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논문 기본 정보

자료유형
학술저널
저자정보
Eui Soo Han (The Catholic University of Korea College of Medicine) Young Kyoung You (The Catholic University of Korea College of Medicine) Dong Goo Kim (The Catholic University of Korea College of Medicine) Jun Suh Lee (The Catholic University of Korea College of Medicine) Eun Young Kim (The Catholic University of Korea College of Medicine) Soo Ho Lee (The Catholic University of Korea College of Medicine) Tae Ho Hong (The Catholic University of Korea College of Medicine) Gun Hyung Na (The Catholic University of Korea College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.89 No.2
발행연도
2015.7
수록면
55 - 60 (6page)

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초록· 키워드

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Purpose: Single-port laparoscopic splenectomy has been performed sporadically. The aim of this study is to assess our experience with single-port laparoscopic splenectomy compared to conventional multiport laparoscopic surgery for the usual treatment modality for various kinds of splenic disease.
Methods: Between October 2008 to February 2014, 29 patients underwent single-port laparoscopic splenectomy and 32 patients received multiport laparoscopic splenectomy. We retrospectively analyzed the clinical outcomes of single-port group and multiport group.
Results: The body mass index and disease profiles of the both groups were similar. The operative times of single-port and multiport group were 113.6 ± 39.9 and 95.9 ± 38.9 minutes, respectively (P = 0.946). The operative blood loss of the two groups were 295.8 ± 301.3 and 322.5 ± 254.5 mL (P = 0.582). Postoperative retrieved splenic weight of the single-port and multiport groups were 283.9 ± 300.7 and 362.3 ± 471.8 g, respectively (P = 0.261). One single-port partial splenectomy and 6 multiport partial splenectomies were performed in this study. There was one intraoperative gastric wall injury. It occurred in single-port group, which was successfully managed during the operation. Each case was converted to laparotomy in both groups due to bleeding. There was one mortality case in the multiport laparoscopic splenectomy group, which was not related to the splenectomy. Mean hospital stay of the single-port and multiport group was 5.8 ± 2.5 and 7.3 ± 5.2 days respectively (P = 0.140).
Conclusion: Single-port laparoscopic splenectomy seems to be a feasible approach for various kinds of splenic disease compared to multiport laparoscopic surgery.

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

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