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 Annals of Surgical Treatment and Research Vol.87 No.4
- 발행연도
- 2014.9
- 수록면
- 203 - 208 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Laparoscopic total extraperitoneal (TEP) repair of inguinal hernia is technically challenging enough to build high barrier to entry. The purpose of this study was to identify clinical factors influencing technical difficulty with laparoscopic TEP according to learning period.
Methods: We conducted a retrospective study of 112 adult patients who underwent laparoscopic TEP for unilateral inguinal hernia from January 2009 to September 2013. A technically difficult case was defined as the 70th percentiles or more in the distribution curve of operative time, major complication, or open conversion.
Results: The rate of body mass index (BMI) above 25 kg/m2 was significantly higher in the difficult group than the nondifficult group in the learning period of laparoscopic TEP (57.9% vs. 26.8%, respectively, P = 0.020). However, in the experience period, it revealed no statistical difference with technical difficulty (31.3% vs. 33.3%, respectively, P = 0.882). In multivariate analysis, BMI (≥25 kg/m2) was identified as a significant independent factor for technical difficulty with laparoscopic TEP in the learning period (odds ratio, 4.572; P = 0.015).
Conclusion: Patient’s BMI (≥25 kg/m2) can create technical difficulty with laparoscopic TEP only in the learning period, but not in the experience period. Therefore BMI could be applied as one of the guidelines for patient selection, especially for surgeons in the learning curve of laparoscopic TEP.
Methods: We conducted a retrospective study of 112 adult patients who underwent laparoscopic TEP for unilateral inguinal hernia from January 2009 to September 2013. A technically difficult case was defined as the 70th percentiles or more in the distribution curve of operative time, major complication, or open conversion.
Results: The rate of body mass index (BMI) above 25 kg/m2 was significantly higher in the difficult group than the nondifficult group in the learning period of laparoscopic TEP (57.9% vs. 26.8%, respectively, P = 0.020). However, in the experience period, it revealed no statistical difference with technical difficulty (31.3% vs. 33.3%, respectively, P = 0.882). In multivariate analysis, BMI (≥25 kg/m2) was identified as a significant independent factor for technical difficulty with laparoscopic TEP in the learning period (odds ratio, 4.572; P = 0.015).
Conclusion: Patient’s BMI (≥25 kg/m2) can create technical difficulty with laparoscopic TEP only in the learning period, but not in the experience period. Therefore BMI could be applied as one of the guidelines for patient selection, especially for surgeons in the learning curve of laparoscopic TEP.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (23)
참고문헌 신청
1. [학술지(정기간행물)] - Yoon Young Choi / 2012 / Comparison of the outcomes between laparoscopic totally extraperitoneal repair and prolene hernia system for inguinal hernia; review of one surgeon’s experience / 대한외과학회지 82 (1) : 40 ~ 44
2. [학술지(정기간행물)] - Al-Sahaf O. / 2008 / Totally extraperitoneal laparoscopic inguinal hernia repair is a safe option in patients with previous lower abdominal surgery / J Laparoendosc Adv Surg Tech A 18 : 353 ~ 356
3. [학술지(정기간행물)] - Putnis S. / 2012 / Totally extraperitoneal repair of inguinal hernia : techniques and pitfalls of a challenging pro-cedure / Langenbecks Arch Surg 397 : 1343 ~ 1351
4. [학술지(정기간행물)] - Pawanindra Lal. / 2010 / Is unilateral laparoscopic TEP inguinal hernia repair a job half done? The case for bilateral repair / Surg Endosc 24 : 1737 ~ 1745
5. [학술지(정기간행물)] - Bracale U. / 2012 / Which is the best laparoscopic approach for inguinal hernia repair : TEP or TAPP? A systematic review of the literature with a network meta-analysis / Surg Endosc 26 : 3355 ~ 3366
2. [학술지(정기간행물)] - Al-Sahaf O. / 2008 / Totally extraperitoneal laparoscopic inguinal hernia repair is a safe option in patients with previous lower abdominal surgery / J Laparoendosc Adv Surg Tech A 18 : 353 ~ 356
3. [학술지(정기간행물)] - Putnis S. / 2012 / Totally extraperitoneal repair of inguinal hernia : techniques and pitfalls of a challenging pro-cedure / Langenbecks Arch Surg 397 : 1343 ~ 1351
4. [학술지(정기간행물)] - Pawanindra Lal. / 2010 / Is unilateral laparoscopic TEP inguinal hernia repair a job half done? The case for bilateral repair / Surg Endosc 24 : 1737 ~ 1745
5. [학술지(정기간행물)] - Bracale U. / 2012 / Which is the best laparoscopic approach for inguinal hernia repair : TEP or TAPP? A systematic review of the literature with a network meta-analysis / Surg Endosc 26 : 3355 ~ 3366
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UCI(KEPA) : I410-ECN-0101-2015-510-002857765