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
- 2018.6
- 수록면
- 182 - 188 (7page)
- DOI
- https://doi.org/10.5230/jgc.2018.18.e20
이용수
초록· 키워드
오류제보하기
Purpose: Despite the fact that there are several reports of single-port laparoscopic distal gastrectomy (SPDG), no analysis of its learning curve has been described in the literature. The aim of this study was to investigate the favorable factors for SPDG and to analyze the learning curve of SPDG.
Materials and Methods: A total of 125 cases of SPDG performed from November 2011 to December 2015 were enrolled. All operations were performed by 2 surgeons (surgeon A and surgeon B). The moving average method was used for defining the learning curve. All cases were divided into 10 cases in a sequence, and the mean operative time and estimated blood loss data were extracted from each group.
Results: Surgeon A performed 68 cases (female-to-male sex ratio, 91.1%:8.82%), and surgeon B performed 57 cases (female-to-male sex ratio, 61.4%:38.5%). The operative time of surgeon B significantly decreased after 30 cases (157.8±38.4 minutes vs. 118.1±34.5 minutes, P=0.003); that of surgeon A did not significantly decrease before and after around 30 cases (160.8±51.6 minutes vs. 173.3±35.2 minutes, P=0.6). The subgroup analysis showed that the operative time significantly decreased in the patients with body mass index (BMI) of <25 kg/m2 (<25 kg/m2:≥25 kg/m2, 159.3±41.7 minutes: 194.25±81.1 minutes; P=0.001).
Conclusions: Although there was no significant decrease in the operative time for surgeon A, surgeon B reached the learning curve upon conducting 30 cases of SPDG. BMI of <25 kg/m2 was found to be a favorable factor for SPDG.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Kitano S / 1995 / Laparoscopically assisted distal partial gastrectomy for early-stage gastric carcinomas / Surg Technol Int IV:115~119
Kitano S / 2007 / A multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan / Ann Surg 245:68~72
김형호 / 2013 / Prospective randomized controlled trial (phase III) to comparing laparoscopic distal gastrectomy with open distal gastrectomy for gastric adenocarcinoma (KLASS 01) / 대한외과학회지 84(2):123~130
Omori T / 2011 / Transumbilical single-incision laparoscopic distal gastrectomy for early gastric cancer / Surg Endosc 25:2400~2404
Ahn SH / 2014 / Pure single-port laparoscopic distal gastrectomy for early gastric cancer: comparative study with multi-port laparoscopic distal gastrectomy / J Am Coll Surg 219:933~943
Kitano S / 2007 / A multicenter study on oncologic outcome of laparoscopic gastrectomy for early cancer in Japan / Ann Surg 245:68~72
김형호 / 2013 / Prospective randomized controlled trial (phase III) to comparing laparoscopic distal gastrectomy with open distal gastrectomy for gastric adenocarcinoma (KLASS 01) / 대한외과학회지 84(2):123~130
Omori T / 2011 / Transumbilical single-incision laparoscopic distal gastrectomy for early gastric cancer / Surg Endosc 25:2400~2404
Ahn SH / 2014 / Pure single-port laparoscopic distal gastrectomy for early gastric cancer: comparative study with multi-port laparoscopic distal gastrectomy / J Am Coll Surg 219:933~943
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