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Identifying the best candidates for reduced port gastrectomy
DC Field | Value | Language |
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dc.contributor.author | 김유민 | - |
dc.contributor.author | 김형일 | - |
dc.contributor.author | 조민아 | - |
dc.contributor.author | 형우진 | - |
dc.date.accessioned | 2024-05-23T02:46:54Z | - |
dc.date.available | 2024-05-23T02:46:54Z | - |
dc.date.issued | 2024-01 | - |
dc.identifier.issn | 1436-3291 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/199085 | - |
dc.description.abstract | Background Previous studies have focused on the non-inferiority of RPG compared with conventional port gastrectomy (CPG); however, we assumed that some candidates might derive more significant benefit from RPG over CPG.Methods We retrospectively analyzed the clinicopathological and perioperative parameters of 1442 patients with gastric cancer treated by gastrectomy between 2009 and 2022. The C-reactive protein level on postoperative day 3 (CRPD3) was used as a surrogate parameter for surgical trauma. Patients were grouped according to the extent of gastrectomy [subtotal gastrectomy (STG) or total gastrectomy (TG)] and lymph node dissection (D1+ or D2). The degree of surgical trauma, bowel recovery, and hospital stay between RPG and CPG was compared among those patient groups.Results Of 1442 patients, 889, 354, 129, and 70 were grouped as STGD1+, STGD2, TGD1+, and TGD2, respectively. Compared with CPG, RPG significantly decreased CRPD3 only among patients in the STGD1+ group (CPG: n = 653, 84.49 mg/L, 95% CI 80.53-88.45 vs. RPG: n = 236, 70.01 mg/L, 95% CI 63.92-76.09, P < 0.001). In addition, the RPG method significantly shortens bowel recovery and hospital stay in the STGD1+ (P < 0.001 and P < 0.001), STGD2 (P < 0.001 and P < 0.001), and TGD1+ (P = 0.026 and P = 0.007), respectively. No difference was observed in the TGD2 group (P = 0.313 and P = 0.740).Conclusions The best candidates for RPG are patients who undergo STGD1+, followed by STGD2 and TG D1+, considering the reduction in CRPD3, bowel recovery, and hospital stay. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Springer-Verlag Tokyo | - |
dc.relation.isPartOf | GASTRIC CANCER | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Gastrectomy / methods | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Laparoscopy* / methods | - |
dc.subject.MESH | Lymph Node Excision / methods | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Stomach Neoplasms* / pathology | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Identifying the best candidates for reduced port gastrectomy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Jae Hun Chung | - |
dc.contributor.googleauthor | Jawon Hwang | - |
dc.contributor.googleauthor | Sung Hyun Park | - |
dc.contributor.googleauthor | Ki-Yoon Kim | - |
dc.contributor.googleauthor | Minah Cho | - |
dc.contributor.googleauthor | Yoo Min Kim | - |
dc.contributor.googleauthor | Hye Jung Shin | - |
dc.contributor.googleauthor | Si-Hak Lee | - |
dc.contributor.googleauthor | Sun-Hwi Hwang | - |
dc.contributor.googleauthor | Woo Jin Hyung | - |
dc.contributor.googleauthor | Hyoung-Il Kim | - |
dc.identifier.doi | 10.1007/s10120-023-01438-6 | - |
dc.contributor.localId | A00782 | - |
dc.contributor.localId | A01154 | - |
dc.contributor.localId | A05418 | - |
dc.contributor.localId | A04382 | - |
dc.relation.journalcode | J00916 | - |
dc.identifier.eissn | 1436-3305 | - |
dc.identifier.pmid | 37872358 | - |
dc.subject.keyword | C-reactive protein | - |
dc.subject.keyword | Gastrectomy | - |
dc.subject.keyword | Gastric cancer | - |
dc.subject.keyword | Minimally invasive surgery | - |
dc.contributor.alternativeName | Kim, Yoo Min | - |
dc.contributor.affiliatedAuthor | 김유민 | - |
dc.contributor.affiliatedAuthor | 김형일 | - |
dc.contributor.affiliatedAuthor | 조민아 | - |
dc.contributor.affiliatedAuthor | 형우진 | - |
dc.citation.volume | 27 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 176 | - |
dc.citation.endPage | 186 | - |
dc.identifier.bibliographicCitation | GASTRIC CANCER, Vol.27(1) : 176-186, 2024-01 | - |
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