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
- 2011.2
- 수록면
- 119 - 124 (6page)
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초록· 키워드
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Purpose: Single-port laparoscopic surgery is a rapidly advancing technique in laparoscopic surgery. However, there is currently limited evidence on the learning curve for this procedure. The aim of this study was to estimate the number of single port laparoscopic cholecystectomies required until improvement in the performance of the technique ceases.
Methods: This is a descriptive, single-center study using routinely collected clinical data from 70 patients who underwent single port laparoscopic cholecystectomy between May 2009 and June 2010 at Dong-A University Medical Center in Busan, Korea. The review includes the mean operating time, conversion cases, intra-operative GB perforation, post-operative wound infection and mean hospital stay.
Results: The mean operating time of the first 30 cases (the learning period) was 91.83 minutes. After 30 operations (the experience period), it plateaued to an average of 75.25 minutes, which remained steady in the next 40 operations - a reduction of more than 16%. Reduction in the operating time was significant (P＜0.001) between the learning period and the experience period. Other factors including additional ports, intraoperative gall bladder perforation, mean hospital stay, post-operative wound infection were not significantly different between the two periods.
Conclusion: We suggest that the learning curve for single port laparoscopic cholecystectomy should be around thirty cases for a surgeon with prior conventional laparoscopic cholecystectomy experience and for self-taught single port technique.
Methods: This is a descriptive, single-center study using routinely collected clinical data from 70 patients who underwent single port laparoscopic cholecystectomy between May 2009 and June 2010 at Dong-A University Medical Center in Busan, Korea. The review includes the mean operating time, conversion cases, intra-operative GB perforation, post-operative wound infection and mean hospital stay.
Results: The mean operating time of the first 30 cases (the learning period) was 91.83 minutes. After 30 operations (the experience period), it plateaued to an average of 75.25 minutes, which remained steady in the next 40 operations - a reduction of more than 16%. Reduction in the operating time was significant (P＜0.001) between the learning period and the experience period. Other factors including additional ports, intraoperative gall bladder perforation, mean hospital stay, post-operative wound infection were not significantly different between the two periods.
Conclusion: We suggest that the learning curve for single port laparoscopic cholecystectomy should be around thirty cases for a surgeon with prior conventional laparoscopic cholecystectomy experience and for self-taught single port technique.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONCLUSION
REFERENCES
참고문헌 (22)
참고문헌 신청
1. [학술지(정기간행물)] - Peters JH / 1991 / Safety and efficacy of laparoscopic cholecystectomy. A prospective analysis of 100 initial patients / Ann Surg 213 : 3 ~ 12
2. [학술지(정기간행물)] - Hun Jung / 2010 / Gastric Cancer Susceptibility according to Methylenetetrahydrofolate Reductase and Thymidylate Synthase Gene Polymorphism / 대한외과학회지 79 (1) : 27 ~ 34
3. [학술지(정기간행물)] - Leung KF / 1996 / Laparoscopic cholecystectomy: two-port technique / Endoscopy 28 : 505 ~ 507
4. [학술지(정기간행물)] - NavarraG / 1997 / One-wound laparoscopic cholecystectomy / Br J Surg 84 : 695 ~
5. [학술지(정기간행물)] - Ramachandran CS / 1998 / Two-port laparoscopic cholecystectomy: an innovative new method for gallbladder removal / J Laparoendosc Adv Surg Tech A 8 : 303 ~ 308
2. [학술지(정기간행물)] - Hun Jung / 2010 / Gastric Cancer Susceptibility according to Methylenetetrahydrofolate Reductase and Thymidylate Synthase Gene Polymorphism / 대한외과학회지 79 (1) : 27 ~ 34
3. [학술지(정기간행물)] - Leung KF / 1996 / Laparoscopic cholecystectomy: two-port technique / Endoscopy 28 : 505 ~ 507
4. [학술지(정기간행물)] - NavarraG / 1997 / One-wound laparoscopic cholecystectomy / Br J Surg 84 : 695 ~
5. [학술지(정기간행물)] - Ramachandran CS / 1998 / Two-port laparoscopic cholecystectomy: an innovative new method for gallbladder removal / J Laparoendosc Adv Surg Tech A 8 : 303 ~ 308
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