Robotic Gastrectomy for Gastric Cancer: Preliminary Results

Heo, Geon-Ung; Kim, Min-Chan; Jung, Ghap Joong; Choi, Seok Reyol

doi:10.4174/jkss.2009.76.5.301

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…The gastric cancer mortality rate has been decreasing worldwide, but remains the second leading cause of cancer-related deaths. In an attempt to improve the quality of life in patients undergoing early gastric cancer treatment, endoscopic mucosal resection (EMR), laparoscopic-assisted gastrectomy, and robotic surgery have been introduced [ 1 - 3 ]. According to the pretreatment cancer stage, we can be choosing optimal treatment modality.…”

Section: Introductionmentioning

confidence: 99%

Can serum interleukin-2 receptor alpha predict lymph node metastasis in early gastric cancer?

Baik

Noh

et al. 2012

J Korean Surg Soc

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PurposeAlthough local resection like endoscopic mucosal resection for early gastric cancer is accepted as a treatment option, one of the most important drawbacks of such an approach is the inability to predictlymph node metastasis. The aim of this study was to evaluate the serum soluble receptor alpha for interleukin-2 (IL-2Rα) level as a predictor of lymph node metastasis in the patients with early gastric cancer.MethodsAssessment of pre-operative serum IL-2Rα levels was performed on 86 patients with early gastric cancer treated by gastrectomies combined with D2 lymph node resections and 20 healthy controls at Samsung Medical Center. Data on patient age and gender, tumor size, depth of invasion, histologic differentiation, and endoscopic findings were reviewed post-operatively. The submucosal lesions were divided into three layers (sm1, sm2, and sm3) in accordance with the depth of invasion.ResultsLymph node metastasis was observed in 16 patients (18.6%). Statistically, the serum IL-2Rα level was an important predictive factor of lymph node metastasis in undifferentiated gastric cancer, and the cut-off point for the predictive value of serum IL-2Rα level was 200 U/mL.ConclusionThe serum IL-2Rα level might be a good predictor of lymph node metastasis in undifferentiated early gastric cancer.

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Section: Introductionmentioning

confidence: 99%

Can serum interleukin-2 receptor alpha predict lymph node metastasis in early gastric cancer?

Baik

Noh

et al. 2012

J Korean Surg Soc

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Changes in Nutritional Status according to Biochemical Assay, Body Weight, and Nutrient Intake Levels in Gastrectomy Patients

Yu¹,

Kang²,

Yoon³

et al. 2012

Journal of the Korean Dietetic Association

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The purpose of this study was to investigate the changes in nutritional status of gastrectomy patients. The anthropometric and biochemical data were measured at pre-operation, at discharge, 1 month after discharge, and 3 months after discharge. Nutrient intake levels, nutrients adequacy ratio (NAR), mean adequacy ratio (MAR), and the proportion of patients with intake levels inferior to those of dietary reference intakes (DRIs) were analyzed at discharge, 1 month after discharge, and 3 months after discharge. Finally, the data on 23 patients (15 male and 8 female) were collected and used for statistical analysis. Fifteen patients underwent subtotal gastrectomy, and 8 patients underwent total gastrectomy. Compared to pre-operation, body weight and body mass index of subjects significantly decreased at discharge, 1 month after discharge, and 3 months after discharge (P＜0.001). Serum albumin (P＜0.001), total lympocyte count (P＜0.001), total cholesterol (P＜ 0.001), hemoglobin (P＜0.001), hematocrit (P＜0.001), and mean corpuscular hemoglobin concentration (P＜ 0.05) were significantly different between pre-operation, at discharge, 1 month after discharge, and 3 months after discharge. The proportions of patients with lower nutrient intake levels than DRIs were substantial. MAR at discharge, 1 month after discharge, and 3 months after discharge were 0.70, 0.80 and 0.91, respectively. Especially, the NARs of folate, niacin, vitamin B2, vitamin C, and zinc were all low. Considering the various nutritional problems of gastrectomy patients, systematic medical nutrition therapy is needed after gastrectomy.

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Robotic Gastrectomy for Gastric Cancer: Preliminary Results

Abstract: Purpose:To assess the feasibility of the da Vinci Ⓡ surgical system in performing gastrectomies for gastric cancer.

Cited by 2 publications

References 25 publications

Can serum interleukin-2 receptor alpha predict lymph node metastasis in early gastric cancer?

Can serum interleukin-2 receptor alpha predict lymph node metastasis in early gastric cancer?

Changes in Nutritional Status according to Biochemical Assay, Body Weight, and Nutrient Intake Levels in Gastrectomy Patients

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