계명대학교 의학도서관 Repository

Is Gastrectomy Mandatory for All Residual or Recurrent Gastric Cancer Following Endoscopic Resection? A Large-Scale Korean Multi-Center Study

Metadata Downloads
Author(s)
KYO YOUNG SONGWOO JIN HYUNGHYUNG HO KIMSANG UK HANGYU SEOK CHOSEUNG WAN RYUHYUK JOON LEEMIN CHAN KIMKOREAN LAPAROSCOPIC GASTROINTESTINAL SURGERY STUDY (KLASS) GROUP
Keimyung Author(s)
Ryu, Seung Wan
Department
Dept. of Surgery (외과학)
Journal Title
Journal of Surgical Oncology
Issued Date
2008
Volume
98
Issue
1
Keyword
clinicopathological featuresresidualrecurrentendoscopic resectionlaparoscopic gastrectomy
Abstract
Background and Objectives :

To clarify optimal treatment guidelines for residual or local recurrence after endoscopic resection (ER).


Methods :

Eighty-six patients underwent gastrectomy due to incomplete ER and local recurrence after ER. The pathological findings of ER and gastrectomy specimens were analyzed.


Results :

The cause of gastrectomy was categorized into five groups; submucosal (sm) invasion without margin involvement, positive margin, margin not evaluable, high risk of lymph node metastasis and local recurrence after ER. According to the pathological findings of gastrectomy specimens, remnant cancer and lymph node metastases were found in 56 (65.1%) and in 5 patients (5.8%), respectively. At 10 gastrectomy specimens which were sm invasion without margin involvement, the scattered residual cancer cells were found around the ulcer scar in 2 (20%) patients. In 11 of 44 margin involvement specimens, no residual cancer or lymph node metastasis was found. In patients with local recurrence, mean duration from ER to surgery was 14.8 months, and 19% of patients were found to have sm or deeper depth of invasion.


Conclusion :

Gastrectomy with lymph node dissection should be performed in patients with sm invasion with or without margin involvement. However, minimal approach other than gastrectomy could further be applied to selected patients.
Keimyung Author(s)(Kor)
류승완
Publisher
School of Medicine
Citation
KYO YOUNG SONG et al. (2008). Is Gastrectomy Mandatory for All Residual or Recurrent Gastric Cancer
Following Endoscopic Resection? A Large-Scale Korean Multi-Center Study. Journal of Surgical Oncology, 98(1), 6–10. doi: 10.1002/jso.21074
Type
Article
ISSN
0022-4790
Source
https://onlinelibrary.wiley.com/doi/abs/10.1002/jso.21074
DOI
10.1002/jso.21074
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34260
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
공개 및 라이선스
  • 공개 구분공개
  • 엠바고Forever
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.