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J-GLOBAL ID：202202226925990661   整理番号：22A0450815

手術後の3年後の胃癌患者に対する腹腔鏡下根治的胃切除術の開設の潜在的な生存利益:傾向マッチングに基づく多施設深達度分析の結果【JST・京大機械翻訳】

Potential survival benefits of open over laparoscopic radical gastrectomy for gastric cancer patients beyond three years after surgery: result from multicenter in-depth analysis based on propensity matching

著者 (37件)： Huang Ze-Ning (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Huang Ze-Ning (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Ma YuBin (Department of Gastrointestinal Surgery, Qinghai University Affiliated Hospital, Xining, China) ,  Chen Qi-Yue (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Chen Qi-Yue (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Zheng Chao-Hui (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Zheng Chao-Hui (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Zheng Chao-Hui (Key Laboratory of Ministry of Education of Gastrointestinal Cancer, Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China) ,  Li Ping (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Li Ping (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Li Ping (Key Laboratory of Ministry of Education of Gastrointestinal Cancer, Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China) ,  Xie Jian-Wei (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Xie Jian-Wei (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Wang Jia-Bin (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Wang Jia-Bin (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Wang Jia-Bin (Key Laboratory of Ministry of Education of Gastrointestinal Cancer, Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China) ,  Lin Jian-Xian (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Lin Jian-Xian (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Lin Jian-Xian (Key Laboratory of Ministry of Education of Gastrointestinal Cancer, Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China) ,  Lu Jun (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Lu Jun (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Lu Jun (Key Laboratory of Ministry of Education of Gastrointestinal Cancer, Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China) ,  Cao Long-Long (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Cao Long-Long (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Cao Long-Long (Key Laboratory of Ministry of Education of Gastrointestinal Cancer, Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China) ,  Lin Mi (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Lin Mi (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Tu Ru-Hong (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Tu Ru-Hong (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Lin Ju-Li (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Lin Ju-Li (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Zheng Hua-Long (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Zheng Hua-Long (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Zheng Hua-Long (Key Laboratory of Ministry of Education of Gastrointestinal Cancer, Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China) ,  Huang Chang-Ming (Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Huang Chang-Ming (Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, China) ,  Huang Chang-Ming (Key Laboratory of Ministry of Education of Gastrointestinal Cancer, Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China)
資料名： Surgical Endoscopy  (Surgical Endoscopy)
巻： 36  号： 2  ページ： 1456-1465  発行年： 2022年 
JST資料番号： W4977A  ISSN： 0930-2794  資料種別： 逐次刊行物 (A)
記事区分： 原著論文  発行国： ドイツ (DEU)  言語： 英語 (EN)

抄録/ポイント： 背景:手術の3年後の進行性遠位胃癌(ADGC)に対する腹腔鏡対開腹手術の腫瘍学的有効性は,不明のままである。方法:2007年4月から2014年12月までの中国の2つの教育機関のADGC患者合計1256人を登録した。2つの群の一般データを,傾向スコアの厳密な推定を可能にするために同定した。制限平均生存時間(RMST)とランドマーク分析を用い,生存を比較した。結果:開放遠位胃切除術(ODG)と腹腔鏡下遠位胃切除術(LDG)群のそれぞれ461人の患者をマッチング後,それらを分析に含めた。3年および5年全生存率(OS)および無病生存率は,2群で同等であった。RMST層別分析は,ODG群の3年RMSTがcT4a(-1.38歳,p=0.163)またはcT4aと腫瘍サイズ>5cmの患者でLDG群のそれと類似しているが,5年RMSTはcT4a患者(-8.36歳,P=0.005)またはcT4aと腫瘍サイズ>5cm患者(4.67歳,P=0.042)の群間で有意差があることを示した。cT4aと腫瘍>5cmの患者において,腹膜再発の数は,ODG群で,LDG群(4対17,P=0.033)でより有意に少なく,腹膜再発時間と多部位再発時間は,ODG群で両方とも遅かった。結論:再発を減らすことによって,ODGは,手術の3年後に5cmより大きい漿液浸潤と腫瘍を有するGC患者のためにより良い生存を達成した。本知見は,外科的オプションの参考および臨床研究のための追跡調査時点の設定として役立つ。Copyright The Author(s) 2021 Translated from English into Japanese by JST.【JST・京大機械翻訳】

シソーラス用語： 浸潤 ,  腫瘍 ,  層別 ,  *胃切除 ,  有効性 ,  *胃腫瘍 ,  開腹術 ,  *腹腔鏡 ,  追跡調査
準シソーラス用語： 無病生存率 ,  腫瘍サイズ ,  *腫瘍深達度 ,  教育機関 ,  5年全生存率 ,  臨床研究 , 【Automatic Indexing@JST】

著者キーワード (5件)： 生存利益 ,  ADGC ,  LDG ,  Muticenter ,  傾向マッチング

分類 (2件)： 消化器の腫よう  (GH04000D) ,  腫ようの外科療法  (GE03033T)

タイトルに関連する用語 (13件)： 手術 ,  胃 ,  癌患者 ,  腹腔鏡 ,  胃切除術 ,  開設 ,  生存 ,  利益 ,  傾向 ,  マッチング ,  施設 ,  深達度 ,  分析