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위암 환자에서 복강경 보조하 위절제술 179례에 대한 분석

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Affiliated Author(s)
손영길류승완김인호손수상
Alternative Author(s)
Son, Young GilRyu, Seung WanKim, In HoSohn, Soo Sang
Journal Title
Keimyung Medical Journal
Issued Date
2009
Keyword
Gastric cancerLaparoscopy-assisted gastrectomy
Abstract
Laparoscopic gastrectomy is gaining wider acceptance for the treatment of early gastric cancer. The purpose of this study was to determine the feasibility and safety of laparoscopy-assisted gastrectomy with lymph node dissection for gastric cancer. We retrospectively evaluated the clinicopathologic characteristics and operative outcome of 179 patients with gastric cancer treated with laparoscopy-assisted gastrectomy performed
consecutively by one surgeon. Of the 179 patients, distal gastrectomy was performed in 172 patients (96.1%) and total gastrectomy in 7 patients (3.9%). And 155 patients (86.6%) had early gastric cancer and 24 patients (13.4%) had advanced gastric cancer. The mean operation time was 252.28 ± 62.13 minutes and mean blood loss was 72.22 ± 71.80 ml. The mean number of retrieved lymph nodes was 50.68 ± 19.40. The mean time to sips of water and postoperative
hospital stay were 2.72 ± 0.92 and 8.73 ± 5.64 days, retrospectively. Complications occurred 24 patients (13.4%). Open conversion occurred 1 patient (0.56%) and hospital death occurred 1 patient (0.56%). Laparoscopy-assisted gastrectomy with lymph node dissection is a technically feasible and safe operation for gastric cancer. Laparoscopy-assisted gastrectomy can be a curative and minimally invasive treatment for gastric cancer.
Alternative Title
Laparoscopy-assisted Gastrectomy for Gastric Cancer
: A Single-Surgeon Experience with 179 Consecutive Patients
Department
Dept. of Surgery (외과학)
Publisher
Keimyung University School of Medicine
Citation
손영길 et al. (2009). 위암 환자에서 복강경 보조하 위절제술 179례에 대한 분석. Keimyung Medical Journal, 28(별호), 142–149.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15477
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2009
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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