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조기위암의 복강경하 원위부 위절제술 시 절제면 표시를 위한 내시경 클리핑의 최적 시기
Optimal Timing of Endoscopic Clipping for Determining the Resection Line for Laparoscopy-assisted Distal Gastrectomy

대한소화기학회지 2014년 64권 2호 p.76 ~ p.80

박지영(Park Ji-Young) - 인제대학교 의과대학 상계백병원 내과학교실
전태주(Jeon Tae-Joo) - 인제대학교 의과대학 상계백병원 내과학교실
신원창(Shin Won-Chang) - 인제대학교 의과대학 상계백병원 내과학교실

Abstract

background/Aims: Pre-operative endoscopic clipping for determining the resection line in patients with early gastric cancer has been used safely, and its efficacy has been demonstrated. However, the optimal timing of endoscopic clipping for determining the resection line in early gastric cancer patients undergoing laparoscopy-assisted distal gastrectomy has not been investigated.

Methods: A retrospective analysis of 92 patients with early gastric cancer who underwent gastric resection after endoscopic clipping at Inje University Sanggye Paik Hospital (Seoul, Korea) was performed. We analyzed the clinical and endoscopic features of patients, number of clips, time from clipping to surgery, and number of patients showing detachment of clips from the gastric wall before surgery. Patients were categorized according to the following two groups: group A included patients whose clips were applied within one day before surgery and group B included patients whose clips were applied more than one day before surgery.

Results: Of the 92 patients, 56 were included in group A and 36 were included in group B. In 11 patients (12.0%, five in group A and six in group B, p=0.329), the clips were detached from the gastric wall before surgery. The mean time from clipping to surgery did not differ significantly between the detached and non-detached groups (11 patients, mean 4.6±4.6days vs. 81 patients, mean 3.0±4.0 days, p=0.227).

Conclusions: The timing of endoscopic clipping for localization of tumors in early gastric cancer patients undergoing gastrectomy is not important for determining the resection line.

키워드

Stomach cancer, Laparoscopic surgery, Endoscopic clip, Gastrectomy

KMID : 0614620140640020076

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DOI

KCD코드

ICD 03

건강보험코드

조기위암의 복강경하 원위부 위절제술 시 절제면 표시를 위한 내시경 클리핑의 최적 시기 Optimal Timing of Endoscopic Clipping for Determining the Resection Line for Laparoscopy-assisted Distal Gastrectomy

Abstract

키워드

조기위암의 복강경하 원위부 위절제술 시 절제면 표시를 위한 내시경 클리핑의 최적 시기
Optimal Timing of Endoscopic Clipping for Determining the Resection Line for Laparoscopy-assisted Distal Gastrectomy