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Title 위암 환자의 위전절제술시 원위부 췌장절제가 예후에 미치는 역할 ( Role of Distal Pancreatectomy on the Prognosis of Gastric Cancer Patients Undergoing Total Gastrectomy )
Publicationinfo 1999 Jan; 031(05): 955-964.
Key_word Gastric carcinoma, Total gastrectomy, Splenectomy, Distal pancreatectomy
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Abstract Purpose: A distal pancreatectomy was often simultaneously performed with splenectomy and total gastrectomy in the treatment of gastric carcinoma for complete removal of lymph nodes around the splenic artery. However, pancreatic juice leakage, subphrenic abscess, and postoperative diabetes were common complications in patients treated by pancreas resection. We performed a retrospective analysis to evaluate the role of distal pancreatectomy on the prognosis of gastric cancer patients. Materials and Methods: The effect of distal pancreatectomy on survival was studied by examination of the records of 120 patients who underwent splenectomy and total gastrec- tomy for gastric carcinoma with serosal invasion. Of these, 75 underwent pancreas pre- serving splenectomy and 45 underwent pancreaticosplenectomy. Prognostic factors and postoperative complications were evaluated according to the operation types. Results: The addition of distal pancreatectomy to splenectomy with total gastrectomy for patients with gastric cancer was not associated with severe complications. And patients underwent pancreaticosplenectomy showed similar survival as those underwent pancreas preserving splenectomy. Conclusion: Distal pancreatectomy for the gastric cancer patients with suspected meta- static lymph nodes around the splenic artery could be recommended for the purpose of radical lymph node dissection.
저 자 한상욱(Sang Uk Han),조용관(Yong Kwan Cho),김봉완(Bong Wan Kim),김태희(Tae Hee Kim),김명욱(Myung Wook Kim)