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.99 No.4
- 발행연도
- 2020.10
- 수록면
- 213 - 220 (8page)
이용수
초록· 키워드
오류제보하기
Purpose: Meckel diverticulum (MD), caused by an obliteration defect of the omphalomesenteric duct, is one of the most common congenital anomalies of small intestines. The objective of this study was to review surgical outcomes of MD and evaluate the feasibility of minimally invasive surgery (MIS) in MD.
Methods: We performed a retrospective analysis of the medical records of patients who underwent diverticulectomy for MD at 6 Hallym University-affiliated hospitals between January 2008 and December 2017. All patients underwent either open surgery or MIS. Patients who underwent MIS were subdivided into laparoscopic only diverticulectomy (LOD) or laparoscopic-assisted diverticulectomy (LAD).
Results: Of 64 patients, 21 underwent open surgery and 43 underwent MIS. Time to flatus, time to soft food intake, and length of hospital stay were shorter in the MIS group than in the open surgery group (P = 0.047, P = 0.005, and P = 0.015, respectively). Among patients who underwent MIS, the time to flatus and time to soft food intake were longer in the LAD group than in the LOD group (0.3 and 0.9 days, respectively). Multivariate analysis showed that old age and preoperative ileus were independent predictors of complications (P = 0.030 and P = 0.013, respectively). Operation type (open surgery, LOD, or LAD) was not associated with complications.
Conclusion: The present study showed that MIS is associated with quicker recovery without increasing complications. Therefore, MIS may be a safe alternative to open surgery for MD. An old age and preoperative ileus were associated with a risk of postoperative complications.
Methods: We performed a retrospective analysis of the medical records of patients who underwent diverticulectomy for MD at 6 Hallym University-affiliated hospitals between January 2008 and December 2017. All patients underwent either open surgery or MIS. Patients who underwent MIS were subdivided into laparoscopic only diverticulectomy (LOD) or laparoscopic-assisted diverticulectomy (LAD).
Results: Of 64 patients, 21 underwent open surgery and 43 underwent MIS. Time to flatus, time to soft food intake, and length of hospital stay were shorter in the MIS group than in the open surgery group (P = 0.047, P = 0.005, and P = 0.015, respectively). Among patients who underwent MIS, the time to flatus and time to soft food intake were longer in the LAD group than in the LOD group (0.3 and 0.9 days, respectively). Multivariate analysis showed that old age and preoperative ileus were independent predictors of complications (P = 0.030 and P = 0.013, respectively). Operation type (open surgery, LOD, or LAD) was not associated with complications.
Conclusion: The present study showed that MIS is associated with quicker recovery without increasing complications. Therefore, MIS may be a safe alternative to open surgery for MD. An old age and preoperative ileus were associated with a risk of postoperative complications.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (30)
참고문헌 신청
Yahchouchy EK / 2001 / Meckel’s diverticulum / J Am Coll Surg 192:658~662
Sharma RK / 2008 / Emergency surgery for Meckel’s diverticulum / World J Emerg Surg 3:27
Kadian YS / 2016 / Vitellointestinal duct anomalies in infancy / J Neonatal Surg 5:30
Hee Ju Sohn / 2016 / Meckel diverticulum in exomphalos minor / Annals of Surgical Treatment and Research 91(2):90~92
Tam YH / 2013 / Single-incision laparoscopic surgery in diagnosis and treatment for gastrointestinal bleeding of obscure origin in children / Surg Laparosc Endosc Percutan Tech 23:e106~e108
Sharma RK / 2008 / Emergency surgery for Meckel’s diverticulum / World J Emerg Surg 3:27
Kadian YS / 2016 / Vitellointestinal duct anomalies in infancy / J Neonatal Surg 5:30
Hee Ju Sohn / 2016 / Meckel diverticulum in exomphalos minor / Annals of Surgical Treatment and Research 91(2):90~92
Tam YH / 2013 / Single-incision laparoscopic surgery in diagnosis and treatment for gastrointestinal bleeding of obscure origin in children / Surg Laparosc Endosc Percutan Tech 23:e106~e108
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UCI(KEPA) : I410-ECN-0101-2020-514-001293275