상부 조기위암에서 시행한 근위부 위절제술 및 잔류 위전정부를 이용한 이중통로법

• Published in: Annals of surgical treatment and research Vol. 74; no. 4; pp. 261 - 266
• Main Authors: 정혁재(Hyuk Jae Jung), 김대환(Dae Hwan Kim), 김동헌(Dong Heon Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.04.2008
• Subjects: 일반외과학; Early gastric cancer; Proximal gastrectomy; Double tract
• ISSN: 2288-6575; 2288-6796

Purpose: The purpose of this study is to evaluate the safety and feasibility of a proximal gastrectomy with a double tract reconstruction using remnant antrum in patients with early upper gastric cancer. Methods: Between July 2003 and June 2005, we analyzed 45 patients with early upper gastric cancer, with 19 patients receiving a proximal gastrectomy with double tract reconstruction using the remnant antrum (Group A) and 26 receiving a total gastrectomy with a Roux-en Y anastomosis(Group B). We retrospectively analyzed the clinical characteristics (age, sex, operation time, duration of postoperative hospital stay, duration of follow-up), pathologic characteristics, postoperative nutritional status, complications, and recurrence rates between the two groups. Results: There were no significant differences in the clinical characteristics of the two groups. However, the operation time of group A was significantly longer than group B. The total protein and albumin levels at 3 months, the serum iron and calcium levels by 6 months, and BMI at 3 and 6 months were significantly higher in group A than group B. There were no significant differences of postoperative complications between the two groups. However, the rate and degree of reflux esophagitis in group A were significantly lower than group B. Conclusion: Proximal gastrectomy with double tract reconstruction using the remnant antrum is a safe, feasible, function-preserving surgery for early upper gastric cancer. (J Korean Surg Soc 2008;74:261-266) KCI Citation Count: 2