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
- 발행연도
- 2011.12
- 수록면
- 225 - 230 (6page)
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초록· 키워드
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Backgrounds/Aims: For patients with acute cholecystitis, conversion from laparoscopic cholecystectomy to open surgery is not uncommon due to possibilities of serious hemorrhage at the liver bed and bile duct injury. Recent studies reported successful laparoscopic subtotal cholecystectomy for acute cholecystitis. The purpose of this study was to determine the efficacy and feasibility of such an operation based on the experience of surgeons at our facility. Methods: In this study, we enrolled 144 patients who had received either laparoscopic subtotal cholecystectomy (LSC), laparoscopic cholecystectomy (LC), or open cholecystectomy (OC) for acute cholecystitis from January 2004 to December 2009 at the Department of Surgery of our hospital. Their symptoms, signs, operative findings, pathologic results and postoperative results were compared and analyzed. Results: There were 26 patients in the LSC group 80 in the LC group and 38 in the OC group. There were no differences in mean age, sex, and symptoms of acute cholecystitis. The LSC group showed higher CRP levels (p＜0.001) and a higher grade according to the Tokyo criteria (p=0.001). The mean operative time was 115.6 minutes and mean blood loss was 158.9 ml without intra-operative or postoperative transfusion. There weren"t any bile duct injuries during the operation. No group suffered bile leakage. Drains were removed 3.3 days after the operation in the LC group, the shortest time compared to the other groups (p＜0.001). LC and LSC groups demonstrated shorter postoperative hospital days and time to diet resumption than the OC group (p＜0.001). Conclusions: LSC appears to be a safe and effective treatment in cases of severe acute cholecystitis that require consideration of conversion to open surgery. (Korean J Hepatobiliary Pancreat Surg 2011;15:225-230)
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (19)
참고문헌 신청
1. [학술지(정기간행물)] - Jacobs M / 1991 / Laparoscopic cholecystectomy in acute cholecystitis / J Laparoendosc Surg 1 : 175 ~ 177
2. [학술지(정기간행물)] - Cox MR / 1993 / Laparoscopic cholecystectomy for acute inflammation of the gallbladder / Ann Surg 218 : 630 ~ 634
3. [학술지(정기간행물)] - Palanivelu C / 2006 / Laparoscopic cholecystectomy in cirrhotic patients: the role of subtotal cholecystectomy and its variants / J Am Coll Surg 203 : 145 ~ 151
4. [학술지(정기간행물)] - Chowbey PK / 2000 / Laparoscopic subtotal cholecystectomy: a review of 56 procedures / J Laparoendosc Adv Surg Tech A 10 : 31 ~ 34
5. [학술지(정기간행물)] - Michalowski K / 1998 / Laparoscopic subtotal cholecystectomy in patients with complicated acute cholecystitis or fibrosis / Br J Surg 85 : 904 ~ 906
2. [학술지(정기간행물)] - Cox MR / 1993 / Laparoscopic cholecystectomy for acute inflammation of the gallbladder / Ann Surg 218 : 630 ~ 634
3. [학술지(정기간행물)] - Palanivelu C / 2006 / Laparoscopic cholecystectomy in cirrhotic patients: the role of subtotal cholecystectomy and its variants / J Am Coll Surg 203 : 145 ~ 151
4. [학술지(정기간행물)] - Chowbey PK / 2000 / Laparoscopic subtotal cholecystectomy: a review of 56 procedures / J Laparoendosc Adv Surg Tech A 10 : 31 ~ 34
5. [학술지(정기간행물)] - Michalowski K / 1998 / Laparoscopic subtotal cholecystectomy in patients with complicated acute cholecystitis or fibrosis / Br J Surg 85 : 904 ~ 906
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UCI(KEPA) : I410-ECN-0101-2014-514-001273901