Korean journal of clinical oncology最新文献_第10页

Uncut Roux-en-Y gastrojejunostomy after totally laparoscopic distal gastrectomy: Learning curve and surgical outcomes. 腹腔镜远端胃切除术后未切开Roux-en-Y胃空肠造口术:学习曲线和手术结果。

Korean journal of clinical oncology Pub Date : 2020-06-01 DOI: 10.14216/kjco.20008

Amy Kim, Moon-Won Yoo

{"title":"Uncut Roux-en-Y gastrojejunostomy after totally laparoscopic distal gastrectomy: Learning curve and surgical outcomes.","authors":"Amy Kim, Moon-Won Yoo","doi":"10.14216/kjco.20008","DOIUrl":"https://doi.org/10.14216/kjco.20008","url":null,"abstract":"Purpose: Totally laparoscopic distal gastrectomy (TLDG) is now widely used for early gastric cancer patients, but the selection of a reconstruction method after TLDG is still controversial. Roux-en-Y gastrojejunostomy is increasingly used in expectation of less gastritis and alkaline reflux despite its technical difficulty. The uncut Roux-en-Y gastrojejunostomy (uRYGJ) retains the advantages of Roux-en-Y reconstruction but helps prevent Roux stasis syndrome. The present study aims to introduce a single surgeon's experience of TLDG with uRYGJ and analyze the learning curve and surgical outcomes.Methods: We retrospectively reviewed the medical records of 124 consecutive patients who underwent TLDG with uRYGJ performed by a single surgeon between July 2014 and August 2015 at Asan Medical Center. The baseline characteristics and surgical outcomes were analyzed, and the learning curve was drawn based on the power-law model.Results: The mean total operative time was 165 minutes, and the average length of hospital stay was 6.6 days. Complications included two cases of duodenal stump leakage, two intra-abdominal bleeding, two intra-abdominal fluid collection, one wound problem, two anastomotic strictures, 14 ileus, and no anastomotic leakage. There were five cases of endoscopically proven reflux gastritis/esophagitis and no Roux stasis syndrome. There were five recurrences and one mortality during the follow-up period. The learning curve leveled at the 15th case.Conclusion: The results of our study showed the safety and feasibility of uRYGJ, and that the technical difficulty of the procedure can be overcome with a short learning curve for experienced surgeons.","PeriodicalId":74045,"journal":{"name":"Korean journal of clinical oncology","volume":"16 1","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0c/f6/kjco-16-1-46.PMC9942719.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9161589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Poorly differentiated thyroid carcinoma: An institutional experience. 低分化甲状腺癌:一个机构经验。

Korean journal of clinical oncology Pub Date : 2020-06-01 DOI: 10.14216/kjco.20005

Seok Won Choi, Joon-Hyop Lee, Yun Young Kim, Yoo Seung Chung, Sangtae Choi, Na Rae Kim, Jin Mo Kang, Heung Kyu Park, Yong Soon Chun

{"title":"Poorly differentiated thyroid carcinoma: An institutional experience.","authors":"Seok Won Choi, Joon-Hyop Lee, Yun Young Kim, Yoo Seung Chung, Sangtae Choi, Na Rae Kim, Jin Mo Kang, Heung Kyu Park, Yong Soon Chun","doi":"10.14216/kjco.20005","DOIUrl":"https://doi.org/10.14216/kjco.20005","url":null,"abstract":"Purpose: The incidence of poorly differentiated thyroid carcinoma (PDTC) is extremely low among thyroid cancers and there is no standardized treatment guideline for it. In this study, we have analyzed PDTC patients and reviewed their clinicopathological features.Methods: Data of PDTC patients from our institution are collected through the electronic medical database. We analyzed them by several parameters such as basic demographics, presenting symptom, preoperative cytology results, associated pathology, surgical results, surgery type, and distant metastasis.Results: We collected 23 cases in our institution. Apart from two patients who were transferred to another hospital upon diagnosis, all 21 operated cases are analyzed. The parameters we studied were age, sex, presenting symptoms, distant metastasis and pathological features such as tumor size, associated pathology, predominant pattern and so on. We also provided descriptive analyses according to the type of presentation and treatment; patients with distant metastasis, juvenile cancer, and concurrent hyperthyroidism. Furthermore, we provided different cases in which the initial surgical plans differed.Conclusion: We present 21 cases of PDTC patients and clarify their clinicopathological features. Despite some limitations, this study may shed light for future research regarding treatment of PDTC patients.","PeriodicalId":74045,"journal":{"name":"Korean journal of clinical oncology","volume":"16 1","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/66/11/kjco-16-1-25.PMC9942713.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9215095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Prognosis of proximal upper-third gastric cancer excluding tumors originating in the esophagogastric junction 近端上三分之一胃癌的预后，不包括起源于食管胃交界处的肿瘤

