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
- 2012.9
- 수록면
- 105 - 109 (5page)
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Backgrounds/Aims: Recently many studies have been reported the early results of a hepatectomy for various intrahepatic lesions. Also various types of laparoscopic hepatectomies are being performed in many centers. Some reports about the safety of laparoscopic parenchymal dissection of the liver have been published. In this study, we reported our experiences of laparoscopic left hepatectomies in patients with an intrahepatic duct (IHD) stone with recurrent pyogenic cholangitis (RPC), and investigated whether the total laparoscopic parenchymal dissection is as safe as open surgery. Methods: From April 2008 to December 2010, 25 patients had been admitted for left IHD stones with RPC. Preoperatively, the type of surgery was decided with the intention of treating each patient. Initially 10 patients underwent a laparoscopy-assisted left hepatectomy and the next 15 patients underwent total laparoscopic left hepatectomy as our experience grew. Demographics, peri- and postoperative results were collected and analyzed comparatively. Results: The mean age, gender ratio, preoperative American Society of Anesthesiologists (ASA) score, accompanied acute cholangitis and biliary pancreatitis, and the number of preoperative percutaneous transhepatic biliary drainage (PTBD) inserted cases were not different between the two groups who had undergone laparoscopy-assisted and totally laparoscopic left hepatectomy. The operation time, intraoperative transfusions and postoperative complications also showed no difference between them. The postoperative hospital stay did not show a significant difference statistically. Conclusions: In this study, we concluded that a laparoscopic left hepatectomy can be adapted to the patients with a left IHD stone with RPC. Also laparoscopic parenchymal dissection is safe and equivalent to an open procedure.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (13)
참고문헌 신청
1. [학술지(정기간행물)] - 왕희정 / 2005 / 간내 담석증의 새로운 외과 술식-복측 간문부 노출법-Ventral Hilar Exposure Method / 한국간담췌외과학회지 9 (1) : 23 ~ 30
2. [학술지(정기간행물)] - Chen MF / 1993 / A reappraisal of cholangiocarcinoma in patient with hepatolithiasis / Cancer 71 : 2461 ~ 2465
3. [학술지(정기간행물)] - Kubo S / 1995 / Hepatolithiasis associated with cholangiocarcinoma / World J Surg 19 : 637 ~ 641
4. [학술지(정기간행물)] - Liu CL / 1998 / Primary biliary stones: diagnosis and management / World J Surg 22 : 1162 ~ 1166
5. [학술지(정기간행물)] - Hwang JH / 2004 / Risk factors for recurrent cholangitis after initial hepatolithiasis treatment / JOURNAL OF CLINICAL GASTROENTEROLOGY 38 : 364 ~ 367
2. [학술지(정기간행물)] - Chen MF / 1993 / A reappraisal of cholangiocarcinoma in patient with hepatolithiasis / Cancer 71 : 2461 ~ 2465
3. [학술지(정기간행물)] - Kubo S / 1995 / Hepatolithiasis associated with cholangiocarcinoma / World J Surg 19 : 637 ~ 641
4. [학술지(정기간행물)] - Liu CL / 1998 / Primary biliary stones: diagnosis and management / World J Surg 22 : 1162 ~ 1166
5. [학술지(정기간행물)] - Hwang JH / 2004 / Risk factors for recurrent cholangitis after initial hepatolithiasis treatment / JOURNAL OF CLINICAL GASTROENTEROLOGY 38 : 364 ~ 367
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UCI(KEPA) : I410-ECN-0101-2014-514-001348698