcid.org/0000-0002-1703-1781
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/22282913/178909
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