Korean journal of clinical oncology Pub Date : 2019-12-31 DOI: 10.14216/kjco.19017

Joong Ho Lee, Y. Hong, Y. Choi, Hyunsun Lim, Sangheon Lee

{"title":"Prognosis of proximal upper-third gastric cancer excluding tumors originating in the esophagogastric junction","authors":"Joong Ho Lee, Y. Hong, Y. Choi, Hyunsun Lim, Sangheon Lee","doi":"10.14216/kjco.19017","DOIUrl":"https://doi.org/10.14216/kjco.19017","url":null,"abstract":"The frequency of gastric cancer detected in the proximal upper-third of the stomach has increased in both the Eastern and Western hemispheres [1,2]. Existing evidence suggests that the anatomical location of stomach tumors may influence the recurrence of gastric cancer after treatment. Currently, cancer originating in the esophagogastric junction (EGJ) and the cardia exhibit different lymphatic drainage than distal gastric cancer [3], leading to worse prognoses compared to tumors located in other areas of the stomach [4,5]. Excepting tumors of EGJ origin, the prognosis of gastric cancer detected in the proximal upper-third of the stomach has not been established. Several studies have investigated primary tumor location and association with gastric cancer prognosis. The results of these prior studies have been contradictory, however, with some reporting a poorer prognosis in patients with a tumor in the proximal upper-third of the stomach compared with that in the distal region [6,7], whereas other studies have indicated no relationship between prognosis and the longitudinal location of the tumor in the stomach [8]. To date, no studies have reported a definitive prognosis of proximal upper-third gastric cancer excepting cancer of the EGJ. Accordingly, the focus of the current study was on the prognosis and clinicopathological outcomes of adenocarcinoma of the proxOriginal Article Korean Journal of Clinical Oncology 2019;15:93-99 https://doi.org/10.14216/kjco.19017 pISSN 1738-8082 ∙ eISSN 2288-4084","PeriodicalId":74045,"journal":{"name":"Korean journal of clinical oncology","volume":"12 1","pages":"93-99"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84224310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Patterns of antibiotics and pathogens for anastomotic leakage after colorectal cancer surgery 结直肠癌术后吻合口瘘的抗生素及病原菌分析

Korean journal of clinical oncology Pub Date : 2019-12-31 DOI: 10.14216/kjco.19015

G. Yang, Chang Woo Kim, Suk-Hwan Lee

{"title":"Patterns of antibiotics and pathogens for anastomotic leakage after colorectal cancer surgery","authors":"G. Yang, Chang Woo Kim, Suk-Hwan Lee","doi":"10.14216/kjco.19015","DOIUrl":"https://doi.org/10.14216/kjco.19015","url":null,"abstract":"Intra-abdominal infection (IAI) represents a wide variety of pathological conditions that can involve lesions of all the intra-abdominal organs. It should be treated with appropriate antibiotic therapy with proper interventions for source control. Choice of appropriate antibiotic must be based on the results of the culture study; the strain that caused the infection, profile of bacteria, and resistance to antibiotics. However, because the results usually require a few days, empirical antibiotics should be administered first, and then, the extension of the administration or the replacement of antibiotics can be considered depending on the results of the test [1]. Antibiotic resistance disables several mechanisms of antibiotics against bacteria, subsequently increases medical expense, as well as affects effectiveness of antibiotics against infection [2-4]. The Centers for Disease Control and Prevention has reported that the estimated minimum number of illnesses and deaths caused by antibiotics resistance were at least 2 million illness and 23,000 deaths each year in the United States [5]. In addition, guidelines already recommend appropriate antimicrobial agents on the basis of high-quality evidence and advise understanding of the microbiological profiles and resistance of the key pathogens causing IAI in Original Article Korean Journal of Clinical Oncology 2019;15:79-85 https://doi.org/10.14216/kjco.19015 pISSN 1738-8082 ∙ eISSN 2288-4084","PeriodicalId":74045,"journal":{"name":"Korean journal of clinical oncology","volume":"185 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76421628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

