Long-Term Outcomes and Feasibility with Laparoscopy-Assisted Gastrectomy for Gastric Cancer
Long-Term Outcomes and Feasibility with Laparoscopy-Assisted Gastrectomy for Gastric Cancer
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DOI：
10.5230/jgc.2012.12.1.18
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发表时间：
2012-03-01
影响因子：
2.5
通讯作者：
Kim, Hyung Ho
中科院分区：
文献类型：
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作者：
Kim, Ki Han;Kim, Min Chan;Kim, Hyung Ho
目的：最近，腹腔镜辅助胃切除术（LAG）已被广泛接受的方式在韩国的早期胃癌。LAG的适应症可在有经验的机构中扩展。在我们的机构，第一例腹腔镜辅助胃切除术（LAG）的胃癌是在1998年5月。我们回顾性分析了12年以上的长期肿瘤学结果，以澄清LAG胃癌的可行性。材料和方法：作者回顾性分析了753例接受LAG胃癌，从1998年5月至2010年8月。我们回顾了临床病理特征，术后结果，死亡率和发病率，复发率，生存LAG胃癌。结果：在此期间，3,039手术胃癌进行。其中LAG 753例（24.8%）。全胃切除69例，胃大部切除682例，近端胃切除2例。根据TNM分期，0期8例，I期619例，II期88例，III期38例。手术并发症77例（10.2%）。中位随访期为56.2个月（范围0.7与165.6个月相似）。25例患者（3.3%）在随访期间复发。总的5年和无病生存率分别为97.1%和96.3%.Conclusions：术后并发症的数量和生存率的我们的系列是从其他报道的结果相媲美。作者认为LAG是治疗早期胃癌的一种可行的替代方案。然而，腹腔镜手术治疗进展期胃癌的理论基础尚未确定。
Purpose: Recently, laparoscopy-assisted gastrectomy (LAG) has been widely accepted modality for early gastric cancer in Korea. The indication of LAG may be extended in an experienced institution. In our institution, the first case of laparoscopy-assisted gastrectomy (LAG) for gastric cancer was performed in May 1998. We retrospectively reviewed the long-term oncologic outcomes over 12 years to clarify the feasibility of LAG for gastric cancer.Materials and Methods: The authors retrospectively analyzed 753 patients who underwent LAG for gastric cancer, from May 1998 to August 2010. We reviewed clinicopathological features, postoperative outcomes, mortality and morbidity, recurrence, and survival of LAG for gastric cancer.Results: During the time period, 3,039 operations for gastric cancer were performed. Among them, 753 cases were done by LAG (24.8%). There were 69 cases of total gastrectomy, 682 subtotal gastrectomies, and 2 proximal gastrectomies. According to TNM stage, 8 patients were in stage 0, 619 in stage I, 88 in stage II, and 38 in stage III. The operation-related complications occurred in 77 cases (10.2%). Median follow-up period was 56.2 months (range 0.7 similar to 165.6 months). Twenty-five patients (3.3%) developed recurrence, during the follow-up period. The overall 5-year and disease free survival rates were 97.1% and 96.3%, respectively.Conclusions: The number of postoperative complications and survival rates of our series were comparable to the results from that of other reports. The authors consider LAG to be a feasible alternative for the treatment of early gastric cancer. However, rationale for laparoscopic surgery in advanced gastric cancer has yet to be determined.