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
- 2011.3
- 수록면
- 13 - 18 (6page)
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2011
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Purpose: For choledocholithiasis, many doctors routinely use ERCP/EST to avoid the need for common bile duct exploration. But, ERCP/EST has some weakpoints. So it may not be a first choice for management, especially in secondary hospitals. Therefore, we investigated and reviewed results of LCBDE as a first treatment for common bile duct stones.
Methods: This study was a retrospective analysis of 60 cases that could be reviewed by their medical charts and who underwent LCBDE performed by the same surgeon at the Yeosu Chonnam Hospital between March, 1996 and August, 2009. The clinical data were compared between each two groups (1996∼1999 vs 2000∼2009 years, primary closure vs T tube drainage).
Results: Between groups A and B, there were no significant differences in preoperative status of the patient except for age (60.5 vs 72.6). The average operative time was decreased in group B (171.6 mins vs 143.0 mins) and the number of trocars was decreased in group B (4 vs 3.2). There were 13 postoperative complications. Among them, 11 were cases of bile leakage. All of the bile leakage cases were in group B. And there were more bile leakages in the primary repair group than in T tube drainage group (50% vs 8.9%). But, 10 cases of bile leakage were improved completely by observation and conservative treatment.
Conclusion: LCBDE is a safe and useful treatment that has several advantages and can overcome problems not solved by ERCP. Fatal complications were not increased in the primary repair group compared with the T tube drainage group.
Methods: This study was a retrospective analysis of 60 cases that could be reviewed by their medical charts and who underwent LCBDE performed by the same surgeon at the Yeosu Chonnam Hospital between March, 1996 and August, 2009. The clinical data were compared between each two groups (1996∼1999 vs 2000∼2009 years, primary closure vs T tube drainage).
Results: Between groups A and B, there were no significant differences in preoperative status of the patient except for age (60.5 vs 72.6). The average operative time was decreased in group B (171.6 mins vs 143.0 mins) and the number of trocars was decreased in group B (4 vs 3.2). There were 13 postoperative complications. Among them, 11 were cases of bile leakage. All of the bile leakage cases were in group B. And there were more bile leakages in the primary repair group than in T tube drainage group (50% vs 8.9%). But, 10 cases of bile leakage were improved completely by observation and conservative treatment.
Conclusion: LCBDE is a safe and useful treatment that has several advantages and can overcome problems not solved by ERCP. Fatal complications were not increased in the primary repair group compared with the T tube drainage group.
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참고문헌
참고문헌 (29)
참고문헌 신청
1. [학술지(정기간행물)] - Moore KB / 2004 / Laparoscopic common bile duct exploration / Curr Surg 61 : 294 ~ 296
2. [학술지(정기간행물)] - Poulose BK / 2006 / National analysis of in-hospital resource utilization in choledocholithiasis management using propensity scores / Surg Endosc 20 : 186 ~ 190
3. [학술지(정기간행물)] - Suc B / 1998 / Surgery vs endoscopy as primary treatment in symptomatic patients with suspected common bile duct stones: a multicenter randomized trial. French Associations for Surgical Research / Arch Surg 133 : 702 ~ 708
4. [학술지(정기간행물)] - Aroori S / 2002 / Laparoscopic managment of common bile duct stones: our initial experience / Ulster Med J 71 : 22 ~ 25
5. [학술지(정기간행물)] - Martin IJ / 1998 / Towards T-tube free laparoscopic bile duct exploration: a methodologic evolution during 300 consecutive procedures / Ann Surg 228 : 29 ~ 34
2. [학술지(정기간행물)] - Poulose BK / 2006 / National analysis of in-hospital resource utilization in choledocholithiasis management using propensity scores / Surg Endosc 20 : 186 ~ 190
3. [학술지(정기간행물)] - Suc B / 1998 / Surgery vs endoscopy as primary treatment in symptomatic patients with suspected common bile duct stones: a multicenter randomized trial. French Associations for Surgical Research / Arch Surg 133 : 702 ~ 708
4. [학술지(정기간행물)] - Aroori S / 2002 / Laparoscopic managment of common bile duct stones: our initial experience / Ulster Med J 71 : 22 ~ 25
5. [학술지(정기간행물)] - Martin IJ / 1998 / Towards T-tube free laparoscopic bile duct exploration: a methodologic evolution during 300 consecutive procedures / Ann Surg 228 : 29 ~ 34
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UCI(KEPA) : I410-ECN-0101-2014-514-001274564