위암 환자의 근치적 수술 후 삶의 질에 관한 연구
A Study of the Quality of Life Following after Curative Surgery for Gastric Cancer
이형민, 신영도, 윤충, 주흥재,
소속 상세정보
이형민 ( Lee Hyeong-Min )
경희대학교 의과대학 외과학교실
신영도 ( Shin Young-Do )
경희대학교 의과대학 외과학교실
윤충 ( Yoon Choong )
경희대학교 의과대학 외과학교실
주흥재 ( Joo Hoong-Zae )
경희대학교 의과대학 외과학교실
KMID : 0371320010600040405
Abstract
Purpose: The quality of life of patients who have undergone surgery for carcinoma of the esophagus, breast, or lung has been discussed, however, little is known of the results following radical surgery for gastric cancer. We evaluated the quality of life of patients who had undergone radical surgery for gastric cancer and clarified the factors that influenced the quality of life for patients with gastric cancer.
Methods: We surveyed one hundred and thirty seven patients without recurrence of disease or chronic diseases following gastrectomy for gastric cancer. A questionnaire based on the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 was used to analyse the correlations between six functional scales and nine symptom scales and stage, surgical methods, chemotherapy, and performance status by scoring system.
Results: The quality of life following gastrectomy was determined by the stage of the disease at surgery, the surgical method, the application of anticancer chemotherapy, and the patient’s own performance status. Patients with more advanced stages had a lower quality of life, and those who underwent total gastrectomy were expected to have a lower quality of life than patients who received subtotal gastrectomy. However there were no differences in the quality of life between patients with gastrojejunostomy and gastroduodenostomy following subtotal gastrectomy. The severity of postoperative weight loss had no influence on the quality of life. Patients undergoing chemotherapy showed higher points in the symptom scale rather than the functional scale. The functional scale and the symptom scale both showed a significant difference according to the patient’s performance status as assessed by the surgeon after a survey of the patient.
Conclusion: We consider the periodic evaluation of the quality of life following gastrectomy in patients with gastric cancer to be useful in obtaining information concerning the patient’s postoperative course and in assessing the therapeutic efficiency of the patient.
키워드
위암; 위절제술;삶의 질;EORTC QLQ-30
Stomach cancer;Gastrectomy;Quality of life;EORTC QLQ-30
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