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KMID : 0978820030060010033
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2003 Volume.6 No. 1 p.33 ~ p.40
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Clinical Experience of Laparoscopic Wedge Resection of Stomach
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Yang Han-Kwang
Lee Hyuk-Joon
Kim Yoon-Ho
Lee Hyeon-Kook
Kim Se-Hyung
Han Joon-Koo
Lee Kuhn-Uk
Choi Kook-Jin
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Abstract
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Purpose: This study is aimed to evaluate the clinical significance of laparoscopic wedge resection of stomach for various gastric neoplasms.
Methods: Eight patients who had been treated with laparoscopic wedge resection of stomach for various gastric neoplasms were evaluated. Their clinicopathologic data, operation methods, postoperative courses, and recurrences were analyzed. Laparoscopic surgery was performed with Harmonic scapel, T-fastener, and Endo-GIA under intraoperative endoscopic assistance.
Results: There were 3 early gastric cancers, 2 gastrointestinal stromal tumors, and 3 benign gastric polyps. There was one open conversion case (conversion rate: 12.5%). Mean operation time was 145 (100∼240) minutes. There was no postoperative mortality or morbidity. There have been no tumor recurrence during the 1- to 37-month follow-up period.
Conclusion: If the patients are selected properly, laparoscopic wedge resection of stomach could be performed as a safe and effective procedure for gastric neoplasms including early gastric cancer. Intraoperative endoscopic assistance seems to be a vital procedure for obtaining adequate resection margins.
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KEYWORD
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Laparoscopic wedge resection, Stomach neoplasm
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