Abstract:
PURPOSE:Before expanding our indications for laparoscopic gastrectomy to advanced gastric cancer and adopting reduced port laparoscopic gastrectomy, we analyzed and audited the outcomes of laparoscopy-assisted distal gastrectomy (LADG) for adenocarcinoma; this was done during the adoptive period at our institution through the comparative analysis of short-term surgical outcomes and learning curves (LCs) of two surgeons with different careers. MATERIALS AND METHODS:A detailed comparative analysis of the LCs and surgical outcomes was done for the respective first 95 and 111 LADGs performed by two surgeons between July, 2006 and June, 2011. The LCs were fitted by using the non-linear ordinary least squares estimation method. RESULTS:The postoperative morbidity and mortality rates were 14.6% and 0.0%, respectively, and there was no significant difference in the morbidity rates (12.6% vs. 16.2%, P=0.467). More than 25 lymph nodes were retrieved by each surgeon during LADG procedures. The LCs of both surgeons were distinct. In this study, a stable plateau of the LC was not achieved by both surgeons even after performing 90 LADGs. CONCLUSIONS:Regardless of the experience with gastrectomy or laparoscopic surgery for other organs, or the age of surgeon, the outcome was quite acceptable; the learning process differ according to the surgeon's experience and individual characteristics.
journal_name
J Gastric Cancerjournal_title
Journal of gastric cancerauthors
Moon JS,Park MS,Kim JH,Jang YJ,Park SS,Mok YJ,Kim SJ,Kim CS,Park SHdoi
10.5230/jgc.2015.15.1.29subject
Has Abstractpub_date
2015-03-01 00:00:00pages
29-38issue
1eissn
2093-582Xissn
2093-5641journal_volume
15pub_type
杂志文章abstract::Gastric volvulus is an uncommon clinical entity. There are three types of gastric volvulus; organoaxial, mesenteroaxial and combined type. This condition can lead to a closed-loop obstruction or strangulation. Traditional surgical therapy for gastric volvulus is based on an open approach. Here we report a successful c...
journal_title:Journal of gastric cancer
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doi:10.5230/jgc.2015.15.2.147
更新日期:2015-06-01 00:00:00
abstract:PURPOSE:Recently, a nomogram predicting overall survival after gastric resection was developed and externally validated in Korea and Japan. However, this gastric cancer nomogram is derived from large-volume centers, and the applicability of the nomogram in smaller centers must be proven. The purpose of this study is to...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2017.17.e21
更新日期:2017-09-01 00:00:00
abstract:Purpose:The guidelines for pathological evaluation of early gastric cancer (EGC) recommend wider section intervals for surgical specimens (5-7 mm) than those for endoscopically resected specimens (2-3 mm). Studies in surgically resected EGC specimens showed not negligible lymph node metastasis risks in EGCs meeting the...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2020.20.e14
更新日期:2020-06-01 00:00:00
abstract::Ewing's sarcoma is a neoplasm of the undifferenciated small round cells, which generally affects the bone and deep soft tissues of children and adolescents. We present a case of gastric Ewing's sarcoma; a 35-year-old female who had no symptoms. While she was at a routine medical checkup, a protruding mass in her gastr...
journal_title:Journal of gastric cancer
pub_type:
doi:10.5230/jgc.2012.12.4.258
更新日期:2012-12-01 00:00:00
abstract:PURPOSE:It is hypothesized that robotic gastrectomy may surpass laparoscopic gastrectomy after the operators acquire long-term experience and skills in the manipulation of robotic arms. This study aimed to evaluate the long-term learning curve of robotic distal gastrectomy (RDG) for gastric cancer compared with laparos...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2016.16.4.240
更新日期:2016-12-01 00:00:00
abstract::Inflammation can be a causative factor for carcinogenesis or can result from a consequence of cancer progression. Moreover, cancer therapeutic interventions can also induce an inflammatory response. Various inflammatory parameters are used to assess the inflammatory status during cancer treatment. It is important to s...
journal_title:Journal of gastric cancer
pub_type: 杂志文章,评审
doi:10.5230/jgc.2019.19.e29
更新日期:2019-09-01 00:00:00
abstract:Purpose:Enhanced recovery after surgery (ERAS) protocols for gastric cancer patients have shown improved outcomes in Asia. However, data on gastric cancer ERAS (GC-ERAS) programs in the United States are sparse. The purpose of this study was to compare perioperative outcomes before and after implementation of an GC-ERA...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2018.18.e24
更新日期:2018-09-01 00:00:00
abstract::Prostate cancer is the second most common cause of cancer death in men in the United States. The most common sites of metastasis include the bone, lymph nodes, lung, liver, pleura, and adrenal glands, whereas metastatic prostate cancer involving the gastrointestinal tract has been rarely reported. A 64-year-old Africa...
