Open Access, Peer-reviewed
pISSN 2288-6575
eISSN 2288-6796
    J Korean Surg Soc. 2010 Nov;79(5):349-354. Korean.
    Published online Nov 12, 2010.
    https://doi.org/10.4174/jkss.2010.79.5.349
    Copyright © 2010 The Korean Surgical Society
    Original Article

    The Clinical Outcome of Combined Organ Resection during Radical Gastrectomy

    Yu-Jeong Song,1 Sang-Ho Jeong, M.D.,1,2,3 Young-Joon Lee, Ph.D.,1,2,3 Soon-Tae Park, Ph.D.,1,2,3 Sang-Kyung Choi, Ph.D.,1,2,3 Soon-Chan Hong, Ph.D.,1,2,3 Eun-Jung Jung, Ph.D.,1,2,3 Young-tae Joo, Ph.D.,1,2,3 Chi-Young Jeong, Ph.D.,1,2,3 and Woo-Song Ha, Ph.D.1,2,3
      • 1Department of Surgery, Postgraduate School of Medicine, Gyeongsang National University, Jinju, Korea.
      • 2Gyeongnam Regional Cancer Center, Jinju, Korea.
      • 3Gyeongsang Institute of Health Sciences, Jinju, Korea.
    • Corresponding author (Email: yjleegnu@gmail.com )
    Received April 28, 2010; Accepted July 19, 2010.

    Abstract

    Purpose

    Combined organ resection is a common operation in gastric cancer surgery. The aim of this study is to investigate the risk of combined minor organ resection (GB, gynecologic organ, appendix etc) in gastric cancer surgery.

    Methods

    The clinical data from 673 consecutive patients who underwent gastrectomy for gastric cancer at a single center were retrospectively analyzed. We investigated clinical data between open groups (OG) and laparoscopy groups (LAG), and we divided the patients into 3 groups: no resection group, minor organ resection group and major organ (spleen, pancreas, and colon) resection group.

    Results

    There were higher complication rates in major organ resection group (59.3%, 53.8%) than no resection (32.3%, 19.1%) or minor organ resection groups (38.7%, 20%) both in OG and LAG (P<0.05). However, there were longer hospital stays in minor (22.2 days) and major resection groups (24.1) than no resection group (16.2) in OG, but stays were longer in major resection group (30.9) than minor (14.5) and no resection group (16.2) in LAG (P<0.01). Operative times were longer in minor (287 min) and major organ resection group (310) than no resection group (243) in OG (P<0.00). However, operation time was longer in major resection group (505) than minor (415) and no resection group (370) in LAG (P=0.00).

    Conclusion

    Combined minor organ resection with gastrectomy does not increase morbidity, and there is no statistical difference in hospital stay and op time than no resection group in LAG.

    Keywords
    Gastric neoplasm; Gastrectomy; Cholecystectomy; Combined organ resection

    Tables

    Table 1
    Patient's characteristics

    Table 2
    The cause of combined organ resection

    Table 3
    Comparison of operative results according to organ resection groups

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    MeSH Terms
    Appendix
    Cholecystectomy
    Gastrectomy
    Humans
    Laparoscopy
    Length of Stay
    Operative Time
    Pancreas
    Retrospective Studies
    Stomach Neoplasms
    Metrics
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