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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2009.9
- 수록면
- 137 - 142 (6page)
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Purpose : The aim of this study was to determine whether liver resection treated by using laparoscopy is equally safe for patients who have benign liver mass, hepatolithiasis, hepatocellular carcinoma (HCC), of metastatic liver cancer.
Methods : We performed our study in 32 patients with the following conditions: 17 patients with IHD stones, 7 with HCC, 1 with cholangiocarcinoma, and 7 patients who had colon cancer with liver metastasis. On a retrospective bases, these patients were investigated for clinical history, type of operation, time for operation, hospital stay, and post operative complications.
Results : The target age range was from 37 to 80 years and the mean age was 61.2 years old. The percentage of patients over 60 years old was 68.7% According to their past history, 8 patients had experienced an upper abdominal operation. In our study there were 9 cases of left hepatectomy(28.1%), 9 cases of left lateral segmentectomy (28.1%), 2 cases of sectionectomy, and 12 cases of wedgeresection. The average operation time was 364±148 mins, the average bleeding amount was 417cc, and the average hospital stay was 13.2 days. There were 8 cases(25%) of postoperative complications developed (2 bile leak, 1 intrabdominal abscess, 1 acute renal failure, 2 wound infection). All cases were improved with conservative management. And there was one case of remnant IHD stone, which had surgical treat and one patient had peritoneal carcinomatosis, who had laparoscopic liver resection for HCC.
Conclusion : Our study showed that laparoscopic liver resection has advantages; it is less painful, causes a small operative scar, a the short period of hospital stay and has cosmetic benefits. In the future, laparoscopic liver resection could be an important option for the treatment of hepatolithiasis and HCC through improved surgical instrument and skill of operation.
Methods : We performed our study in 32 patients with the following conditions: 17 patients with IHD stones, 7 with HCC, 1 with cholangiocarcinoma, and 7 patients who had colon cancer with liver metastasis. On a retrospective bases, these patients were investigated for clinical history, type of operation, time for operation, hospital stay, and post operative complications.
Results : The target age range was from 37 to 80 years and the mean age was 61.2 years old. The percentage of patients over 60 years old was 68.7% According to their past history, 8 patients had experienced an upper abdominal operation. In our study there were 9 cases of left hepatectomy(28.1%), 9 cases of left lateral segmentectomy (28.1%), 2 cases of sectionectomy, and 12 cases of wedgeresection. The average operation time was 364±148 mins, the average bleeding amount was 417cc, and the average hospital stay was 13.2 days. There were 8 cases(25%) of postoperative complications developed (2 bile leak, 1 intrabdominal abscess, 1 acute renal failure, 2 wound infection). All cases were improved with conservative management. And there was one case of remnant IHD stone, which had surgical treat and one patient had peritoneal carcinomatosis, who had laparoscopic liver resection for HCC.
Conclusion : Our study showed that laparoscopic liver resection has advantages; it is less painful, causes a small operative scar, a the short period of hospital stay and has cosmetic benefits. In the future, laparoscopic liver resection could be an important option for the treatment of hepatolithiasis and HCC through improved surgical instrument and skill of operation.
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참고문헌
참고문헌 (23)
참고문헌 신청
1. [학술지(정기간행물)] - Gagner M / 1992 / Laparoscopic partial hepatectomy for liver tumor / Surg Endosc 6 : 97 ~ 98
2. [학술지(정기간행물)] - Gagner M / 2004 / Laparoscopic liver resection: benefits and controversies / Surg clin North Am 84 : 451 ~ 462
3. [학술지(정기간행물)] - Cherqui D / 2000 / Laparoscopic liver resection: a feasibility study in 30 patients / Ann Surg 232 : 753 ~ 762
4. [학술지(정기간행물)] - Descottes B / 2000 / Early experience with laparoscopic approach for solid liver tumors: initial 16 cases / Ann Surg 232 : 641 ~ 645
5. [학술지(정기간행물)] - Azagra JS / 1996 / Laparoscopic anatomical(hepatic) lateral segmentectomy. : technical aspects / Surg Endosc 10 : 758 ~ 761
2. [학술지(정기간행물)] - Gagner M / 2004 / Laparoscopic liver resection: benefits and controversies / Surg clin North Am 84 : 451 ~ 462
3. [학술지(정기간행물)] - Cherqui D / 2000 / Laparoscopic liver resection: a feasibility study in 30 patients / Ann Surg 232 : 753 ~ 762
4. [학술지(정기간행물)] - Descottes B / 2000 / Early experience with laparoscopic approach for solid liver tumors: initial 16 cases / Ann Surg 232 : 641 ~ 645
5. [학술지(정기간행물)] - Azagra JS / 1996 / Laparoscopic anatomical(hepatic) lateral segmentectomy. : technical aspects / Surg Endosc 10 : 758 ~ 761
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UCI(KEPA) : I410-ECN-0101-2014-514-001302861