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ASCO 2008 Review: 위암 및 위 위장관기질종양
박도중 ( Do Joong Park ) 대한임상종양학회 2008 Korean Journal of Clinical Oncology Vol.4 No.2
Thousands of cancer studies were presented at the 44th annual meeting of the American Society of Clinical Oncology (ASCO) in Chicago, IL, from May 30 to June 3, 2008. The Oral abstract Session on Gastrointestinal (Noncolorectal) Cancers featured nine presentations. Two of the talks discussed the results of phase Ⅲ trials of adjuvant and first-line treatments for gastric cancer. The presentations at the Sarcoma Session reviewed issues related to the roles of chemotherapy and the clinical prognostic features, the optimal use of targeted agents and the challenges in assessing their benefit for patients suffering with gastrointestinal stromal tumors (GISTs).
박도중 ( Do Joong Park ),김선회 ( Sun Whe Kim ),박윤찬 ( Youn Chan Park ),안영준 ( Young Joon Ahn ),서경석 ( Kyung Suk Suh ),이건욱 ( Kuhn Uk Lee ),박용현 ( Yong Hyun Park ) 대한소화기학회 2002 대한소화기학회 춘계학술대회 Vol.2002 No.-
간외담관암은 조기진단이 이용하지 않고 예후도 다른 소화기암에 비하여 좋지 않은 것으로 알려져 있으나 진단기술의 발달과 적극적인 수술로 절제율과 생존율이 호전되고있다. 하지만 이에 대한 분석은 많이 이루어지지 못하였다. 〈목적〉 이에 저자들은 간외담관암의 절제 후 생존율에 영향을 미치는 예후인자를 분석하고 장기생존자의 특성을 살펴보았다. 〈방법〉 1986년 1월부터 2002년 12월까지 15년간 본원 외과에서 간외담관암으로 치료를 받은 541명의 환자를
상부 조기 위암의 수술적 치료: 복강경 근위부 위 절제술
박도중 ( Do Joong Park ),박영석 ( Young Suk Park ),안상훈 ( Sang-hoon Ahn ),김형호 ( Hyung-ho Kim ) 대한소화기학회 2017 대한소화기학회지 Vol.70 No.3
Recently, the incidence of upper third gastric cancer has increased, and with it the number of endoscopic submucosal dissection (ESD) procedures performed has been increasing. However, if ESD is not indicated or non-curable, surgical treatment may be necessary. In the case of lower third gastric cancer, it is possible to preserve the upper part of the stomach; however, in the case of upper third gastric cancer, total gastrectomy is still the standard treatment option, regardless of the stage. This is due to the complications associated with upper third gastric cancer, such as gastroesophageal reflux after proximal gastrectomy rather than oncologic problems. Recently, the introduction of the double tract reconstruction method after proximal gastrectomy has become one of the surgical treatment methods for upper third early gastric cancer. However, since there has not been a prospective comparative study evaluating its efficacy, the ongoing multicenter prospective randomized controlled trial (KLASS-05) comparing laparoscopic proximal gastrectomy with double tract reconstruction and laparoscopic total gastrectomy is expected to be important for determining the future of treatment of upper third early gastric cancer. (Korean J Gastroenterol 2017;70:134-140)
박도중(Do Joong Park),안상훈(Sang Hoon Ahn),김형호(Hyung-Ho Kim) 대한종양외과학회 2015 Korean Journal of Clinical Oncology Vol.11 No.2
Gastric cancer surgery with curative intent comprises subtotal or total gastrectomy with radical lymph node dissection. Recently, as the incidence of early gastric cancer (EGC) is increasing, minimally invasive surgery can be applied to gastric cancer treatment. Minimally invasive gastric surgery has four aspects such as minimally invasive access, modified function-preserving gastrectomy, limited lymphadenectomy, and no reconstruction. Laparoscopic gastrectomy became popular for EGC and its indication is being expanded to advanced gastric cancer. Reduced or single port gastrectomy can be performed for selective EGC. For middle or upper EGC, laparoscopic pylorus-preserving gastrectomy or proximal gastrectomy is applicable as function-preserving gastrectomy. D1+ node dissection is enough for EGC without lymph node metastasis and sentinel node biopsy will be helpful for avoiding unnecessary lymph node dissection in EGC patients.