다발성 조기 위암 환자에서 최소 침습 위 절제술의 유용성

• Published in: Annals of surgical treatment and research Vol. 79; no. 4; pp. 281 - 286
• Main Authors: 송주영(Jooyoung Song), 김기한(Ki Han Kim), 노영훈(Young Hun Roh), 김민찬(Min-Chan Kim), 최홍조(Hong-Jo Choi), 정갑중(Ghap-Joong Jung)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.10.2010
• Subjects: 일반외과학; Multiple early gastric cancer; Laparoscopy; 다발성 조기 위암; 로봇; Robot; 복강경
• ISSN: 2288-6575; 2288-6796

Purpose: As preoperative diagnostic tools have advanced, the rate of multiple early gastric cancer diagnoses have increased. The author investigated the clinicopathological features of multiple early gastric cancers to elucidate the clinical feasibility of minimally invasive gastrectomy such as laparoscopy or robot assisted gastrectomy for their surgical treatment. Methods: One thousand one hundred and eighty-five open gastrectomies and 607 laparoscopies or robot-assisted gastrectomies for gastric cancers from January 2003 through August 2009 were retrospectively reviewed. Among them, 844 were diagnosed as early gastric cancers, of which 47 cases had multiple early gastric cancers. Twenty-seven cases underwent open gastrectomy and 20 cases underwent laparoscopy or robot assisted gastrectomy. The author analyzed clinicopathological features in these multiple early gastric cancers. Results: The incidences of multiple early gastric cancers among the early gastric cancers were 5.6%. There were no statistical differences in the clinicopathological parameters except the type of gastrectomy and anastomosis. The distances of both proximal and distal margin show no statistical difference in both groups. The hospital stay was shorter in laparoscopy or robot assisted gastrectomy group (P=0.022). The postoperative complications developed 7 cases in open group and 1 case in laparoscopy or robot assisted gastrectomy group (P=0.046). During the mean follow-up period of 43.8±26.4 and 36.2±19.8 months, no recurrence was found in both groups. Conclusion: Laparoscopy or robot assisted gastrectomy are as acceptable as open methods to obtain a safe surgical margin, and to perform the desirable type of gastrectomy and radical lymph node dissection. KCI Citation Count: 2