journal_title:Journal of gastric cancer
pub_type:
doi:10.5230/jgc.2014.14.4.271
更新日期:2014-12-01 00:00:00
abstract:PURPOSE:This study aimed to investigate the correlation between multiple early gastric cancer (MEGC) and multiple primary malignancies during the follow-up of patients with gastrectomy. MATERIALS AND METHODS:The number of primary tumors detected in other organs after gastrectomy for early gastric cancer (EGC) has been...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2017.17.e19
更新日期:2017-06-01 00:00:00
abstract:Purpose:Postoperative adjuvant chemotherapy is usually prescribed to improve the survival of patients with advanced gastric cancer who undergo curative surgery. This study was designed to determine the impact that the degree of compliance with chemotherapy has on the prognosis of patients with gastric cancer. Material...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2018.18.e4
更新日期:2018-03-01 00:00:00
abstract:Purpose:For unresectable or initially metastatic gastric cancer, conversion surgery (CVS), after systemic chemotherapy, has received attention as a treatment strategy. This study evaluated the prognostic value of ypTNM stage and the oncologic outcomes in patients receiving CVS. Materials and Methods:A retrospective re...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2020.20.e20
更新日期:2020-09-01 00:00:00
abstract:PURPOSE:Information regarding antimicrobial prophylaxis (AMP) for gastric cancer surgery is limited. The present study investigated the efficacy of single-dose AMP for the prevention of surgical site infection (SSI) in patients undergoing gastrectomy for gastric carcinoma. MATERIALS AND METHODS:Between 2011 and 2013, ...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2014.14.3.156
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:Perioperative chemotherapy improves survival outcomes in locally advanced (LA) gastric cancer. MATERIALS AND METHODS:We retrospectively analyzed patients with LA gastric cancer who were offered perioperative chemotherapy consisting of epirubicin, oxaliplatin, and capecitabine (EOX) from May 2013 to December 20...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2017.17.e3
更新日期:2017-03-01 00:00:00
abstract:PURPOSE:Recently, laparoscopy-assisted gastrectomy (LAG) has been widely accepted modality for early gastric cancer in Korea. The indication of LAG may be extended in an experienced institution. In our institution, the first case of laparoscopy-assisted gastrectomy (LAG) for gastric cancer was performed in May 1998. We...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2012.12.1.18
更新日期:2012-03-01 00:00:00
abstract:PURPOSE:The purpose of this study was to investigate the reliability and the clinical applicability of the adenosine-triphosphate-based chemotherapy response assay (ATP-CRA) as a method of determining in vitro chemosensitivity in patients with gastric cancer. MATERIALS AND METHODS:A total of 243 gastric cancer tissue ...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2010.10.4.155
更新日期:2010-12-01 00:00:00
abstract::Epstein-Barr virus-associated gastric carcinoma (EBVaGC) is one of the four subtypes of gastric carcinoma (GC), as defined by the novel classification recently proposed by The Cancer Genome Atlas. EBVaGC has several clinicopathological features such as longer survival and higher frequency of lymphoepithelioma-like car...
journal_title:Journal of gastric cancer
pub_type: 杂志文章,评审
doi:10.5230/jgc.2016.16.1.1
更新日期:2016-03-01 00:00:00
abstract::As the incidence of early gastric cancer increases, laparoscopic surgery has become one of the treatments of choice for gastric cancer. With the increase of laparoscopic surgery, the chance of discovering aberrant anatomy during the operation also increases. We present a case of laparoscopic total gastrectomy in gastr...
