http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
대한간학회지 제8차 춘계학술대회 초록집 : 구연 ; 간세포암 수술 후 조기 합병증 및 수술 사망률에 영향을 미치는 위험인자
김완욱 ( Kim Wan Ug ),이광웅 ( Lee Gwang Ung ),최성호 ( Choe Seong Ho ),허진석 ( Heo Jin Seog ),김용일 ( Kim Yong Il ),김성주 ( Kim Seong Ju ),박제훈 ( Park Je Hun ),우돈희 ( U Don Hui ),조재원 ( Jo Jae Won ) 대한간학회 2002 Clinical and Molecular Hepatology(대한간학회지) Vol.8 No.2(S)
문현종 ( Mun Hyeon Jong ),장기택 ( Jang Gi Taeg ),허진석 ( Heo Jin Seog ),최성호 ( Choe Seong Ho ),조재원 ( Jo Jae Won ),김용일 ( Kim Yong Il ) 대한소화기학회 2003 대한소화기학회지 Vol.42 No.2
Background/Aims: Ductal adenocarcinoma of the head of the pancreas can only be cured with pancreaticoduodenectomy. However, the prognosis after resection has been poor. This study analyzed the possible prognostic factors of resected ductal adenocarcinoma through pancreaticoduodenectomy in a single institution. Methods: Between Oct. 1994 and May. 2002, 81 patients underwent pancreatoduodenectomy for ductal adenocarcinoma of the head of the pancreas. Perioperative and pathologic factors were analyzed with univariate and multivariate analysis. Results: The overall 5-year survival rate of the 81 patients was 10.8% with median survival of 11.8 months. Ninety-six percent of the patients were in stage IIa, IIb or III. In univariate analysis, factors favoring survival were as follows: CA19-9 antigen≤200 U/mL (p=0.0055), no preoperative biliary drainage (p=0.018), operation time≤6.5 hr (p=0.009), RO (curative) resection (p=0.0001), negative gross vascular invasion (p=0.0012), tumor size≤3 cm (p=0.002), T lesion≤T3 (p=0.0014), no tumor necrosis (p=0.0041), no duodenal invasion (p=0.0004) and postoperative chemoradiation therapy (p=0.0365). In multivariate analysis, RO resection (p<0.001), T lesion≤T3 (p=0.03) and no duodenal invasion (p=0.001) were independent predictors of prognosis. In 20 patients, who had T lesion≤T3 without duodenal invasion and RO resection, the 5-year survival rate was 67.8%. Conclusions: After pancreaticoduodenectomy for ductal adenocarcinoma of the head of the pancreas, a favorable 5-year survival rate can be achieved in the group of patients who have T lesion≤T3 without duodenal invasion and R0 resection. (Korean J Gastroenterol 2003;42:156-163)