진행위암에서 대동맥주위림프절곽청(PALD)과 D2의 임상결과 비교
Comparison of Clinical Outcome in Para-aortic Lymph Node Dissection (PALD) and D2 for Advanced Gastric Cancer
대한암학회지 2000년 32권 5호 p.844 ~ 851
김찬동, 양대현, 조익행, 김진복, 최원진, 김일명, 윤진, 박상수, 유병욱, 안승익, 최신은,
소속 상세정보
김찬동 ( Kim Chan-Dong )
지방공사 강남병원 일반외과
양대현 ( Yang Dae-Hyun )
지방공사 강남병원 일반외과
조익행 ( Cho Ik-Hang )
동부시립병원 외과
김진복 ( Kim Jin-Pok )
인제대학교 의과대학 서울백병원 한국위암센터
최원진 ( Choi Won-Jin )
강원대학교 의과대학 외과학교실
김일명 ( Kim Il-Myung )
지방공사 강남병원 일반외과
윤진 ( Yoon Jin )
지방공사 강남병원 일반외과
박상수 ( Park Sang-Su )
지방공사 강남병원 일반외과
유병욱 ( Yoo Byung-Wook )
지방공사 강남병원 일반외과
안승익 ( Ahn Seung-Ick )
인하대학교 의과대학 외과학교실
최신은 ( Choi Shin-Eun )
지방공사 강남병원 해부병리과
KMID : 0360320000320050844
Abstract
Purpose :We compared the clinical results of paraaortic lymph node dissection (PALD) with those of D2 to evaluate the survival gain and disadvantage of paraaortic lymph node dissection for advanced gastric cancer.
Materials and Methods :We analysed the clinical data of 196 patients who underwent curative resection and D2 with or without paraaortic lymph node dissection (PALD or D2) for advanced gastric cancer from May 1990 to June 1999. The operative factors (operative time, the amounts of intraoperative transfusion and hospital stay), operative morbidity and mortality and 5 year survival rates were compared between D2 and PALD groups.
Results :The operative time of subtotal gastrectomy was significantly longer in PALD group than D2 group. The operative morbidity rates were 9.2% in D2 group and 10.3% in PALD group. There were 3 operative mortalities in D2 group and none in PALD group.The 5 year survival rates (5YSR’s) of stage IB, II, IIIA, IIIB, IV were 88.9%, 92.3%, 30.2%, 24.2%, 28.9% in D2 group and 93.3%, 75.5%, 61.0%, 0%, 0% in PALD group.
Conclusion :The paraaortic lymph node dissection was a rather safe procedure without significant increase of morbidity and mortality. There was no statistically significant difference in survival in any stage of this retrospective study with limited cases and follow-ups.
키워드
Stomach neoplasm;Paraaortic lymph node dissection;D2 dissection;Survival;Operative complication;
원문 및 링크아웃 정보
등재저널 정보