지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.83 No.3
- 발행연도
- 2012.9
- 수록면
- 155 - 161 (7page)
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초록· 키워드
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Purpose: Many surgical patients are admitted to the intensive care unit (ICU), resulting in an increased demand, and possible waste, of resources. Patients who undergo liver resection are also transferred postoperatively to the ICU. However, this may not be necessary in all cases. This study was designed to assess the necessity of ICU admission. Methods: The medical records of 313 patients who underwent liver resections, as performed by a single surgeon from March 2000 to December 2010 were retrospectively reviewed. Results: Among 313 patients, 168 patients (53.7%) were treated in the ICU. 148 patients (88.1%) received only observation during the ICU care. The ICU re-admission and intensive medical treatment significantly correlated with major liver resection (odds ratio [OR], 6.481; P = 0.011), and intraoperative transfusions (OR, 7.108; P = 0.016). Patients who underwent major liver resection and intraoperative transfusion were significantly associated with need for mechanical ventilator care, longer postoperative stays in the ICU and the hospital, and hospital mortality. Conclusion: Most patients admitted to the ICU after major liver resection just received close monitoring. Even though patients underwent major liver resection, patients without receipt of intraoperative transfusion could be sent to the general ward. Duration of ICU/hospital stay, ventilator care and mortality significantly correlated with major liver resection and intraoperative transfusion. Major liver resection and receipt of intraoperative transfusions should be considered indicators for ICU admission.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
ACKNOWLEDGEMENTS
REFERENCES
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - Powell-Jackson P / 1982 / Adverse effects of exploratory laparotomy in patients with unsuspected liver disease / Br J Surg 69 : 449 ~ 451
2. [학술지(정기간행물)] - Alfieri S / 2001 / Avoiding early postoperative complications in liver surgery: a multivariate analysis of 254 patients consecutively observed / Dig Liver Dis 33 : 341 ~ 346
3. [학술지(정기간행물)] - Dimick JB / 2003 / Hepatic resection in the United States: indications, outcomes, and hospital procedural volumes from a nationally representative database / Arch Surg 138 : 185 ~ 191
4. [학술지(정기간행물)] - Heriot AG / 2002 / A review of techniques for liver resection / Ann R Coll Surg Engl 84 : 371 ~ 380
5. [학술지(정기간행물)] - Belghiti J / 2000 / Seven hundred forty-seven hepatectomies in the 1990s: an update to evaluate the actual risk of liver resection / J Am Coll Surg 191 : 38 ~ 46
2. [학술지(정기간행물)] - Alfieri S / 2001 / Avoiding early postoperative complications in liver surgery: a multivariate analysis of 254 patients consecutively observed / Dig Liver Dis 33 : 341 ~ 346
3. [학술지(정기간행물)] - Dimick JB / 2003 / Hepatic resection in the United States: indications, outcomes, and hospital procedural volumes from a nationally representative database / Arch Surg 138 : 185 ~ 191
4. [학술지(정기간행물)] - Heriot AG / 2002 / A review of techniques for liver resection / Ann R Coll Surg Engl 84 : 371 ~ 380
5. [학술지(정기간행물)] - Belghiti J / 2000 / Seven hundred forty-seven hepatectomies in the 1990s: an update to evaluate the actual risk of liver resection / J Am Coll Surg 191 : 38 ~ 46
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UCI(KEPA) : I410-ECN-0101-2014-514-001420286