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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.6
- 수록면
- 172 - 181 (10page)
- DOI
- https://doi.org/10.5230/jgc.2018.18.e18
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초록· 키워드
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Purpose: This study aimed to evaluate the surgical outcomes and investigate the feasibility of reduced-port laparoscopic gastrectomy using learning curve analysis in a small-volume center.
Materials and Methods: We reviewed 269 patients who underwent laparoscopic distal gastrectomy (LDG) for gastric carcinoma between 2012 and 2017. Among them, 159 patients underwent reduced-port laparoscopic gastrectomy. The cumulative sum technique was used for quantitative assessment of the learning curve.
Results: There were no statistically significant differences in the baseline characteristics of patients who underwent conventional and reduced-port LDG, and the operative time did not significantly differ between the groups. However, the amount of intraoperative bleeding was significantly lower in the reduced-port laparoscopic gastrectomy group (56.3 vs. 48.2 mL; P<0.001). There were no significant differences between the groups in terms of the first flatus time or length of hospital stay. Neither the incidence nor the severity of the complications significantly differed between the groups. The slope of the cumulative sum curve indicates the trend of learning performance. After 33 operations, the slope gently stabilized, which was regarded as the breakpoint of the learning curve.
Conclusions: The surgical outcomes of reduced-port laparoscopic gastrectomy were comparable to those of conventional laparoscopic gastrectomy, suggesting that transition from conventional to reduced-port laparoscopic gastrectomy is feasible and safe, with a relatively short learning curve, in a small-volume center.
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참고문헌 (16)
참고문헌 신청
Kitano S / 1994 / Laparoscopy-assisted Billroth I gastrectomy / Surg Laparosc Endosc 4:146~148
Oh Jeong / 2011 / Clinicopathological Features and Surgical Treatment of Gastric Cancer in South Korea: The Results of 2009 Nationwide Survey on Surgically Treated Gastric Cancer Patients / Journal of Gastric Cancer 11(2):69~77
Vinuela EF / 2012 / Laparoscopic versus open distal gastrectomy for gastric cancer: a meta-analysis of randomized controlled trials and high-quality nonrandomized studies / Ann Surg 255:446~456
Matsuda T / 1995 / Smaller ports result in shorter convalescence after laparoscopic varicocelectomy / J Urol 153:1175~1177
Usui S / 2014 / Triple-incision laparoscopic distal gastrectomy for the resection of gastric cancer: comparison with conventional laparoscopy-assisted distal gastrectomy / Asian J Endosc Surg 7:197~205
Oh Jeong / 2011 / Clinicopathological Features and Surgical Treatment of Gastric Cancer in South Korea: The Results of 2009 Nationwide Survey on Surgically Treated Gastric Cancer Patients / Journal of Gastric Cancer 11(2):69~77
Vinuela EF / 2012 / Laparoscopic versus open distal gastrectomy for gastric cancer: a meta-analysis of randomized controlled trials and high-quality nonrandomized studies / Ann Surg 255:446~456
Matsuda T / 1995 / Smaller ports result in shorter convalescence after laparoscopic varicocelectomy / J Urol 153:1175~1177
Usui S / 2014 / Triple-incision laparoscopic distal gastrectomy for the resection of gastric cancer: comparison with conventional laparoscopy-assisted distal gastrectomy / Asian J Endosc Surg 7:197~205
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