복강경적 위설상절제술의 임상 경험
Clinical Experience of Laparoscopic Wedge Resection of Stomach
양한광, 이혁준, 김윤호, 이현국, 김세형, 한준구, 이건욱, 최국진,
소속 상세정보
양한광 ( Yang Han-Kwang )
서울대학교 의과대학 외과학교실
이혁준 ( Lee Hyuk-Joon )
서울대학교 의과대학 외과학교실
김윤호 ( Kim Yoon-Ho )
서울대학교 의과대학 외과학교실
이현국 ( Lee Hyeon-Kook )
서울대학교 의과대학 외과학교실
김세형 ( Kim Se-Hyung )
서울대학교 의과대학 방사선과학교실
한준구 ( Han Joon-Koo )
서울대학교 의과대학 방사선과학교실
이건욱 ( Lee Kuhn-Uk )
서울대학교 의과대학 외과학교실
최국진 ( Choi Kook-Jin )
서울대학교 의과대학 외과학교실
KMID : 0978820030060010033
Abstract
Purpose: This study is aimed to evaluate the clinical significance of laparoscopic wedge resection of stomach for various gastric neoplasms.
Methods: Eight patients who had been treated with laparoscopic wedge resection of stomach for various gastric neoplasms were evaluated. Their clinicopathologic data, operation methods, postoperative courses, and recurrences were analyzed. Laparoscopic surgery was performed with Harmonic scapel, T-fastener, and Endo-GIA under intraoperative endoscopic assistance.
Results: There were 3 early gastric cancers, 2 gastrointestinal stromal tumors, and 3 benign gastric polyps. There was one open conversion case (conversion rate: 12.5%). Mean operation time was 145 (100∼240) minutes. There was no postoperative mortality or morbidity. There have been no tumor recurrence during the 1- to 37-month follow-up period.
Conclusion: If the patients are selected properly, laparoscopic wedge resection of stomach could be performed as a safe and effective procedure for gastric neoplasms including early gastric cancer. Intraoperative endoscopic assistance seems to be a vital procedure for obtaining adequate resection margins.
키워드
복강경적 위설상절제술;위신생물
Laparoscopic wedge resection;Stomach neoplasm
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