Reoperation of Recurrent Gastric Cancer
대한암학회지 2001년 33권 6호 p.478 ~ 482
박승만, 이철희, 박조현, 김욱, 안창준, 임근우, 박우배, 김승남, 김인철,
소속 상세정보
박승만 ( Park Seung-Man )
가톨릭대학교 의과대학 외과학교실
이철희 ( Lee Chul-Hee )
가톨릭대학교 의과대학 외과학교실
박조현 ( Park Cho-Hyun )
가톨릭대학교 의과대학 외과학교실
김욱 ( Kim Wook )
가톨릭대학교 의과대학 외과학교실
안창준 ( Ahn Chang-Joon )
가톨릭대학교 의과대학 외과학교실
임근우 ( Lim Keun-Woo )
가톨릭대학교 의과대학 외과학교실
박우배 ( Park Woo-Bae )
가톨릭대학교 의과대학 외과학교실
김승남 ( Kim Seung-Nam )
가톨릭대학교 의과대학 외과학교실
김인철 ( Kim In-Chul )
가톨릭대학교 의과대학 외과학교실
KMID : 0360320010330060478
Abstract
Purpose: The aim of this study was to evaluate the outcome of reoperation in recurrent gastric cancers.
Materials and Methods: We conducted a retros pective analysis of 86 patients who underwent reoperation for recurrent gastric cancer. We reviewed the time interval between first operation and reoperation, as well as the recurrence pattern, type of reo peration, and survival following reoperation.
Results: the average time to reoperation following cura-tive resection was 27.8±25.9 months (median 18.4 months). Fifty-three cases (61.6%) of reoperation were performed within 2 years follwoing the first operation. The most common reason for reoperation was intestinal obstruction followed by gastric remnant recurrence and intra-abdo minal mass . Complete resection was possible in 14 cases (16.3%) and a palliative procedure such as partial resection or bypass procedures was performed in 54 cases. In 18 cases (20.9%), simple lapalotomy was done without any aid. The most common site of recur-rence was the peritoneum followed by the gastric rem-nant, distant lymph node and hematogenous liver metas-tasis. Operative mortality was 10.5%. Excluding the 9 cases of operative mortality, the mean survival time after reoperation was 15.4±2.5 months (mean 8.6 months). Survival following complete resection was much longer than palliative procedure and exploration only (37.9±8.7 vs 10.9±1.5 vs 4.7±0.8 months, p=0.000)
Conclusion: The complete resection of recurrent gastric cancer can prolong survival. Early detection of localized recurrence is important in order to increase the chance of complete resection.
키워드
Stomach neoplasm;Recurrence;Reoperation;
원문 및 링크아웃 정보
등재저널 정보