조기위암으로 진단된 환자에서 소절개창 수술의 유용성

• Published in: Annals of surgical treatment and research Vol. 74; no. 3; pp. 192 - 198
• Main Authors: 허훈(Hoon Hur), 지성배(Sung Bae Jee), 송교영(Kyo Young Song), 김진조(Jin Jo Kim), 진형민(Hyung Min Chin), 김욱(Wook Kim), 박조현(Cho Hyun Park), 박승만(Seung Man Park), 전해명(Hae Myung Jeon)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.03.2008
• Subjects: 일반외과학; Laparotomy; Gastric cancer; Minimal invasive surgical procedure
• ISSN: 2288-6575; 2288-6796

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 minimally-invasive therapeutic strategy for early gastric cancer. (J Korean Surg Soc 2008;74:192-198) KCI Citation Count: 1