위암 환자의 복강경 보조하 위절제술 117예에 대한 분석
Operative Outcome of Laparoscopy-assisted Gastrectomy with Lymph Node Dissection in 117 Consecutive Patients with Gastric Cancer: A Single-center Experience
이태무, 권욱, 김민찬, 정갑중, 김형호,
소속 상세정보
이태무 ( Lee Tae-Mu )
동아대학교 의과대학 외과학교실
권욱 ( Kwon Wook )
동아대학교 의과대학 외과학교실
김민찬 ( Kim Min-Chan )
동아대학교 의과대학 외과학교실
정갑중 ( Jung Ghap-Joong )
동아대학교 의과대학 외과학교실
김형호 ( Kim Hyung-Ho )
분당서울대학교병원 외과
KMID : 0371320040670020106
Abstract
PURPOSE: The aim of this study was to determine the feasibility and safety of laparoscopy-assisted gastrectomy (LAG) with lymph node dissection for gastric cancer according to the analysis of postoperative complications.
METHODS: The authors attempted LAG with lymph node dissection in 117 consecutive patients with gastric cancer. The clinicopathologic characteristics of the patients, operative outcomes, preoperative comorbidities and postoperative morbidities and mortalities were evaluated using the stomach cancer database of Dong-A university hospital and medical charts.
RESULTS: Among the 114 successful patients, 100 had early gastric cancer and 14 had advanced gastric cancer. The mean operation time was 259.2 minutes (range 150~415). The mean number of retrieved lymph nodes was 23.4 (range 6~66). The mean time to the first flatus and postoperative hospital stay were 3.7 and 10.0 days, respectively. The overall operative mortality rate, hospital death rate and the overall rate of postoperative complications were 0, 1.7 and 14.7%, respectively. The major and minor complication rate were 4.3 and 10.4%, respectively.
CONCLUSION: LAG with lymph node dissection is technically feasible and receptive as surgical treatment for patients with gastric cancer, although various postoperative complications can arise in LAG as they do in open gastrectomy.
키워드
위암;복강경 보조하 위절제술;림프절 곽청술;수술 후 합병증;Gastric cancer;Laparoscopy-assisted gastrectomy;Lymph node dissection;Postoperative morbidity
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