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
- 2010.3
- 수록면
- 46 - 52 (7page)
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Purpose: The purpose of this study was to evaluate surgical outcomes of laparoscopic cholecystectomy (LC) and the effect of preoperative percutaneous transhepatic gallbladder drainage (PTGBD) in patients with acute cholecystitis. In particular, we concentrated on differences in surgical outcomes between elective and emergency operations.
Methods: Between March 2006 and February 2009, 259 cases of acute cholecystitis underwent LC at our institution and we studied them retrospectively. They were divided into 3 groups. Group I included 153 patients who underwent elective LC without PTGBD; group II included 90 patients who underwent elective LC after PTGBD; group III included 16 patients who underwent emergency LC without PTGBD.
Results: Between groups I and III, there were no differences in conversion rate, postoperative complications, and total hospital stay. However, the operation times and postoperative hospital stays of group I were shorter than those of group III and the difference was significant (p＜0.05, p＜0.01, respectively). Between groups II and III, there were no differences in operation time, conversion rate, postoperative complications, and postoperative hospital stay.
Conclusion: We recommend PTGBD for a patient with acute cholecystitis as much as possible, if indicated, so that we can do the operation on the patient as elective surgery and not as an emergency.
Methods: Between March 2006 and February 2009, 259 cases of acute cholecystitis underwent LC at our institution and we studied them retrospectively. They were divided into 3 groups. Group I included 153 patients who underwent elective LC without PTGBD; group II included 90 patients who underwent elective LC after PTGBD; group III included 16 patients who underwent emergency LC without PTGBD.
Results: Between groups I and III, there were no differences in conversion rate, postoperative complications, and total hospital stay. However, the operation times and postoperative hospital stays of group I were shorter than those of group III and the difference was significant (p＜0.05, p＜0.01, respectively). Between groups II and III, there were no differences in operation time, conversion rate, postoperative complications, and postoperative hospital stay.
Conclusion: We recommend PTGBD for a patient with acute cholecystitis as much as possible, if indicated, so that we can do the operation on the patient as elective surgery and not as an emergency.
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고찰
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참고문헌
참고문헌 (21)
참고문헌 신청
1. [학술지(정기간행물)] - Van Steenbergen W / 1993 / Percutaneous transhepatic cholecystostomy for acute complicated cholecystitis in elderly patients / J Am Geriatr Soc 41 : 157 ~ 162
2. [학술지(정기간행물)] - Schwesinger WH / 1999 / Laparoscopic cholecystectomy for biliary tract emergencies: state of the art / World J Surg 23 : 334 ~ 342
3. [단행본] - Meumayer L / 2008 / Principles of preoperative and operative surgery. In: Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 18th ed / WB Saunders : 251 ~ 279
4. [학술지(정기간행물)] - Giger UF / 2006 / Risk factors for perioperative complications in patients undergoing laparoscopic cholecystectomy: analysis of 22,953 consecutive cases from the Swiss Association of Laparoscopic and Thoracoscopic Surgery database / J Am Coll Surg 203 : 723 ~ 728
5. [단행본] - Chari RS / 2008 / Biliary system. In: Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 18th ed / WB Saunders : 1547 ~ 1587
2. [학술지(정기간행물)] - Schwesinger WH / 1999 / Laparoscopic cholecystectomy for biliary tract emergencies: state of the art / World J Surg 23 : 334 ~ 342
3. [단행본] - Meumayer L / 2008 / Principles of preoperative and operative surgery. In: Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 18th ed / WB Saunders : 251 ~ 279
4. [학술지(정기간행물)] - Giger UF / 2006 / Risk factors for perioperative complications in patients undergoing laparoscopic cholecystectomy: analysis of 22,953 consecutive cases from the Swiss Association of Laparoscopic and Thoracoscopic Surgery database / J Am Coll Surg 203 : 723 ~ 728
5. [단행본] - Chari RS / 2008 / Biliary system. In: Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 18th ed / WB Saunders : 1547 ~ 1587
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UCI(KEPA) : I410-ECN-0101-2014-514-001278188