위점막하종양의 복강경 위쐐기절제술과 개복 위쐐기절제술의 비교

• Published in: Annals of surgical treatment and research Vol. 72; no. 1; pp. 27 - 31
• Main Authors: 김재근(Jae Keun Kim), 김성수(Sung Soo Kim), 최원혁(Won Hyuk Choi), 정재호(Jae Ho Jung), 형우진(Woo Jin Hyung), 최승호(Seung Ho Choi), 노성훈(Sung Hoon Noh), 김충배(Choong Bai Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 2007
• Subjects: 일반외과학; Laparosopic wedge resection; 위점막하 종양,복강경 위쐐기절제술; Gastric submucosal tumor; Wedge resection; 위쐐기절제술
• ISSN: 2288-6575; 2288-6796

Purpose: Laparoscopic wedge resection (LWR) is replacing open wedge resection (OWR) as the standard surgical treatment for gastric submucosal tumors. However, few scientific comparisons exist as to whether LWR or OWR is better in terms of postoperative outcomes. This study was performed to compare these two treatment modalities for the treatment of gastric submucosal tumors by evaluating the postoperative outcomes. Methods: Between 1993 and 2004, 112 patients with a gastric submucosal tumor had undergone either LWR (n=42) or OWR (n=70). Their medical records were retrospectively reviewed with regard to tumor size, operative time, time to first flatus, postoperative hospital stay and analgesics use. Results: The demographics and tumor characteristics of the patients were similar in both groups. Four (9%) cases in the LWR group were converted to an open procedure. The mean operation time was longer in the LWR than the OWR group (100.6 vs. 84.3 min)(P=0.015). The time to first flatus (1.8±0.1 vs. 3.3±0.1 days, respectively, P＜0.0001) and soft diet intake (3.5±0.3 vs. 6.0±0.2 days, respectively, P＜0.0001) were shorter in the LWR compared to the OWR group. The postoperative hospital stay was significantly shorter in the LWR than in the OWR group (5.3±0.6 vs. 8.5±0.2 days) (P＜0.0001). The number of analgesics uses (2.7±0.4 times) in the LWR was less than that in the OWR group (2.7±0.4 vs. 4.1±0.5 times)(P=0.0056). Conclusion: Laparoscopic wedge resection of a gastric submucosal tumor was superior to open wedge resection in terms of the postoperative outcomes. Laparoscopic wedge resection could be considered the first-line treatment for gastric submucosal tumors. (J Korean Surg Soc 2007;72: 27-31) KCI Citation Count: 3