A cavernous hemangioma located in the axillary area: Challenges in preoperative diagnosis and operation 腋窝海绵状血管瘤:术前诊断和手术的挑战

Korean journal of clinical oncology Pub Date : 2019-12-31 DOI: 10.14216/kjco.19022

Jihye Choi, Chan Sub Park, Joonseog Kong, Hyun-Ah Kim, W. Noh, M. Seong

{"title":"A cavernous hemangioma located in the axillary area: Challenges in preoperative diagnosis and operation","authors":"Jihye Choi, Chan Sub Park, Joonseog Kong, Hyun-Ah Kim, W. Noh, M. Seong","doi":"10.14216/kjco.19022","DOIUrl":"https://doi.org/10.14216/kjco.19022","url":null,"abstract":"Axillary cavernous hemangiomas are extremely rare benign neoplasms, with only two cases reported in the English literature to date. In the first case, in 1982, a 22-year-old Caucasian woman presented with a large tender mass in the left axilla [1]. Although its exact size was not mentioned, the mass filled the axilla and the lateral thoracic surface of the long thoracic nerve, invading the hemisphere of the left breast. Owing to massive bleeding, surgery was unsuccessful, and the remnant hemangioma was treated by using a carbon dioxide laser. In the second case, in 2008, a 43-year old Brazilian woman presented with an axillary mass and adjacent lymphadenomegaly, raising suspicion of a malignant breast neoplasm [2]. Core needle biopsy was contraindicated owing to the high vascularity of the mass and its proximity to the thoracic wall and axillary vessels. Excisional biopsy, however, was successful since the hemangioma was relatively small (3 cm). A salient point of the 2008 report was that axillary cavernous hemangiomas can mimic malignant cancers. Herein, we describe a surgically treated axillary cavernous hemangioma in a Korean woman and review the pertinent literature. The Institutional Review Board of the Korea Cancer Center Hospital approved the protocol version 1.0 (KIRAMS 2018-03-011).","PeriodicalId":74045,"journal":{"name":"Korean journal of clinical oncology","volume":"6 1","pages":"127-131"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87480839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Total quilting suture at latissimus dorsi muscle donor site: Drain tube is no longer needed 背阔肌供肌处全绗缝缝合:不再需要引流管

Korean journal of clinical oncology Pub Date : 2019-12-31 DOI: 10.14216/kjco.19021

Y. Cha, Seokwon Lee, Y. Bae, Y. Jung, J. Choi

{"title":"Total quilting suture at latissimus dorsi muscle donor site: Drain tube is no longer needed","authors":"Y. Cha, Seokwon Lee, Y. Bae, Y. Jung, J. Choi","doi":"10.14216/kjco.19021","DOIUrl":"https://doi.org/10.14216/kjco.19021","url":null,"abstract":"Latissimus dorsi myocutaneous flap (LDMCF) is one of the most frequently used autologous tissue flaps for breast reconstruction after partial or total mastectomy in patients with breast cancer. The most common postoperative complication in reconstructive surgery using LDMCF is seroma formation at the donor site. The incidence of seroma formation at the LDMCF donor site has been reported as high as approximately 70% to 80% [1-3]. Postoperatively, a seroma can cause patient discomfort and a longer period for maintaining the drain tube, which can lead to longer hospitalization. In addition, frequent needle aspiration of a seroma or outpatient visit may be required. A seroma can be a substantial cause of a patient’s discomfort, anxiety, infection, wound dehiscence, and consequently, flap necrosis, and scarring [4,5]. Consequently, postoperative adjuvant therapy including chemotherapy and radiation therapy may be delayed. Several studies have shown that use of the quilting suture technique at the LDMCF donor site helps reduce seroma formation and further complications after breast reconstruction surgery [6-12]. However, there has been no previous study about the effect regarding the extent of quilting suture at the LDMCF donor site. We investigated the degree of seroma formation and the need for a drainage tube according to the extent of quilting suturing at the LDMCF donor site.","PeriodicalId":74045,"journal":{"name":"Korean journal of clinical oncology","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76385842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy in management of peritoneal carcinomatosis: Single center experience in Korea 细胞减少手术与腹腔内高温化疗在腹膜癌的管理:在韩国的单中心经验

Korean journal of clinical oncology Pub Date : 2019-12-31 DOI: 10.14216/kjco.19012

