Journal of Gastric Cancer
- Volume 8 Issue 2
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- Pages.79-84
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- 2008
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- 2093-582X(pISSN)
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- 2093-5641(eISSN)
Short-term Surgical Outcomes after Laparoscopic D2 Lymphadenectomy in Patients with Distal Gastric Cancer
원위부 위암에서 복강경 D2 림프절 절제술의 수술 성적
- Cheong, Oh (Department of Surgery, Chonnam National University Hwasun Hospital) ;
- Park, Young Kyu (Department of Surgery, Chonnam National University Hwasun Hospital) ;
- Yook, Jeong Hwan (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
- Kim, Byung Sik (Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine)
- Received : 2008.04.17
- Accepted : 2008.06.11
- Published : 2008.06.30
Abstract
Purpose: With advancements in laparoscopic surgery, there have been efforts to expand the indication for laparoscopic surgery up to advanced gastric cancer. However, scant data are available regarding the feasibility and advantages of laparoscopy-assisted distal gastrectomy (LADG) with standard radical D2 lymph node dissection. Materials and Methods: Twenty-two patients who were preoperatively diagnosed with cT1N0M0 gastric cancer underwent LADG with standard D2 lymphadenectomy between February and August 2007. They were compared with patients who underwent conventional open D2 lymphadenectomy with respect to clinicopathologic features, surgical outcomes, and postoperative course. Results: The mean operative time was significantly longer in the LADG group than in the open group (
목적: 복강경 기구의 발달과 시술자의 숙련도가 증가함에 따라 점차로 조기위암 이상으로 복강경 위절제술을 확대 적용하려는 노력들이 이루어지고 있다. 본 연구는 복강경 D2 림프절 절제술의 적절성 및 유용성을 평가하고자 하였다. 대상 및 방법: 2007년 2월부터 2007년 8월까지 복강경 D2 림프절 절제술을 시행 받은 22명의 원위부위암 환자들을 대상으로 임상병리학적 특성, 수술 성적 및 수술 후 경과 등에 대하여 같은 시기에 시행된 38명의 개복 D2 림프절 절제술 환자와 비교하였다. 결과: 복강경 D2 림프절 절제술은 평균 수술시간이 오래 소요되었으나(