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.90 No.3
- 발행연도
- 2016.2
- 수록면
- 164 - 170 (7page)
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초록· 키워드
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Purpose: To investigate the feasibility and safety of solo surgery with single-port laparoscopic appendectomy, which is termed herein solo-SPLA (solo-single-port laparoscopic appendectomy).
Methods: This study prospectively collected and retrospectively analyzed data from patients who had undergone either non-solo-SPLA (n = 150) or solo-SPLA (n = 150). Several devices were utilized for complete, skin-to-skin solo-SPSA, including a Lone Star Retractor System and an adjustable mechanical camera holder.
Results: Operating times were not significantly different between solo- and non-solo-SPLA (45.0 ± 21.0 minutes vs. 46.7 ± 26.1 minutes, P = 0.646). Most postoperative variables were also comparable between groups, including the necessity for intravenous analgesics (0.7 ± 1.2 ampules [solo-SPLA] vs. 0.9 ± 1.5 ampules [non-solo-SPLA], P = 0.092), time interval to gas passing (1.3 ± 1.0 days vs. 1.4 ± 1.0 days, P = 0.182), and the incidence of postoperative complications (4.0% vs. 8.7%, P = 0.153). Moreover, solo-SPLA effectively lowered the operating cost by reducing surgical personnel expenses.
Conclusion: Solo-SPLA economized staff numbers and thus lowered hospital costs without lengthening of operating time. Therefore, solo-SPLA could be considered a safe and feasible alternative to non-solo-SPLA.
Methods: This study prospectively collected and retrospectively analyzed data from patients who had undergone either non-solo-SPLA (n = 150) or solo-SPLA (n = 150). Several devices were utilized for complete, skin-to-skin solo-SPSA, including a Lone Star Retractor System and an adjustable mechanical camera holder.
Results: Operating times were not significantly different between solo- and non-solo-SPLA (45.0 ± 21.0 minutes vs. 46.7 ± 26.1 minutes, P = 0.646). Most postoperative variables were also comparable between groups, including the necessity for intravenous analgesics (0.7 ± 1.2 ampules [solo-SPLA] vs. 0.9 ± 1.5 ampules [non-solo-SPLA], P = 0.092), time interval to gas passing (1.3 ± 1.0 days vs. 1.4 ± 1.0 days, P = 0.182), and the incidence of postoperative complications (4.0% vs. 8.7%, P = 0.153). Moreover, solo-SPLA effectively lowered the operating cost by reducing surgical personnel expenses.
Conclusion: Solo-SPLA economized staff numbers and thus lowered hospital costs without lengthening of operating time. Therefore, solo-SPLA could be considered a safe and feasible alternative to non-solo-SPLA.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (15)
참고문헌 신청
Arezzo A, Ulmer F, Weiss O, Schurr MO, Hamad M, Buess GF. Experimental trial on solo surgery for minimally invasive therapy: comparison of different systems in a phantom model. Surg Endosc 2000;14:955-9.
Schurr MO, Buess GF. Systems technology in the operating theatre: a prerequisite for the use of advanced devices in surgery. Minim Invasive Ther Allied Technol 2000;9:179-84.
Kim SJ, Lee SC. Technical and instrumental prerequisites for single-port laparoscopic solo surgery: state of art. World J Gastroenterol 2015;21:4440-6.
Chen YC, Shih CL, Wu CH, Chiu CH. Exploring factors that have caused a decrease in surgical manpower in Taiwan. Surg Innov 2014;21:520-7.
Deedar-Ali-Khawaja R, Khan SM. Trends of surgical career selection among medical students and graduates: a global perspective. J Surg Educ 2010;67:237-48.
Schurr MO, Buess GF. Systems technology in the operating theatre: a prerequisite for the use of advanced devices in surgery. Minim Invasive Ther Allied Technol 2000;9:179-84.
Kim SJ, Lee SC. Technical and instrumental prerequisites for single-port laparoscopic solo surgery: state of art. World J Gastroenterol 2015;21:4440-6.
Chen YC, Shih CL, Wu CH, Chiu CH. Exploring factors that have caused a decrease in surgical manpower in Taiwan. Surg Innov 2014;21:520-7.
Deedar-Ali-Khawaja R, Khan SM. Trends of surgical career selection among medical students and graduates: a global perspective. J Surg Educ 2010;67:237-48.
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UCI(KEPA) : I410-ECN-0101-2016-514-002640606