KOSIN UNIVERSITY COLLEGE OF MEDICINE
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- Intraoperative tumor localization using a titanium ring strip in totally laparoscopic distal gastrectomy for middle-third gastric cancer
- Jae-Kyun Park, Chang-In Choi, Tae Yong Jeon, Hyuk Jae Jung, Si Hak Lee, Sun Hwi Hwang, Dae-Hwan Kim
- Kosin Med J. 2023;38(2):126-133. Published online June 23, 2023
- DOI: https://doi.org/10.7180/kmj.23.113
- 1,134 View
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Abstract
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- Background
This study presents a novel technical tip for intraoperative tumor localization and determination of the proximal resection line using a titanium ring strip for totally laparoscopic distal gastrectomy in patients with middle-third gastric cancer and describes the short-term results of its application.
Methods
In total, 42 patients with middle-third gastric cancer who underwent intraoperative tumor localization using a titanium ring strip and determination of the proximal resection line through intraoperative radiography between January 2020 and December 2021 were enrolled in this study. We retrospectively analyzed patients’ prospectively collected clinical, pathological, and surgical data.
Results
Twenty-six men and 16 women with a mean age of 58.3±12.5 years were enrolled. The mean operation time and estimated blood loss were 212.6±43.0 minutes and 122.4±77.6 mL, respectively. The lengths of the proximal and distal resection margin were 2.0±0.4 cm (range, 0.8–3.7 cm) and 10.5±4.1 cm (range, 0.4–20.4 cm), respectively. Roux-en-Y anastomosis was performed in 30 patients, while Billroth II with Braun anastomosis was performed in 12 patients. There were no procedure-related complications, and the mean postoperative hospital stay was 7.2±1.9 days. For all patients, the negative proximal resection margin was confirmed by postoperative pathological examinations.
Conclusions
Intraoperative tumor localization and determination of the proximal resection line using a titanium ring strip is a useful alternative method that can be easily and safely performed. This method is especially useful for patients with middle-third gastric cancer requiring an appropriate proximal resection margin.
- Common Hepatic Artery Originating from Left Gastric Artery: A Rare Variant Encountered in Gastric Cancer Surgery
- Chang In Choi, Tae Yong Jeon
- Kosin Med J. 2018;33(3):463-467. Published online December 31, 2018
- DOI: https://doi.org/10.7180/kmj.2018.33.3.463
- 910 View
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Abstract
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The hepatic artery can have numerous variations. However, a common hepatic artery originating from the left gastric artery and the entire hepatic blood supply furnished by the left gastric artery is an extremely rare anomaly. We encountered this anomaly in a patient with advanced gastric cancer. A surgeon should recognize this image appearance and identify the anomaly. Without knowledge of this anomaly and given the strategy for extensive lesser sac dissection generally employed during gastric cancer surgery, a surgeon could easily inadvertently divide this vessel, resulting in critical liver damage. We report a case of common hepatic artery originating from left gastric artery and review of the literatures.
- Laparoscopy-assisted Distal Gastrectomy with Systemic D2 Lymphadenectomy for Gastric Cancer: Usefulness of Noncompliance Rate to Validate the Completion of D2
- Kyung Won Seo, Kae Won Park, Ki Young Yoon
- Kosin Med J. 2013;28(1):27-33. Published online January 19, 2013
- DOI: https://doi.org/10.7180/kmj.2013.28.1.27
- 850 View
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Abstract
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Objectives Laparoscopy-assisted distal gastrectomy (LADG) is a common surgical procedure that has recently been accepted as safe and feasible for the treatment of early gastric cancer. There have been many efforts to expand the indications of LADG to include the treatment of advanced gastric cancer. The aim of this study was to determine the usefulness of noncompliance rate as an indicator for D2 lymph node dissection (LND) validation in LADG.
Methods The subjects were 48 patients who underwent distal gastrectomy with D2 LND at Kosin University Gospel Hospital from October to December 2010. Of them, 28 underwent LADG and 20 underwent open distal gastrectomy (ODG). We compared several factors including noncompliance rate to validate D2 LND.
Results There were no significant differences in clinicopathologic factors except for BMI and tumor depth between the two groups. The average number of retrieved lymph nodes was significantly greater in the ODG group (45.9 ± 2.9) than in the LADG group (35.5 ± 2.0). The noncompliance rate was 43% in the LADG group and 40% in the ODG group with no significant difference.
Conclusions In terms of no difference of noncompliance rate, LADG with D2 lymph node dissection is a safe, feasible and oncologicallycamparable with open gastrectomy. A large scaled prospective randomized trial should be needed to confirm the benefit of LADG.
- A Case of Bariatric Surgery during Gastric Cancer Operation
- Kyung Hyun Choi, Ki Young Yoon, Hyung Whan Moon, Yeon Myung Shin, Kyung Won Seo, Su Mi Ahn, Yun Mi Song, Jung Hee Seok, Kung Yeon Jeong, Eun Ha Lee
- Kosin Med J. 2008;23(3):99-101. Published online September 30, 2008
- 205 View
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- Preduodenal Portal Vein - A case report and review of literautures -
- Seung Bong Yang, Jae Kwan Seo, Young Hoon Park
- The Journal of Kosin Medical College. 1985;1(1):79-82.
- 241 View
- 1 Download
- A Study on the Change of Glucose Metabolism after Gastrectomy
- Young Sik Choi, Yong Ho Ko, Yo-Han Park
- The Journal of Kosin Medical College. 1996;11(1-2):75-84.
- 306 View
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