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Song, Jeong, Lee, Park, Choi, Hong, Jung, Joo, Jeong, and Ha: The Clinical Outcome of Combined Organ Resection during Radical Gastrectomy
Original Article
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 79(5): 349-354.

Published online: 12 November 2010

DOI: https://doi.org/10.4174/jkss.2010.79.5.349

The Clinical Outcome of Combined Organ Resection during Radical Gastrectomy

Yu-Jeong Song1, Sang-Ho Jeong, M.D.1, 2, 3, Young-Joon Lee, Ph.D.1, 2, 3, Soon-Tae Park, Ph.D.1, 2, 3, Sang-Kyung Choi, Ph.D.1, 2, 3, Soon-Chan Hong, Ph.D.1, 2, 3, Eun-Jung Jung, Ph.D.1, 2, 3, Young-tae Joo, Ph.D.1, 2, 3, Chi-Young Jeong, Ph.D.1, 2, 3, Woo-Song Ha, Ph.D.1, 2, 3

1Department of Surgery, Postgraduate School of Medicine, Gyeongsang National University, Jinju, Korea.

2Gyeongnam Regional Cancer Center, Jinju, Korea.

3Gyeongsang Institute of Health Sciences, Jinju, Korea.

Corresponding author (yjleegnu@gmail.com)

Received 28 April 2010       Accepted 19 July 2010

Copyright © 2010 The Korean Surgical Society

Abstract

Purpose

Combined organ resection is a common operation in gastric cancer surgery. The aim of this study is to investigate the risk of combined minor organ resection (GB, gynecologic organ, appendix etc) in gastric cancer surgery.

Methods

The clinical data from 673 consecutive patients who underwent gastrectomy for gastric cancer at a single center were retrospectively analyzed. We investigated clinical data between open groups (OG) and laparoscopy groups (LAG), and we divided the patients into 3 groups: no resection group, minor organ resection group and major organ (spleen, pancreas, and colon) resection group.

Results

There were higher complication rates in major organ resection group (59.3%, 53.8%) than no resection (32.3%, 19.1%) or minor organ resection groups (38.7%, 20%) both in OG and LAG (P<0.05). However, there were longer hospital stays in minor (22.2 days) and major resection groups (24.1) than no resection group (16.2) in OG, but stays were longer in major resection group (30.9) than minor (14.5) and no resection group (16.2) in LAG (P<0.01). Operative times were longer in minor (287 min) and major organ resection group (310) than no resection group (243) in OG (P<0.00). However, operation time was longer in major resection group (505) than minor (415) and no resection group (370) in LAG (P=0.00).

Conclusion

Combined minor organ resection with gastrectomy does not increase morbidity, and there is no statistical difference in hospital stay and op time than no resection group in LAG.

Keywords: Gastric neoplasm, Gastrectomy, Cholecystectomy, Combined organ resection

Figures and Tables

Table 1
Patient's characteristics
jkss-79-349-i001
Table 2
The cause of combined organ resection
jkss-79-349-i002

*COR = combined organ resection.

Table 3
Comparison of operative results according to organ resection groups
jkss-79-349-i003

*Binary logistic regression; †OR = odds ratio; ‡95% CI = 95% confidence interval; §One-way ANOVA; ∥No = no resection groups; Minor = minor resection groups; **Major = major resection groups.

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