A Clinical Analysis of about 2,000 Cases for the Laparoscopic Cholecystectomy: Single Center Experiences - A Change in the Indication for Laparoscopic Cholecystectomy according to Period :시기에 따른 복강경 담낭 절제술의 적응증의 변화

Young Joo An; Young Hoon Kim; Ghap Joong Jung; Sung Heun Kim; Young Hoon Roh

A Clinical Analysis of about 2,000 Cases for the Laparoscopic Cholecystectomy: Single Center Experiences - A Change in the Indication for Laparoscopic Cholecystectomy according to Period

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단일기관에서 시행한 2,000예 이상의 복강경 담낭 절제술에 대한 임상적 분석 : 시기에 따른 복강경 담낭 절제술의 적응증의 변화

Type: Academic journal

Author: Young Joo An (동아대학교) Young Hoon Kim (동아대학교) Ghap Joong Jung (동아대학교) Sung Heun Kim (동아대학교) Young Hoon Roh (동아대학교)

Journal: The Korean Surgical Society Annals of Surgical Treatment and Research Vol.76 No.6 KCI Accredited Journals SCIE

Published: 2009.6

Pages: 364 - 370 (7page)

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A Clinical Analysis of about 2,000 Cases for the Laparoscopic Cholecystectomy: Single Center Experiences - A Change in the Indication for Laparoscopic Cholecystectomy according to Period

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Purpose: Laparoscopic cholecystectomy has become the standard modality of acute and chronic gallbladder disease. This study was performed to evaluate a change in the indication for laparoscopic cholecystectomy according to period by analyzing our experiences.
Methods: We retrospectively analyzed 2,096 cases of laparoscopic cholecystectomy that were treated at the Department of Surgery, Dong-A University. They were divided into 3 groups from October 1992 to December 1996 (Group 1), from January 1997 to December 2001 (Group 2) and from January 2002 to March 2007 (Group 3).
Results: The mean age was 50.14±13.89 years and the male-to-female ratio was 1：1.23. Previous abdominal surgery was noted in 12.24% from Group 1, 14.96% from Group 2 and 21.48% from Group 3. Chronic cholecystitis was the most common pathologic diagnosis in all cases. However, while the incidence of acute cholecystitis and gallbladder empyema in Group 1 was 3.36% and 0%, that of Group 2 was 12.52% and 3.88% and that of Group 3 was 31.79% and 7.59%, which was increased. The mean operation time of each group was 101.00±51.00, 69.86±40.55, 78.01±45.55 minutes (P＜0.05). The conversion rate of each group was nine cases (6.04%), 21 cases (3.02%), and 51 cases (4.07%). The surgical complication rate was 7.38%, 3.88% and 4.71%, respectively. The length of hospital stay was 6.08±3.65, 3.16±2.99 and 2.91±3.34 days, which was significantly decreased (P＜0.05).
Conclusion: As surgical experience increased and laparoscopic surgical skills developed, the indication for laparoscopic cholecystectomy changed. The results of this study showed that laparoscopic cholecystectomy was feasible for the treatment of complicated gallbladder lesion.

#Laparoscopic cholecystectomy #Acute cholecystitis #복강경 담낭절제술 #급성 담낭염

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