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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.3
- 수록면
- 192 - 198 (7page)
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Purpose: Laparoscopic gastrectomy has oncologic unreliability, technical problems, and is expensive. To overcome these drawbacks, we performed operations through a small laparotomy without using a laparoscopic procedure.
Methods: From March to August, 2003, we successfully performed distal gastrectomy with minilaparotomy for 21 patients diagnosed with early gastric cancer in our hospital. An additional 24 patients with advanced gastric cancer underwent conventional laparotomy for distal gastrectomy. We performed distal gastrectomy with lymph node dissection, moving the abdominal window to the surgical site. We compared BMI, operating time, bleeding volume, and postoperative pain, and followed minilaparotomy patients for an average of 48 months.
Results: There were no postoperative complications in minilaparotomy patients. The minilaparotomy group had a shorter hospital stay lower analgesic use than conventional laparotomy, but there were no differences in BMI, bleeding volume, or the number of harvested lymph nodes. Minilaparotomy alleviated the severity of postoperative pain, and there were no recurrences during follow-up.
Conclusion: Minilaparotomy for early gastric cancer improved postoperative outcome without oncologic inadequacy compared with conventional laparotomy. Therefore, distal gastrectomy via a minilaparotomy may become a minimallyinvasive therapeutic strategy for early gastric cancer.
Methods: From March to August, 2003, we successfully performed distal gastrectomy with minilaparotomy for 21 patients diagnosed with early gastric cancer in our hospital. An additional 24 patients with advanced gastric cancer underwent conventional laparotomy for distal gastrectomy. We performed distal gastrectomy with lymph node dissection, moving the abdominal window to the surgical site. We compared BMI, operating time, bleeding volume, and postoperative pain, and followed minilaparotomy patients for an average of 48 months.
Results: There were no postoperative complications in minilaparotomy patients. The minilaparotomy group had a shorter hospital stay lower analgesic use than conventional laparotomy, but there were no differences in BMI, bleeding volume, or the number of harvested lymph nodes. Minilaparotomy alleviated the severity of postoperative pain, and there were no recurrences during follow-up.
Conclusion: Minilaparotomy for early gastric cancer improved postoperative outcome without oncologic inadequacy compared with conventional laparotomy. Therefore, distal gastrectomy via a minilaparotomy may become a minimallyinvasive therapeutic strategy for early gastric cancer.
목차
서론
방법
결과
고찰
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REFERENCES
참고문헌 (24)
참고문헌 신청
1. [학술지(정기간행물)] - Yoshikawa T / 2002 / Is D2 lymph node dissection necessary for early gastric cancer? / Ann Surg Oncol 9 : 401 ~ 405
2. [학술지(정기간행물)] - Hyung WJ / 2004 / Application of minimally invasive treatment for early gastric cancer / J Surg Oncol 85 : 181 ~ 185
3. [학술지(정기간행물)] - Ohashi S / 1999 / The utility of endoscopic ultrasonography and endoscopy in the endoscopic mucosal resection of early gastric cancer / Gut 45 : 599 ~ 604
4. [학술지(정기간행물)] - Makuuchi H / 1999 / Endoscopic mucosal resection for early gastric cancer / Semin Surg Oncol 17 : 108 ~ 116
5. [학술지(정기간행물)] - Kitano S / 1994 / Laparoscopy-assisted Billroth I gastrectomy / Surg Laparosc Endosc 4 : 146 ~ 148
2. [학술지(정기간행물)] - Hyung WJ / 2004 / Application of minimally invasive treatment for early gastric cancer / J Surg Oncol 85 : 181 ~ 185
3. [학술지(정기간행물)] - Ohashi S / 1999 / The utility of endoscopic ultrasonography and endoscopy in the endoscopic mucosal resection of early gastric cancer / Gut 45 : 599 ~ 604
4. [학술지(정기간행물)] - Makuuchi H / 1999 / Endoscopic mucosal resection for early gastric cancer / Semin Surg Oncol 17 : 108 ~ 116
5. [학술지(정기간행물)] - Kitano S / 1994 / Laparoscopy-assisted Billroth I gastrectomy / Surg Laparosc Endosc 4 : 146 ~ 148
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UCI(KEPA) : I410-ECN-0101-2013-514-002693474