지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.3
- 수록면
- 187 - 191 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: Increasingly, endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) has been performed. However, yet, there is no standard therapy after incomplete EMR or ESD. The aim of this study was to evaluate the necessity of further resection after an incomplete EMR or ESD.
Methods: We analyzed 24 patients who underwent curative gastrectomy due to an incomplete EMR or ESD between January 2000 and February 2007. A retrospective review was performed evaluating the clinicopathological characteristics, operating methods and presence of residual tumor.
Results: After the gastrectomy, the total positive residual tumor rate was 66.7% (16/24), with a rate of 73.5% (11/15) for mucosal cancer a rate of 50.0% (4/8) for submucosal cancer, and a rate of 100% (1/1) for cancer that invaded the muscularis propria. There were no positive lymph nodes. There was no recurrence in a mean 35.5 months (range, 4∼90 months) of follow-up.
Conclusion: Further resection is recommended for patients with a positive resection margin, because of the possibility of the presence of a residual tumor. Laparoscopic resection may be one of the most effective therapeutic options for these patients as a minimally invasive procedure by which curative resection can be expected.
Methods: We analyzed 24 patients who underwent curative gastrectomy due to an incomplete EMR or ESD between January 2000 and February 2007. A retrospective review was performed evaluating the clinicopathological characteristics, operating methods and presence of residual tumor.
Results: After the gastrectomy, the total positive residual tumor rate was 66.7% (16/24), with a rate of 73.5% (11/15) for mucosal cancer a rate of 50.0% (4/8) for submucosal cancer, and a rate of 100% (1/1) for cancer that invaded the muscularis propria. There were no positive lymph nodes. There was no recurrence in a mean 35.5 months (range, 4∼90 months) of follow-up.
Conclusion: Further resection is recommended for patients with a positive resection margin, because of the possibility of the presence of a residual tumor. Laparoscopic resection may be one of the most effective therapeutic options for these patients as a minimally invasive procedure by which curative resection can be expected.
목차
서론
방법
결과
고찰
REFERENCES
참고문헌 (24)
참고문헌 신청
1. [학술지(정기간행물)] - Hyung WJ / 2003 / Analyses of prognostic factors and gastric cancer specific survival rate in early gastric cancer patients and its clinical implication / J Korean Surg Soc 65 : 309 ~ 315
2. [학술지(정기간행물)] - 대한위암학회 / 2002 / 전국 위암 등록사업 결과 보고 / 대한위암학회지 2 (2) : 105 ~ 114
3. [학술지(정기간행물)] - Lee HJ / 2003 / Clinicopathological analysis for recurrence of early gastric cancer / Jpn J Clin Oncol 33 : 209 ~ 214
4. [학술지(정기간행물)] - 신동우 / 2001 / 조기 위암의 근치적 절제술 후 재발예측인자 / 대한위암학회지 1 (2) : 106 ~ 112
5. [학술지(정기간행물)] - 신종근 / 2001 / 조기위암에서 림프절 전이 및 재발에 영향을 주는 위험인자 분석 / 대한위암학회지 1 (2) : 119 ~ 127
2. [학술지(정기간행물)] - 대한위암학회 / 2002 / 전국 위암 등록사업 결과 보고 / 대한위암학회지 2 (2) : 105 ~ 114
3. [학술지(정기간행물)] - Lee HJ / 2003 / Clinicopathological analysis for recurrence of early gastric cancer / Jpn J Clin Oncol 33 : 209 ~ 214
4. [학술지(정기간행물)] - 신동우 / 2001 / 조기 위암의 근치적 절제술 후 재발예측인자 / 대한위암학회지 1 (2) : 106 ~ 112
5. [학술지(정기간행물)] - 신종근 / 2001 / 조기위암에서 림프절 전이 및 재발에 영향을 주는 위험인자 분석 / 대한위암학회지 1 (2) : 119 ~ 127
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UCI(KEPA) : I410-ECN-0101-2013-514-002693469