위암 환자의 위절제술 시 비위관 감압의 불필요성
Routine Nasogastric Decompression Is Not Necessary in Elective Gastric Cancer Surgery
전찬영, 손병호, 류창학, 한원곤,
소속 상세정보
전찬영 ( Jeon Chan-Young )
성균관대학교 의과대학 강북삼성병원 외과학교실
손병호 ( Son Byung-Ho )
성균관대학교 의과대학 강북삼성병원 외과학교실
류창학 ( Yoo Chang-Hak )
성균관대학교 의과대학 강북삼성병원 외과학교실
한원곤 ( Han Won-Kon )
성균관대학교 의과대학 강북삼성병원 외과학교실
KMID : 0371320010610060578
Abstract
Purpose : Nasogastric (NG) decompression has traditionally been used following gastrectomy with extended lymph node dissection in patients with gastric cancer. A prospective randomized study of 133 patients undergoing gastric cancer
surgery
was
performed in order to determine the necessity of routine NG decompression.
Methods : Between July 1999 and July 2000, 133 patients with gastric cancer were randomly assigned to one of two groups: NG group (n=69)-NG decompression was maintained postoperatively until a resumption of bowel function; No-NG group
(n=64)-NG
tube was not inserted at all, either pre- or postoperatively.
Results : The times to return of bowel sounds, passage of flatus and start of oral intake were all significantly (P<0.001) shortened in the No-NG group. The length of operating time and postoperative hospital stay were also decreased in
the
No-NG
group (P<0.001). Two patients in each group (2.9% in NG and 3.1% in No-NG group) required subsequent NG decompression. There were no significant differences between the two groups concerning the presence of postoperative fever, nausea, vomiting,
anastomotic leakage, pulmonary or wound complications between the two groups. There was no postoperative mortality in either group.
Conclusion : We concluded that routine NG decompression is not necessary in elective gastric cancer surgery, even in the presence of gastric outlet obstruction.
키워드
위암; 비위관 감압; 전향적 연구; Gastric cancer; Nasogastric decompression; Prospective study;
원문 및 링크아웃 정보
등재저널 정보