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J Korean Cancer Assoc > Volume 21(1); 1989 > Article
Journal of the Korean Cancer Association 1989;21(1): 93-101.
위전절제술 및 확대 위전절제술에 관한 임상적 고찰
조마해, 박재갑, 김진복
Clinical Evaluation of Total Gastrectomy and Extended Total Gastrectomy for Gastric Cacner
Ma Hae Cho, Jae Gahb Park, Jin Pok Kim
During 16 years from Jan. 1970 to Dec. 1986, total gastrectomy and extended total gastrectomy were performed in 566 patients. The results are as follows: 1) Gastrectomy was performe4 in 2891 out of 3791 patients (76%) who underwent operation. 2) Total gastrectomy and extended total gastrectomy were performed in 566 patients (19%) of them. 3) The most frequent site of primary gastric cancer was the body (40. 5%), followed by the cardia and fundus (24.4%), diffuse infiltration of gastric wall (18.1%) and antrum (17.0%). 4) In the cases of advanced carcinoma, the most common Borrmann type was Type III (55.8%), followed by Type IV (18.1%), Type II (17.0%) and Type I (3.4%). 5) Early gastric cancer was 26 cases (5.7%). 6) In the pathologic findings, the most common type was adenocarcinoma (68.9%), followed by mucinous cell (9.7%), signet ring cell (8.6%) and undifferentiated carcinoma (5.7%). 7) In the staging of cancer according to TNM postsurgical-pathologic stage group, stage I was 4. 4%, stage Il 17.4%, stage III 78.2%. 8) In the extended total gastrectomy, partial hepatectomy was performed in 10 cases (8.4%) and transverse colectomy was performed in 10 cases (8.4%) in addition to pancreaticosplenectomy. 9) Overall operative mortality was 3.8% and no significant difference of operative mortality was found between total and extended total gastrectomy. 10) The expected 5 YSR, according to Cohort life table, was 45% in total gastrectomy and 24% in extended total gastrectomy. In the total gastrectomy patients, 5 YSR of stage I, II, Ul were 100%, 68% and 36%, respectively. In the extended total gastrectomy patients, 5 YSR of stage II and III were 48% and 16%, respectively.
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