근치적 위 절제술에서 병합절제의 임상적 결과

• Published in: Annals of surgical treatment and research Vol. 79; no. 5; pp. 349 - 354
• Main Authors: 송유정(Yu-Jeong Song), 정상호(Sang-Ho Jeong), 이영준(Young-Joon Lee), 박순태(Soon-Tae Park), 최상경(Sang-Kyung Choi), 홍순찬(Soon-Chan Hong), 정은정(Eun-Jung Jung), 주영태(Young-tae Joo), 정치영(Chi-Young Jeong), 하우송(Woo-Song Ha)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.11.2010
• Subjects: 일반외과학; Cholecystectomy; Gastric neoplasm; 위절제술; 위암; Gastrectomy; Combined organ resection; 담낭절제술; 동반절제
• ISSN: 2288-6575; 2288-6796

Purpose: Combined organ resection is a common operation in gastric cancer surgery. The aim of this study is to investigate the risk of combined minor organ resection (GB, gynecologic organ, appendix etc) in gastric cancer surgery. Methods: The clinical data from 673 consecutive patients who underwent gastrectomy for gastric cancer at a single center were retrospectively analyzed. We investigated clinical data between open groups (OG) and laparoscopy groups (LAG), and we divided the patients into 3 groups: no resection group, minor organ resection group and major organ (spleen, pancreas, and colon) resection group. Results: There were higher complication rates in major organ resection group (59.3%, 53.8%) than no resection (32.3%, 19.1%) or minor organ resection groups (38.7%, 20%) both in OG and LAG (P＜0.05). However, there were longer hospital stays in minor (22.2 days) and major resection groups (24.1) than no resection group (16.2) in OG, but stays were longer in major resection group (30.9) than minor (14.5) and no resection group (16.2) in LAG (P＜0.01). Operative timeswere longer in minor (287 min) and major organ resection group (310) than no resection group (243) in OG (P＜0.00). However, operation time was longer in major resection group (505) than minor (415) and no resection group (370) in LAG (P=0.00). Conclusion: Combined minor organ resection with gastrectomy does not increase morbidity, and there is no statistical difference in hospital stay and op time than no resection group in LAG. KCI Citation Count: 2