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KMID : 0914820040040030196
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Journal of the Korean Gastric Cancer Association
2004 Volume.4 No. 3 p.196 ~ p.203
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Nationwide Survey of Laparoscopic Gastric Surgery in Korea
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Yang Han-Kwang
Lee Yun-Bok
Lee Jong-Myoung
Lee Joo-Ho
Lee Hyuk-Joon
Jeon Hae-Myung
Cho Gyu-Seok
Choi Seung-Ho
Choi Youn-Baik
Han Sang-Uk
Han Ho-Seong
Hur Kyoung-Yul
Hyung Woo-Jin
Hong Boo-Hwan
Kim Min-Chan
Kim Young-Woo
Kim Yong-Il
Kim Eung-Kook
Kim Hyung-Ho
Park Kyung-Kyu
Baik Hong-Kyu
Sul Ji-Young
Shin Suk-Hwan
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Abstract
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The Information Committee of the Korean Gastric Cancer Association sent questionnaires to 31 laparoscopic gastric surgeons about their personal experiences with laparoscopic gastric surgery from 2001 to 2003. Twenty-four surgeons responded to the questionnaires (response rate: $77.4\%$).The number of laparoscopic gastric surgeries from 2001 to 2003 was 1,130 and increased from 209 in 2001 to 593 in 2003. The number of operations for a gastric adenocarcinoma also increased from 87 cases in 2001 to 403 cases in 2003. Laparoscopic radical procedures, such as a laparoscopyassisted distal gastrectomy or total gastrectomy (LADG or LATG), have increased rapidly during this period. (55 cases in 2001, 150 cases in 2002, and 364 cases in 2003). Laparoscopic function-preserving gastrectomies were not performed until 2003, during which year one pylorus- preserving gastrectomy and six proximal gastrectomies were performed laparoscopically. A wedge resection for a gastric submucosal tumor was performed in 71 cases in 2001, 82 in 2002, and 103 in 2003. Hand-assisted laparoscopic surgery (HALS) was performed in 39 cases in 2001, 55 in 2002, and 49 in 2003. As for personal indications for a LADG, 14 surgeons performed a LADG only for a T1 lesion, and 5 surgeons extended their indications to T2N0 lesions. In the near future, laparoscopic procedures for gastric cancer will be widely adopted in Korea if the medical-insurance obstacle is overcome and the long-term survival results are verified.
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KEYWORD
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Laparoscopic surgery, Stomach, Gastric cancer, Nationwide survey
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