H. Lee, HyungJoo Baik, Yohan Park, S. Seo, Kwang Hee Kim, K. Bae, K. Hong, Ki Hyang Kim, J. Byun, D. Jeong, K. Lee, M. Oh, K. Cho, M. An

{"title":"Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy in management of peritoneal carcinomatosis: Single center experience in Korea","authors":"H. Lee, HyungJoo Baik, Yohan Park, S. Seo, Kwang Hee Kim, K. Bae, K. Hong, Ki Hyang Kim, J. Byun, D. Jeong, K. Lee, M. Oh, K. Cho, M. An","doi":"10.14216/kjco.19012","DOIUrl":"https://doi.org/10.14216/kjco.19012","url":null,"abstract":"Peritoneal carcinomatosis (PC) can result from either the direct dissemination of gastrointestinal and gynecological cancers or secondary metastasis along the peritoneal surface into the abdominal cavity [1-3]. In patients with a peritoneal metastasis only, cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) is a potential curative option [4-6]. The basic concept of CRS/HIPEC involves first removing all macroscopic tumors and then delivering hyperthermic anticancer drugs to the microscopic residual tumor cells [7]. Verwaal et al. [8,9] performed a randomized controlled trial with 105 colorectal PC patients, with the median progression-free survival and the median disease-specific survival of 12.6 months and 22.2 months, respectively, in the CRS/HIPEC group, showing better survival than in the systemic chemotherapy only group. Furthermore, there are numerous reports of positive results of CRS/HIPEC in patients with PC [10,11]. Nevertheless, many surgeons are still concerned about the high morbidity and mortality of CRS/HIPEC. A number of reports have shown a 1.1%–4.8% mortality rate and 29.8%–43% grade III/ IV morbidity rate [10,12-14]. Thus, in this study, we would like to evaluate the 30-day clinical outcomes of CRS/HIPEC and the feaOriginal Article Korean Journal of Clinical Oncology 2019;15:61-67 https://doi.org/10.14216/kjco.19012 pISSN 1738-8082 ∙ eISSN 2288-4084","PeriodicalId":74045,"journal":{"name":"Korean journal of clinical oncology","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90254726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Suspicious T1 colon cancer with synchronous liver metastasis not detected by preoperative imaging study 术前影像学检查未发现可疑T1结肠癌伴肝同步转移

Korean journal of clinical oncology Pub Date : 2019-12-31 DOI: 10.14216/kjco.19024

C. Park, So Hyang Moon, H. Lee, S. Bae, W. Jeong, S. Baek

{"title":"Suspicious T1 colon cancer with synchronous liver metastasis not detected by preoperative imaging study","authors":"C. Park, So Hyang Moon, H. Lee, S. Bae, W. Jeong, S. Baek","doi":"10.14216/kjco.19024","DOIUrl":"https://doi.org/10.14216/kjco.19024","url":null,"abstract":"Colorectal carcinoma invading the submucosa but not the muscularis propria (pT1) represents the earliest form of clinically relevant colorectal cancer in most patients. T1 colorectal cancer with synchronous liver metastasis is considered to be rare. We report a rare case of T1 colon cancer with synchronous liver metastasis not detected by preoperative imaging study. A 54-year-old male patient presented to our department for treatment of sigmoid colon cancer following an endoscopic submucosal dissection. Histopathological examination revealed the pedunculated mass was moderately differentiated adenocarcinoma without lymphovascular invasion and the depth of submucosal invasion was 2,000 μm, the resection margin was not involved. We performed a laparoscopic anterior resection with lymph node dissection. After the 3 months, the patient’s carcinoembryonic antigen level elevated from 1.4 to 7.26 ng/mL (normal level: <1.5 ng/mL) and the abdominal computed tomography and FDG-PET/CT (positron emission tomography-computed tomography) showed multiple hepatic metastases in both hepatic lobes (SUV-max: 5.6) without evidence of local recurrence or lymphadenopathy. We strongly suspected a synchronous liver metastasis not detected by imaging study as opposed to a systemic recurrence. Therefore, evaluation and follow-up protocol of T1 colorectal cancer should be changed for discovery and prediction of synchronous liver metastasis; because we cannot exclude the possibility of synchronous liver metastasis.","PeriodicalId":74045,"journal":{"name":"Korean journal of clinical oncology","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80810901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Safety of subtotal or total colectomy with primary anastomosis compared to Hartmann procedure for left-sided colon cancer obstruction or perforation 与Hartmann手术治疗左侧结肠癌梗阻或穿孔的安全性比较

