Journal of Gastric Cancer

  • 제10권4호
  • /
  • Pages.234-240
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  • 2010
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  • 2093-582X(pISSN)
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  • 2093-5641(eISSN)
대한위암학회 (The Korean Gastric Cancer Association)
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Feasibility of Gastric Cancer Surgery at Low Volume Hospitals

  • Kim, Ma-Ru (Department of Surgery, The Catholic University of Korea, School of Medicine) ;
  • Park, Jong-Kyung (Department of Surgery, The Catholic University of Korea, School of Medicine) ;
  • Kim, Sung-Geun (Department of Surgery, The Catholic University of Korea, School of Medicine) ;
  • Choi, Seong-Hye (Department of Surgery, The Catholic University of Korea, School of Medicine) ;
  • Yoon, Sang-Sub (Department of Surgery, The Catholic University of Korea, School of Medicine) ;
  • Lee, Seong (Department of Surgery, The Catholic University of Korea, School of Medicine)
  • 투고 : 2010.10.09
  • 심사 : 2010.10.15
  • 발행 : 2010.12.30
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초록

Purpose: Most gastric cancer patients undergo operations at large tertiary hospitals in Korea. However, some patients are treated at low volume hospitals. We investigated patient outcomes after gastric surgery at a secondary hospital and compared with outcomes of large volume centers. Materials and Methods: We included 184 patients who underwent gastric surgery for gastric cancer at our hospital from January 2003 to December 2008. We conducted a retrospective study and evaluated the clinicopathological characteristics, clinical outcomes and survival rate of patients. Results: Mean age was 61.7 years old. Male to female ratio was 2.2 : 1. Proportion of early gastric cancer was 38.6% and that of advanced gastric cancer was 61.4%. The 5 year overall survival rate of 184 patients was 66.3%. The overall survival rate was significantly lower for people over 62 years old. The morbidity rate and mortality at our hospital were 10.3% and 0.5%, respectively. Conclusions: The overall survival rate, morbidity and mortality were similar to those of the previous reports from Korea. Treatment of gastric cancer at a secondary hospital is feasible and safe. Standardization of operations and management of gastric cancer patients of the Korean Gastric Cancer Association is the most important factor to achieve these outcomes.

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참고문헌

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피인용 문헌

  1. Diagnostic Value of Clinical T Staging Assessed by Endoscopy and Stomach Protocol Computed Tomography in Gastric Cancer: The Experience of a Low-Volume Institute vol.12, pp.4, 2010, https://doi.org/10.5230/jgc.2012.12.4.223
  2. Comparison of Laparoscopy-Assisted and Totally Laparoscopic Distal Gastrectomy: The Short-Term Outcome at a Low Volume Center vol.13, pp.1, 2010, https://doi.org/10.5230/jgc.2013.13.1.44
  3. Does Hospital Volume Really Affect the Surgical and Oncological Outcomes of Gastric Cancer in Korea? vol.17, pp.3, 2010, https://doi.org/10.5230/jgc.2017.17.e31
  4. Do Patients Residing in Provincial Areas Transport and Spend More on Cancer Treatment in Korea? vol.18, pp.17, 2010, https://doi.org/10.3390/ijerph18179247