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KMID : 0939920020340040247
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대한암학회지
2002 Volume.34 No. 4 p.247 ~ p.251
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Analysis of Local Recurrence Following Proximal Gastrectomy in Patients with Upper Third Gastric Cancer
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Yoo Chang-Hak
Sohn Byung-Ho
Han Won-Kon
Pae Won-Kil
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Abstract
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Purpose: Little is known about local recurrence following proximal gastrectomy in patients with upper third gastric cancer. We performed this study to evaluate the long-term results of a proximal gastrectomy, and to analyze the risk
factors
of
local recurrence affecting survival in these patients.
Materials and Methods: We undertook a retrospective study of 63 patients who underwent potentially curative proximal gastrectomy between 1990 and 1999, with special reference to local recurrence.
Results: During a median follow-up period of 37 months, 25 of the 63 patients (39.7%) developed a recurrence of cancer, with local recurrence in 15 patients (23.8%), the majority of these occurring at the remnant stomach or anastomosis.
The
median time to local recurrence was 38 months (8~78 months). Univariate analysis of risk factors for local recurrence revealed an infiltrative or diffuse gross type, with a tumor sizes>5 ㎝, a distal resection margin ≤3 ㎝ and serosal invasion.
Reoperation for cure was possible in only 4 patients and most died within the first year following diagnosis of recurrence.
Conclusion: When performing a proximal gastrectomy for upper third gastric cancer, even after curative resection, all risk factors should be considered to reduce rates of local recurrence.
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KEYWORD
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Stomach neoplasm, Proximal gastrectomy, Local recurrence, Prognosis
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