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위점막하종양의 복강경 위쐐기절제술과 개복 위쐐기절제술의 비교

Other Titles
 Wedge Resection of the Stomach for Gastric Submucosal Tumors: Laparoscopic vs. Open 
Authors
 김재근  ;  김성수  ;  김충배  ;  노성훈  ;  최승호  ;  형우진  ;  정재호  ;  최원혁 
Citation
 Journal of the Korean Surgical Society (대한외과학회지), Vol.72(1) : 27-31, 2007 
Journal Title
 Journal of the Korean Surgical Society  (대한외과학회지) 
ISSN
 1226-0053 
Issue Date
2007
Abstract
Purpose: Laparoscopic wedge resection (LWR) is replacing open wedge resection (OWR) as the standard surgical treatment for gastric submucosal tumors. However, few scientific comparisons exist as to whether LWR or OWR is better in terms of postoperative outcomes. This study was performed to compare these two treatment modalities for the treatment of gastric submucosal tumors by evaluating the postoperative outcomes. Methods: Between 1993 and 2004, 112 patients with a gastric submucosal tumor had undergone either LWR (n=42) or OWR (n=70). Their medical records were retrospectively reviewed with regard to tumor size, operative time, time to first flatus, postoperative hospital stay and analgesics use. Results: The demographics and tumor characteristics of the patients were similar in both groups. Four (9%) cases in the LWR group were converted to an open procedure. The mean operation time was longer in the LWR than the OWR group (100.6 vs. 84.3 min)(P=0.015). The time to first flatus (1.8⁑0.1 vs. 3.3⁑0.1 days, respectively, P<0.0001) and soft diet intake (3.5⁑0.3 vs. 6.0⁑0.2 days, respectively, P<0.0001) were shorter in the LWR compared to the OWR group. The postoperative hospital stay was significantly shorter in the LWR than in the OWR group (5.3⁑0.6 vs. 8.5⁑0.2 days) (P<0.0001). The number of analgesics uses (2.7⁑0.4 times) in the LWR was less than that in the OWR group (2.7⁑0.4 vs. 4.1⁑0.5 times)(P=0.0056). Conclusion: Laparoscopic wedge resection of a gastric submucosal tumor was superior to open wedge resection in terms of the postoperative outcomes. Laparoscopic wedge resection could be considered the first-line treatment for gastric submucosal tumors.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Soo(김성수)
Kim, Jae Keun(김재근)
Kim, Choong Bai(김충배)
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
Choi, Won Hyuk(최원혁)
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/97734
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