논문검색
Author Sin Jae Kang, Mi Ran Jung, Oh Cheong, Young Kyu Park, Ho Goon Kim, Dong Yi Kim, Hoi Won Kim1, and Seong Yeob Ryu
Place of duty Department of Surgery, Chonnam National University Medical School, Gwangju, 1Department of Surgery, Mokpo Christian Hospital, Mokpo, Korea
Title Is Laparoscopy-assisted Radical Gastrectomy Safe in Patients with Child-Pugh Class A Cirrhosis?
Publicationinfo Journal of Gastric Cancer 2013 Dec; 013(04): 207-213.
Key_word Stomach neoplasms; Liver cirrhosis; Gastrectomy
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Abstract Purpose: We investigated early postoperative morbidity and mortality in patients with liver cirrhosis who had undergone radical gastrectomyfor gastric cancer.Materials and Methods: We retrospectively reviewed the medical records of 41 patients who underwent radical gastrectomy at the Chonnam National University Hwasun Hospital (Hwasun-gun, Korea) between August 2004 and June 2009. There were few patients with Child-Pugh class B or C; therefore, we restricted patient selection to those with Child-Pugh class A.Results: Postoperative complications were observed in 22 (53.7%) patients. The most common complications were ascites (46.3%), postoperative hemorrhage (22.0%) and wound infection (12.2%). Intra-abdominal abscess developed in one (2.4%) patient who had undergone open gastrectomy. Massive ascites occurred in 4 (9.8%) patients. Of the patients who underwent open gastrectomy, nine (21.9%) patients required blood transfusions as a result of postoperative hemorrhage. However, most of these patients had advanced gastric cancer. In contrast, most patients who underwent laparoscopic gastrectomy had early stage gastric cancer, and when the confoundingeffect from the different stages between the two groups was corrected statistically, no statistically significant difference was found. There was also no significant difference between open and laparoscopic gastrectomy in the occurrence rate of other postoperative complications such as ascites, wound infection, and intra-abdominal abscess. No postoperative mortality occurred.Conclusions: Laparoscopic gastrectomy is a feasible surgical procedure for patients with moderate hepatic dysfunction.
출판정보 대한위암학회지 2013 Dec; 013(04): 207-213.

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