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Tytuł:
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Actual 3-year survival after laparoscopy-assisted gastrectomy for gastric cancer.
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Autorzy:
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Hwang SH; Department of Surgery, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi, Korea.
Park DJ
Jee YS
Kim MC
Kim HH
Lee HJ
Yang HK
Lee KU
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Źródło:
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Archives of surgery (Chicago, Ill. : 1960) [Arch Surg] 2009 Jun; Vol. 144 (6), pp. 559-64; discussion 565.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: Chicago : American Medical Association, c1960-
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MeSH Terms:
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Adenocarcinoma/*surgery
Gastrectomy/*mortality
Laparoscopy/*mortality
Stomach Neoplasms/*surgery
Adult ; Aged ; Aged, 80 and over ; Disease-Free Survival ; Female ; Gastrectomy/methods ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Survival Analysis ; Young Adult
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Entry Date(s):
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Date Created: 20090617 Date Completed: 20090630 Latest Revision: 20160512
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Update Code:
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20240104
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DOI:
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10.1001/archsurg.2009.110
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PMID:
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19528390
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Objective: To analyze 3-year actual disease-free survival after laparoscopy-assisted gastrectomy for gastric cancer on the assumption that 3-year disease-free survival may represent 5-year overall survival.
Design: Retrospective analysis.
Setting: Department of surgery of a university hospital.
Patients: A total of 197 patients who underwent laparoscopy-assisted gastrectomy for gastric cancer from May 1998 to September 2007 and who were followed up for more than 3 years.
Main Outcome Measures: Feasibility and long-term survival rate with survival analysis by the Kaplan-Meier method.
Results: Subtotal and total gastrectomies were performed in 178 and 19 patients, respectively. The scope of the lymph node dissections were D1 + beta (n = 152) and D2 (n = 45). There were 153, 28, 8, 6, 1, and 1 patients in stages Ia, Ib, II, IIIa, IIIb, and IV, respectively. The median follow-up was 45 months (range, 1-113 months), and there were 7 recurrences. Multivariate analysis of disease-specific survival showed that depth of invasion and lymph node metastasis influenced the prognosis independently. The actual 3-year disease-free survival rate for all patients was 96.9%. The 173 patients with early gastric cancer and 24 with advanced gastric cancer showed 98.8% and 79.1% actual 3-year disease-free survival rates, respectively.
Conclusions: Laparoscopy-assisted gastrectomy is acceptable oncologically in early gastric cancer if 3-year disease-free survival represents 5-year overall survival. Laparoscopy-assisted gastrectomy may also play an important role in the treatment of advanced gastric cancer.