journal_title:Journal of gastric cancer
pub_type:
doi:10.5230/jgc.2013.13.3.188
更新日期:2013-09-01 00:00:00
abstract:PURPOSE:Despite the compelling scientific and clinical data supporting the use of early oral nutrition after major gastrointestinal surgery, traditional bowel rest and intravenous nutrition for several postoperative days is still being used widely after gastric cancer surgery. MATERIALS AND METHODS:A phase II study wa...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2011.11.2.101
更新日期:2011-06-01 00:00:00
abstract:PURPOSE:The use of 18F-2-deoxy-2-fluoro-D-glucose positron emission tomography-computed tomography as a routine preoperative modality is increasing for gastric cancer despite controversy with its usefulness in preoperative staging. In this study we aimed to determine the usefulness of preoperative positron emission tom...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2012.12.3.179
更新日期:2012-09-01 00:00:00
abstract:Purpose:Although standard radical gastrectomy is recommended after noncurative resection of endoscopic submucosal dissection (ESD) for early gastric cancer in most cases, residual tumor and lymph node metastasis have not been identified after surgery. The aim of this study is to evaluate the feasibility of sentinel nod...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2019.19.e12
更新日期:2019-06-01 00:00:00
abstract:Purpose:Despite its clinical benefits, enhanced recovery after surgery (ERAS) is less widely implemented for gastric cancer surgery. This nationwide survey investigated the current status of the implementation of ERAS in perioperative care for gastric cancer surgery in South Korea. Materials and Methods:This survey en...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2019.19.e3
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:Reoperations after gastrectomy for gastric cancer are performed for many types of complications. Unexpected reoperations may cause mental, physical, and financial problems for patients. The aim of the present study was to evaluate the causes of reoperations and to develop a strategic decision-making process for...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2013.13.4.242
更新日期:2013-12-01 00:00:00
abstract::Alpha-fetoprotein-Producing gastric cancer is associated with poor prognosis because of frequent liver and lymph node metastasis. We present a case with synchronous liver metastasis who survived for 5 years. A 69-year-old man with upper abdominal pain was referred to our hospital. Gastrointestinal endoscopy revealed a...
journal_title:Journal of gastric cancer
pub_type:
doi:10.5230/jgc.2013.13.1.58
更新日期:2013-03-01 00:00:00
abstract::Few surgeons have adopted pancreaticoduodenectomy (PD) for the treatment of advanced gastric cancer (AGC) invading the pancreas or duodenum because it remains controversial whether its prognostic benefits outweigh the high morbidity rates in such advanced cases. However, recent technical advances have revived diverse ...
journal_title:Journal of gastric cancer
pub_type:
doi:10.5230/jgc.2019.19.e24
更新日期:2019-12-01 00:00:00
abstract:Purpose:We previously found that the histone methyltransferase suppressor of variegation, enhancer of zeste, trithorax and myeloid-nervy-deformed epidermal autoregulatory factor-1 domain-containing protein 3 (SMYD3) is a potential independent predictive factor or prognostic factor for overall survival in gastric cancer...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2017.17.e33
更新日期:2017-12-01 00:00:00
abstract:PURPOSE:Since there are no proven tumor markers that reflect the course of gastric cancer, carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9) are commonly used alternatives. However, the degree of progression that corresponds to an increase in these markers, and the values of these markers at differe...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2014.14.2.123
更新日期:2014-06-01 00:00:00
abstract:PURPOSE:The Korean Gastric Cancer Association (KGCA) has conducted nationwide surveys every 5 years, targeting patients who received surgical treatment for gastric cancer. We report the results of the 2014 nationwide survey and compare them to those of the 1995, 1999, 2004, and 2009 surveys. MATERIALS AND METHODS:From...
journal_title:Journal of gastric cancer
pub_type: 杂志文章,评审
doi:10.5230/jgc.2016.16.3.131
更新日期:2016-09-01 00:00:00
abstract:PURPOSE:Bone metastasis from stomach cancer occurs only rarely and it is known to have a very poor prognosis. This study examined the clinical characteristics and prognosis of patients who were diagnosed with stomach cancer and bone metastasis. MATERIALS AND METHODS:The subjects were 19 patients who were diagnosed wit...
journal_title:Journal of gastric cancer
pub_type: 杂志文章
doi:10.5230/jgc.2011.11.1.38
更新日期:2011-03-01 00:00:00
abstract::Surgeons occasionally encounter a patient with a gastric cancer invading an adjacent organ, such as the pancreas, liver, or transverse colon. Although there is no established guideline for treatment of invasive gastric cancer, combined resection with radical gastrectomy is conventionally performed for curative purpose...
journal_title:Journal of gastric cancer
pub_type:
doi:10.5230/jgc.2015.15.3.214
更新日期:2015-09-01 00:00:00
abstract::We present a rare case of a gastric mixed adenoneuroendocrine tumor and review the related English literature. A 77-year-old Caucasian woman was admitted to our department with nausea, anorexia, weight loss, and anemia. Esophagogastroduodenoscopy showed a large (>7 cm) ulcerative mass in the greater curvature of the s...
journal_title:Journal of gastric cancer
pub_type:
doi:10.5230/jgc.2014.14.1.63
更新日期:2014-03-01 00:00:00