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
- 28 - 34 (7page)
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Purpose: Operative management of acute cholecystitis in aged patients has been shown to have relatively higher morbidity and mortality. The aim of this study was to determine appropriate management protocols for acute cholecystitis in those more than 70 years old.
Methods: From May 2003 to Dec 2009, we performed this study of patients over 70 years old that were diagnosed with acute cholecystitis (n=257). We excluded patients that had a hepatobilliary malignancy, a previous laparotomy history, secondary cholecystitis, or a high operative risk factor (n=78). Eligible participants were divided into two groups according to the first management of acute cholecystitis. One hundred two of the 179 (group A) had undergone a laparoscopic cholecystectomy (LC) or open cholecystectomy (OC) within 48 hr after arriving at the emergency room; 77 of the 179 (group 2) had PTGBD done as the first management protocol. We divided group 2 into group C (n=47) and D (n=30) according to cholecystectomy or not. We compared clinical outcomes of the two groups.
Results: The mean age of patients was 77.5 years old (102 for Group A and 77 for Group B. Univariant analysis of pre-operative clinical findings between groups A and B showed a significant difference only in age and in type of acute cholecystitis, However, the pre-operative co-morbidity of group B was significantly higher than that for group A. Comparing postoperative results between groups A and C, postoperative complications, open conversion rate, and mortality after cholecystectomy were not significantly different.
Conclusion: PTGBD could be considered as appropriate management in aged patients with acute cholecystitis. Moreover, PTGBD can reduce unnecessary cholecytectomies.
Methods: From May 2003 to Dec 2009, we performed this study of patients over 70 years old that were diagnosed with acute cholecystitis (n=257). We excluded patients that had a hepatobilliary malignancy, a previous laparotomy history, secondary cholecystitis, or a high operative risk factor (n=78). Eligible participants were divided into two groups according to the first management of acute cholecystitis. One hundred two of the 179 (group A) had undergone a laparoscopic cholecystectomy (LC) or open cholecystectomy (OC) within 48 hr after arriving at the emergency room; 77 of the 179 (group 2) had PTGBD done as the first management protocol. We divided group 2 into group C (n=47) and D (n=30) according to cholecystectomy or not. We compared clinical outcomes of the two groups.
Results: The mean age of patients was 77.5 years old (102 for Group A and 77 for Group B. Univariant analysis of pre-operative clinical findings between groups A and B showed a significant difference only in age and in type of acute cholecystitis, However, the pre-operative co-morbidity of group B was significantly higher than that for group A. Comparing postoperative results between groups A and C, postoperative complications, open conversion rate, and mortality after cholecystectomy were not significantly different.
Conclusion: PTGBD could be considered as appropriate management in aged patients with acute cholecystitis. Moreover, PTGBD can reduce unnecessary cholecytectomies.
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참고문헌
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - Mouret P / 1987 / From the first laparoscopic cholecystectomy / Dig Surg 8 : 124 ~ 125
2. [학술지(정기간행물)] - Kim DD / 2001 / The comparative study of laparoscopic and open cholecystectomy for acute cholecystitis / J Korean Endosc Laparosc Soc 4 : 1 ~ 9
3. [단행본] - Ahrent SA Pitt HA / 2001 / Biliary tract. In: Townsend CM Jr. editor. Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 16th ed / Philadelphia: WB Saunders; : 1086 ~ 1092
4. [학술지(정기간행물)] - Knight JS / 2004 / Timing of urgent laparoscopic cholecystectomy does not influence conversion rate / Br J Surg 91 : 601 ~ 604
5. [학술지(정기간행물)] - Vogelzang RL / 1988 / Percutaneous cholecystostomy: diagnosis and therapeutic efficacy / Radiology 168 : 29 ~ 34
2. [학술지(정기간행물)] - Kim DD / 2001 / The comparative study of laparoscopic and open cholecystectomy for acute cholecystitis / J Korean Endosc Laparosc Soc 4 : 1 ~ 9
3. [단행본] - Ahrent SA Pitt HA / 2001 / Biliary tract. In: Townsend CM Jr. editor. Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 16th ed / Philadelphia: WB Saunders; : 1086 ~ 1092
4. [학술지(정기간행물)] - Knight JS / 2004 / Timing of urgent laparoscopic cholecystectomy does not influence conversion rate / Br J Surg 91 : 601 ~ 604
5. [학술지(정기간행물)] - Vogelzang RL / 1988 / Percutaneous cholecystostomy: diagnosis and therapeutic efficacy / Radiology 168 : 29 ~ 34
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UCI(KEPA) : I410-ECN-0101-2014-514-001274584