J Korean Gastric Cancer Assoc.
2005 Dec;5(4):295-303.
Nationwide Survey of Laparoscopic Gastric Surgery in Korea, 2004
- Affiliations
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- 1Department of Surgery, College of Medicine, Seoul National University.
- 2Department of Surgery, DongKang Medical Center.
- 3Department of Surgery, Pusan National University.
- 4Department of Surgery, Dong-A University.
- 5Department of Surgery, Ulsan University.
- 6National Cancer Center.
- 7Department of Surgery, Ewha Woman's University.
- 8Department of Surgery, Gangneung Asan Hospital.
- 9Department of Surgery, The Catholic University of Korea.
- 10Department of Surgery, Pochon CHA University.
- 11Department of Surgery, Kyungpook National University.
- 12Department of Surgery, Chonnam National University.
- 13Department of Surgery, Keimyung University.
- 14Department of Surgery, Chosun University.
- 15Department of Surgery, Dankook University.
- 16Department of Surgery, Hanyang University.
- 17Department of Surgery, Kyung Hee University.
- 18Department of Surgery, Changwon Fatima Hospital.
- 19Department of Surgery, Hallym University.
- 20Department of Surgery, Gyeongsang National University.
- 21Department of Surgery, Gachon Medical School.
- 22Department of Surgery, Daegu Catholic University.
- 23Department of Surgery, Soonchunhyang University.
- 24Department of Surgery, Yonsei University.
- 25Department of Surgery, Ajou University.
- 26Department of Surgery, Hansol Hospital.
- 27Department of Surgery, Inha University.
- 28Department of Surgery, Eulji University.
Abstract
- The Korean Laparoscopic Gastrointestinal Surgery Study Group made a survey of laparoscopic gastric surgeries which were performed in Korea during 2004. Thirty-eight surgeons from 36 Institutions responded to the questionnaires. One thousand eighty-nine laparoscopic gastric operations were performed during 2004. The cumulative number from 1995 to 2004 was about 2,386. Seven hundred fifty-four operations for a gastric adenocarcinoma were performed during 2004 which is almost two times the number performed during 2003. Laparoscopic radical procedures, such as a laparoscopy-assisted distal gastrectomy or total gastrectomy (LADG and LATG) have increased rapidly since 2001 (55 cases in 2001, 150 cases in 2002, 364 cases in 2003, and 738 cases in 2004). Especially, laparoscopic total gastrectomies were explosively adopted last year (20 cases in 2003 and 112 cases in 2004). However, laparoscopic function-preserving gastrectomies, which included one laparoscopy-assisted pylorus-preserving gastrectomy and laparoscopy-assisted proximal gastrectomy, are rarely performed at this time. One hundred forty-two wedge resections for a gastric submucosal tumor were performed during 2004. Hand-assisted laparoscopic surgery (HALS) was performed in 39 cases in 2001, 55 in 2002, and 49 in 2003; however, only 5 such surgeries were performed during 2004. In 2003, laparoscopic bariatric surgery began, and during 2004, 49 operations were performed. In terms of indications of laparoscopic gastric surgery for adenocarcinoma, 19 surgeons performed a LADG only for a T1 lesion, and 7 surgeons extended their indications to T2N0 lesions. In the near future, laparoscopic procedures for gastric cancer will be widely adopted in Korea if the medical-insurance obstacle is overcome, and the long-term survival results are verified.
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