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국회도서관 홈으로 정보검색 소장정보 검색

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Purpose: Laparoscopic gastric wedge resection (LWR) is being increasingly performed as a safe and effective treatment for gastric submucosal tumors (SMTs). However, there are few studies on the factors associated with operation time of LWR for gastric SMTs. The purpose of this study was to determine the factors associated with the operation time of LWR for gastric SMTs.

Methods: Between June 2001 and December 2008, 58 patients with gastric SMTs underwent LWR. We analyzed the clinicopathologic data, perioperative parameters and outcomes, and surgeon's experience retrospectively. We also analyzed the factors associated with the operation time of LWR for gastric SMTs.

Results: Among 58 patients that underwent LWR, exogastric wedge resection (n=48) was mainly performed. Transgastric wedge resection (n=8) took the longest amount of time. Intraoperative GFS (n=7) was frequently performed for smaller tumors. When the tumor was located at the cardia and fundus, more time was needed for LWR of the SMTs. There was no correlation of the operation time with the clinicopathologic data and surgeon's experience; however, the tumor location (axis) and the approach used for the resection of the stomach were statistically correlated with the operation time.

Conclusion: The operation time of LWR for gastric SMTs was related to the tumor location (according to gastric axis) and the approach used for the resection of the stomach. If the tumor location was identified precisely and the proper approach for resection of the stomach was determined preoperatively, the operation time of LWR for gastric SMTs might be reduced.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
복강경 수술 시 변형된 방법의 투관침 삽입법 신동훈 pp.1-4

국내 고도 비만 환자에서 시행한 비만 수술 120예의 경험 :복강경 루와이 위우회술 및 조절형 위밴드 삽입술 박인수 ;이홍찬 ;이상권 ;김응국 pp.5-13

위 점막하 종양의 복강경하 쐐기 절제술에서 수술 시간과 관련 있는 인자 최규성 ;정귀애 ;조규석 ;강길호 ;김용진 ;이문수 ;김형철 ;송옥평 pp.14-20

5 mm Scope을 이용한 복강경 충수절제술 정준수 ;김대훈 ;민인철 ;선우영 ;최재운 ;장이찬 ;박진우 ;류동희 pp.21-25

합병성 충수염에서의 복강경 충수돌기 절제술의 유용성 이종석 ;김주섭 ;이삼열 ;김두진 ;정진철 ;박찬흔 ;박준호 pp.26-30

충수 점액낭종의 임상적 고찰 및 복강경 수술의 경험 장은영 ;박종훈 ;이정안 ;조해창 ;구미진 pp.31-36

복강경 대장 절제술의 초기 시행 시 고려점 :대장내시경 문신술의 가치와 전직장간막 절제술의 완전성 평가를 중심으로 오유진 ;임영철 ;최대화 ;차희정 pp.37-43

재발성 서혜부 탈장에 대한 복강경적 복막외 접근 탈장교정술의 유용성 김지선 ;조성우 ;김용진 ;최동호 ;강길호 ;송 단 ;김재준 ;허경열 pp.44-49

복막외 접근법에 의한 좌측 서혜부 탈장수술 시 반대편 탈장 검색의 의의 정춘식 ;이정은 ;조용걸 ;유상화 ;정규영 ;김승한 ;이동근 pp.50-53

복강경을 통한 척추 이물 제거 1예 신희철 ;이주희 ;지예섭 ;박도중 ;김형호 ;한호성 pp.54-56

참고문헌 (18건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Matthews BD, Walsh RM, Kercher KW, et al. Laparoscopic vs open resection of gastric stromal tumors. Surg Endosc 2002; 16:803-807. 미소장
2 The Information Committee of the Korean Gastric Cancer Association. 2005∼2006 Nationwide gastric submucosal tumor report in Korea. J Korean Gastric Cancer Assoc 2008;8: 104-109. 미소장
3 Surgical management of small gastrointestinal stromal tumors of the stomach. 네이버 미소장
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5 Long-term outcomes of laparoscopic resection of gastric gastrointestinal stromal tumors. 네이버 미소장
6 Wedge Resection of the Stomach for Gastric Submucosal Tumors: Laparoscopic vs. Open 소장
7 Laparoscopic wedge resection for gastric GIST: long-term follow-up results. 네이버 미소장
8 Buyske J, McDonald M, Fernandez C, et al. Minimally invasive management of low-grade and benign gastric tumors. Surg Endosc 1997;11:1084-1087. 미소장
9 Song KY, Kim SN, Park CH. Tailored-approach of laparoscopic wedge resection for treatment of submucosal tumor near the esophagogastric junction. Surg Endosc 2007;21:2272-2276. 미소장
10 Laparoscopic approaches to resection of suspected gastric gastrointestinal stromal tumors based on tumor location. 네이버 미소장
11 Diagnosis of gastrointestinal stromal tumors: A consensus approach 네이버 미소장
12 Nationwide Survey of Laparoscopic Gastric Surgery in Korea, 2004 소장
13 Basso N, Rosato P, De Leo A, et al. Laparoscopic treatment of gastric stromal tumors. Surg Endosc 2000;14:524-526. 미소장
14 Hwang SH, Park DJ, Kim YH, et al. Laparoscopic surgery for submucosal tumors located at the esophagogastric junction and the prepylorus. Surg Endosc 2008 [Epub ahead of print]. 미소장
15 Surgical Treatment of GIST 소장
16 Surgical management of gastrointestinal stromal tumors: analysis of outcome with respect to surgical margins and technique. 네이버 미소장
17 Laparoscopic resection for gastrointestinal stromal tumors of the stomach 네이버 미소장
18 The Surgical Outcome for Gastric Submucosal Tumors: Laparoscopy vs. Open Surgery 소장