Korean journal of clinical oncology Pub Date : 2019-12-31 DOI: 10.14216/kjco.19019

Eun-Do Kim, Jinkwon Lee, Jin-Kyu Cho, Jae-Myung Kim, Ji-Ho Park, Ju-Yeon Kim, Sangho Jeong, Young-Tae Ju, C. Jeong, E. Jung, Young-Joon Lee, Soon-Chan Hong, Seung-Jin Kwag

{"title":"Safety of subtotal or total colectomy with primary anastomosis compared to Hartmann procedure for left-sided colon cancer obstruction or perforation","authors":"Eun-Do Kim, Jinkwon Lee, Jin-Kyu Cho, Jae-Myung Kim, Ji-Ho Park, Ju-Yeon Kim, Sangho Jeong, Young-Tae Ju, C. Jeong, E. Jung, Young-Joon Lee, Soon-Chan Hong, Seung-Jin Kwag","doi":"10.14216/kjco.19019","DOIUrl":"https://doi.org/10.14216/kjco.19019","url":null,"abstract":"Approximately one-third of patients with colon cancer present to an emergency room because of obstruction or perforation. They have high postoperative mortality and poor survival [1]. Acute obstruction of the colon is an early symptom in 7%–29% of colorectal cancer patients. It often leads to emergency surgery. Acute symptoms are more common in advanced disease and elderly patients. Tumor-related left-sided colon obstruction is particularly difficult for surgery due to the risk of perforation in the enlarged colon near the tumor. Emergency surgery due to malignant obstruction of the left-sided colon is associated with frequent complications and poor survival [2]. Colon perforation is a life-threatening condition. If severe peritonitis occurs after colon perforation, emergency surgery is needed [3]. In the past, Hartmann procedure (HP) was recommended because it could prevent intra-abdominal sepsis associated with anastomotic dehiscence. However, subtotal or total colectomy with Original Article Korean Journal of Clinical Oncology 2019;15:106-111 https://doi.org/10.14216/kjco.19019 pISSN 1738-8082 ∙ eISSN 2288-4084","PeriodicalId":74045,"journal":{"name":"Korean journal of clinical oncology","volume":"61 1","pages":"106-111"},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75792717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical outcomes and prognostic factors of gastric cancer surgery in octogenarians 八十多岁高龄胃癌手术预后及影响因素分析

Korean journal of clinical oncology Pub Date : 2019-12-31 DOI: 10.14216/kjco.19020

Ik Beom Shin, S. Oh, B. Suh

{"title":"Surgical outcomes and prognostic factors of gastric cancer surgery in octogenarians","authors":"Ik Beom Shin, S. Oh, B. Suh","doi":"10.14216/kjco.19020","DOIUrl":"https://doi.org/10.14216/kjco.19020","url":null,"abstract":"Gastric cancer is the fifth most common cancer worldwide and the third leading cause of cancer-related deaths. It also has the highest incidence in East Asian, Central Asian, and Latin American populations. Among these, Korean men have the highest incidence [1]. As lifespans continue to increase, 10% to 20% of patients with gastric cancer are now over 80 years of age in developed countries [2]. In Japan, in 2009, 22.7% of the population were over 65 years old and 6.2% were over 80 years old, compared with only 5.7% and 0.7% in 1960, respectively [3]. In the United States, octogenarians (age ≥ 80 years) constitute 14% of the population aged 60 years or older, but by 2050, it is anticipated that 20% of the older population will be 80 years old or older. As the elderly population continues to increase, it is concerning that more than 50% of gastric cancers are observed in the elderly [4]. In Europe in 1990, the peak of gastric cancer incidence was observed among populations aged 85 or more [5]. Patients in this age group have declining organ capacity and might have comorbidities such as cardiovascular disease and pulmonary dysfunction, so deciding to perform a gastrectomy in elderly patients must be done carefully by assessing the patients’ tolerance of surgical stress. Radical gastrectomy in elderly patients has an increased risk of morbidity and mortality, but there is some evidence that elderly Original Article Korean Journal of Clinical Oncology 2019;15:112-120 https://doi.org/10.14216/kjco.19020 pISSN 1738-8082 ∙ eISSN 2288-4084","PeriodicalId":74045,"journal":{"name":"Korean journal of clinical oncology","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73640701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1