지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2007.3
- 수록면
- 196 - 202 (7page)
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이 논문의 연구 히스토리 (14)
2007
2006
2005
2004
2003
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Purpose: A laparoscopy-assisted distal gastrectomy (LADG) has recently become a viable alternative for the treatment of patients with early gastric cancer. Surgeons seeking to undertake, or currently practicing LADG, are concerned about the unpredictable intraoperative events that occur during a LADG. However, little information exists on the intraoperative complications during a LADG. The aims of this study were to investigate the intraoperative complications and identify the factors predictive of intraoperative bleeding during a laparoscopy-assisted distal gastrectomy (LADG), with a lymphadenectomy for gastric cancer greater than D1+β.
Methods: Of the 219 patients, who underwent a laparoscopyassisted gastrectomy for gastric cancer by a single surgeon, between April 2003 and January 2006, 128 were enrolled in this study. The operative procedure was divided into 5 steps. Various intraoperative complications, such as bleeding and perigastric organ injuries, occurring during the different operative steps were investigated by reviewing videotapes of the procedures.
Results: A total of 839 bleeding events were encountered during the procedure, with a mean of 6.6 per patient. The mean numbers of bleeding events during each step were significantly different, with greater numbers occurring during steps Ⅱ and Ⅳ (P＜0.0001). A multiple logistical regression analysis identified male gender (P=0.002, odds ratio 3.870) and a higher body mass index (P=0.038, odds ratio 1.158) as independent predictors of higher intraoperative bleeding rates.
Conclusion: Intraoperative bleeding was found to be the most common complication during a LADG for gastric cancer, with greater numbers of bleeding events occurring during steps Ⅱ and Ⅳ. Gender and body mass index were independent covariates associated with the development of intraoperative bleeding during a LADG.
Methods: Of the 219 patients, who underwent a laparoscopyassisted gastrectomy for gastric cancer by a single surgeon, between April 2003 and January 2006, 128 were enrolled in this study. The operative procedure was divided into 5 steps. Various intraoperative complications, such as bleeding and perigastric organ injuries, occurring during the different operative steps were investigated by reviewing videotapes of the procedures.
Results: A total of 839 bleeding events were encountered during the procedure, with a mean of 6.6 per patient. The mean numbers of bleeding events during each step were significantly different, with greater numbers occurring during steps Ⅱ and Ⅳ (P＜0.0001). A multiple logistical regression analysis identified male gender (P=0.002, odds ratio 3.870) and a higher body mass index (P=0.038, odds ratio 1.158) as independent predictors of higher intraoperative bleeding rates.
Conclusion: Intraoperative bleeding was found to be the most common complication during a LADG for gastric cancer, with greater numbers of bleeding events occurring during steps Ⅱ and Ⅳ. Gender and body mass index were independent covariates associated with the development of intraoperative bleeding during a LADG.
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REFERENCES
참고문헌 (20)
참고문헌 신청
1. [학술지(정기간행물)] - 김형호 / 2005 / 2004년 전국 복강경 위 수술 현황 / 대한위암학회지 5 (4) : 295 ~ 304
2. [학술지(정기간행물)] - Kim MC / 2005 / Comparison of laparoscopy-assisted by conventional open distal gastrectomy and extraperigastric lymph node dissection in early gastric cancer / J Surg Oncol 91 : 90 ~ 94
3. [학술지(정기간행물)] - Kitano S / 2007 / the Japanese Laparoscopic Surgery Study Group. A multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan / Ann Surg 245 : 68 ~ 72
4. [학술지(정기간행물)] - Nakajima T / 2002 / / Gastric Cancer 5 : 1 ~ 5
5. [학술지(정기간행물)] - Noh SH / 2004 / Korean guideline for gastric cancer / J Korean Gastric Cancer Assoc 4 : 286 ~ 293
2. [학술지(정기간행물)] - Kim MC / 2005 / Comparison of laparoscopy-assisted by conventional open distal gastrectomy and extraperigastric lymph node dissection in early gastric cancer / J Surg Oncol 91 : 90 ~ 94
3. [학술지(정기간행물)] - Kitano S / 2007 / the Japanese Laparoscopic Surgery Study Group. A multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan / Ann Surg 245 : 68 ~ 72
4. [학술지(정기간행물)] - Nakajima T / 2002 / / Gastric Cancer 5 : 1 ~ 5
5. [학술지(정기간행물)] - Noh SH / 2004 / Korean guideline for gastric cancer / J Korean Gastric Cancer Assoc 4 : 286 ~ 293
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UCI(KEPA) : I410-ECN-0101-2013-514-002674319