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Spleen-Preserving Lymphadenectomy Versus Splenectomy in Laparoscopic Total Gastrectomy for Advanced Gastric Cancer : 진행성 위암에서 복강경 위전절제술 중 비장보존 림프절곽청술과 비장절제술의 비교
DC Field | Value | Language |
---|---|---|
dc.contributor.advisor | 이태승 | - |
dc.contributor.author | 손상용 | - |
dc.date.accessioned | 2017-07-19T10:12:54Z | - |
dc.date.available | 2017-07-19T10:12:54Z | - |
dc.date.issued | 2014-02 | - |
dc.identifier.other | 000000017768 | - |
dc.identifier.uri | https://hdl.handle.net/10371/132422 | - |
dc.description | 학위논문 (석사)-- 서울대학교 대학원 : 임상의과학과, 2014. 2. 이태승. | - |
dc.description.abstract | Introduction: To investigate the optimal approach for laparoscopic splenic hilum lymph node dissection in advanced gastric cancer, we compared the operative outcomes between laparoscopic spleen-preserving total gastrectomy (sp-LTG) and laparoscopic total gastrectomy with splenectomy (sr-LTG).
Methods: A retrospective case-control study was conducted between February 2006 and December 2012. The operative outcomes, the number of retrieved splenic hilum lymph node, complication, and patient survival were analyzed. Results: 112 patients who underwent laparoscopic total gastrectomy with or without splenectomy for advanced gastric cancer were enrolled (68 sp-LTGs and 44 sr-LTGs). The mean operation time (227 min vs. 224 min, p=0.762) and estimated blood loss (157 ml vs. 164 ml, p=0.817) were not different between two groups. Regarding splenic lymph node dissection, there were significantly differences in the mean number of retrieved lymph nodes between sp-LTG group and sr-LTG group (LN #10 | - |
dc.description.abstract | 1.78 vs. 3.21, p=0.033, LN #11d | - |
dc.description.abstract | 1.41 vs. 2.76, p=0.004). The complication rate was 17.6% in sp-LTG group and 13.6% in sr-LTG group, respectively (p=0.572). In multivariate analysis, circular lesion and vascular invasion were independent prognostic factors related to overall survival, but splenectomy was not associated with overall survival (p=0.0.29, p=0.006, and p=0.453, respectively)
Conclusions: sp-LTG may be the treatment of choice for splenic hilum lymph node dissection in advanced gastric cancer. | - |
dc.description.tableofcontents | 영문초록..........................................................i
목차............................................................iii 도표목록 List of Tables.................................................iv List of Figures.................................................v 서론..............................................................1 방법..............................................................3 결과..............................................................6 고찰.............................................................15 결론.............................................................18 참고문헌.........................................................19 국문초록.........................................................23 | - |
dc.format | application/pdf | - |
dc.format.extent | 484097 bytes | - |
dc.format.medium | application/pdf | - |
dc.language.iso | en | - |
dc.publisher | 서울대학교 대학원 | - |
dc.subject | Gastric cancer | - |
dc.subject | Laparoscopy | - |
dc.subject | Total gastrectomy | - |
dc.subject | Splenectomy | - |
dc.subject.ddc | 610 | - |
dc.title | Spleen-Preserving Lymphadenectomy Versus Splenectomy in Laparoscopic Total Gastrectomy for Advanced Gastric Cancer | - |
dc.title.alternative | 진행성 위암에서 복강경 위전절제술 중 비장보존 림프절곽청술과 비장절제술의 비교 | - |
dc.type | Thesis | - |
dc.description.degree | Master | - |
dc.citation.pages | v, 24 | - |
dc.contributor.affiliation | 의과대학 임상의과학과 | - |
dc.date.awarded | 2014-02 | - |
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