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Is there an optimal surgery time after endoscopic resection in early gastric cancer?

Authors
 Moo Jung Kim  ;  Jie-Hyun Kim  ;  Yong Chan Lee  ;  Jong Won Kim  ;  Seung Ho Choi  ;  Woo Jin Hyung  ;  Sung Hoon Noh  ;  Young Hoon Youn  ;  Hyojin Park  ;  Sang In Lee 
Citation
 Annals of Surgical Oncology, Vol.21(1) : 232-239, 2014 
Journal Title
 Annals of Surgical Oncology 
ISSN
 1068-9265 
Issue Date
2014
MeSH
Endoscopy, Digestive System* ; Female ; Follow-Up Studies ; Gastrectomy* ; Humans ; Length of Stay ; Lymph Node Excision ; Male ; Middle Aged ; Neoplasm Recurrence, Local/pathology ; Neoplasm Recurrence, Local/surgery* ; Neoplasm Staging ; Neoplasm, Residual/pathology ; Neoplasm, Residual/surgery* ; Postoperative Complications ; Prognosis ; Reoperation* ; Retrospective Studies ; Stomach Neoplasms/pathology ; Stomach Neoplasms/surgery* ; Time Factors
Keywords
Operative Time ; Early Gastric Cancer ; Oncological Outcome ; Additive Surgery ; Endoscopic Resection
Abstract
BACKGROUND: The patients with early gastric cancer who have undergone incomplete endoscopic resection (ER) generally need additional surgery because of the possibility of lymph node metastasis. The aim of study was to evaluate the optimal time interval from ER to additive surgery by evaluating the effect of time interval on the surgical and oncological outcomes. METHODS: We analyzed 154 patients who underwent additive gastrectomy after incomplete ER at Severance and Gangnam Severance Hospitals. The time interval point, at which operative time and estimated intraoperative blood loss (EBL) of the earlier operation group and the later operation group showed the greatest disparities, was evaluated. The patients were divided into 2 groups according to the time interval point, as the earlier operation group (group A) and the later operation group (group B). We retrospectively evaluated the clinicopathological characteristics and surgical and oncological outcomes. RESULTS: The greatest difference between operative time and EBL was in the groups who underwent operation before and after 29 days. Of the 154 patients, 78 were in group A (≤29 days) and 76 in group B (>29 days). There were no differences in the clinicopathological characteristics and oncological outcomes except for tumor size. The operative time and EBL were significantly longer and more in group A compared with group B. CONCLUSIONS: The time interval between ER and additive surgery is associated with surgical outcomes. Additive surgery at about 1 month after ER may be optimal for better surgical outcomes without affecting the oncological outcomes.
Full Text
http://link.springer.com/article/10.1245%2Fs10434-013-3299-5
DOI
10.1245/s10434-013-3299-5
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Moo Jung(김무정)
Kim, Jong Won(김종원)
Kim, Jie-Hyun(김지현) ORCID logo https://orcid.org/0000-0002-9198-3326
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Park, Hyo Jin(박효진) ORCID logo https://orcid.org/0000-0003-4814-8330
Youn, Young Hoon(윤영훈) ORCID logo https://orcid.org/0000-0002-0071-229X
Lee, Yong Chan(이용찬) ORCID logo https://orcid.org/0000-0001-8800-6906
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/22282913/97976
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