다발성 조기 위암 환자에서 최소 침습 위 절제술의 유용성

송주영; 김기한; 노영훈; 김민찬; 최홍조; 정갑중

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자료유형: 학술저널

저자정보: 송주영 (동아대학교) 김기한 (동아대학교) 노영훈 (동아대학교) 김민찬 (동아대학교) 최홍조 (동아대학교) 정갑중 (동아대학교)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.79 No.4

발행연도: 2010.10

수록면: 281 - 286 (6page)

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Purpose: As preoperative diagnostic tools have advanced, the rate of multiple early gastric cancer diagnoses have increased. The author investigated the clinicopathological features of multiple early gastric cancers to elucidate the clinical feasibility of minimally invasive gastrectomy such as laparoscopy or robot assisted gastrectomy for their surgical treatment.
Methods: One thousand one hundred and eighty-five open gastrectomies and 607 laparoscopies or robot-assisted gastrectomies for gastric cancers from January 2003 through August 2009 were retrospectively reviewed. Among them, 844 were diagnosed as early gastric cancers, of which 47 cases had multiple early gastric cancers. Twenty-seven cases underwent open gastrectomy and 20 cases underwent laparoscopy or robot assisted gastrectomy. The author analyzed clinicopathological features in these multiple early gastric cancers.
Results: The incidences of multiple early gastric cancers among the early gastric cancers were 5.6%. There were no statistical differences in the clinicopathological parameters except the type of gastrectomy and anastomosis. The distances of both proximal and distal margin show no statistical difference in both groups. The hospital stay was shorter in laparoscopy or robot assisted gastrectomy group (P=0.022). The postoperative complications developed 7 cases in open group and 1 case in laparoscopy or robot assisted gastrectomy group (P=0.046). During the mean follow-up period of 43.8±26.4 and 36.2±19.8 months, no recurrence was found in both groups.
Conclusion: Laparoscopy or robot assisted gastrectomy are as acceptable as open methods to obtain a safe surgical margin, and to perform the desirable type of gastrectomy and radical lymph node dissection.

#Multiple early gastric cancer #Laparoscopy #Robot #다발성 조기 위암 #복강경 #로봇

참고문헌 (28)

참고문헌 신청

1. [학술지(정기간행물)] - 형우진 / 2008 / Changes in Treatment Outcomes of Gastric Cancer Surgery Over 45 Years at A Single Institution / Yonsei Medical Journal 49 (3) : 409 ~ 415

2. [학술지(정기간행물)] - Mitsudomi T / 1989 / A clinicopathological study of synchronous multiple gastric cancer / Br J Surg 76 : 237 ~ 240

4. [학술지(정기간행물)] - Cho SN / 1996 / A clinical study of synchronous multiple gastric cancer / J Korean Surg Soc 50 : 210 ~ 217

5. [학술지(정기간행물)] - 박성수 / 2001 / 다발성 조기위암의 임상적 고찰 / 대한위암학회지 1 (3) : 150 ~ 154

6. [학술지(정기간행물)] - 안영재 / 2008 / 다발성 조기위암의 임상적 특징과 예후 / 대한위암학회지 8 (4) : 198 ~ 203

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