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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Su Kil Hwang (Kyung Hee University School of Medicine) Sang Mok Lee (Kyung Hee University School of Medicine) Sun Hyung Joo (Kyung Hee University School of Medicine) Bum Soo Kim (Kyung Hee University School of Medicine)
저널정보
한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제16권 제1호
발행연도
2012.3
수록면
29 - 36 (8page)

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Backgrounds/Aims: Laparoscopic cholecystectomy is the best treatment choice for acute cholecystitis. However, its higher conversion rate and postoperative morbidities remain controversial. The purpose of this retrospective study is to evaluate the clinical significance of laparoscopic cholecystectomy that is performed at our institution in patients with acute cholecystitis. Methods: Between January 2003 and December 2009, a retrospective study was carried out for 190 cases of acute cholecystitis undergoing laparoscopic cholecystectomy at our institution. They were divided into 2 groups, based on the time of operation from the onset of the symptom and other previous abdominal operation history. These groups were compared in the conversion rate and perioperative clinical outcomes, such as sex, age, accompanied disease, operation time, complications, postoperative hospital stay, total hospital stay and total costs. Results: We compared the two groups based on the timing of laparoscopic cholecystectomy and history of previous abdominal operation. There were no significant differences in the open conversion rate, postoperative complications and postoperative hospital stay, total hospital stay and total costs. The sex ratio, female in the previous abdominal operation group, was larger than the non-previous abdominal operation group (70.2% vs. 43.2%, p=0.003, OR=0.32 [95% CI, 0.15-0.70]). Early operation group was larger than delayed operation group, at previous abdominal operation history (26.1% vs. 13.3%, p=0.026, OR=0.43 [95% CI, 0.20-0.91]) and closed suction drain use (79.3% vs. 66.3%, p=0.044, OR=0.51 [95% CI, 0.27-0.99]). Conclusions: Although this study was limited, early laparoscopic cholecystectomy for acute cholecystitis with previous abdominal operation history seems to be safe and feasible for patients, having a benefit of decrease in total hospital stay. (Korean J Hepatobiliary Pancreat Surg 2012;16:29-36)
#Acute cholecystitis #Laparoscopic cholecystectomy

목차

INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

참고문헌 (37)

참고문헌 신청
1. [학술지(정기간행물)] - Zucker KA / 1993 / Laparoscopic management of acute cholecystitis / Am J Surg 165 : 508 ~ 514 google schola 2. [학술지(정기간행물)] - Kiviluoto T / 1998 / Randomised trial of laparoscopic versus open cholecystectomy for acute and gangrenous cholecystitis / Lancet 351 : 321 ~ 325 google schola 3. [학술지(정기간행물)] - Habib FA / 2001 / Role of laparoscopic cholecystectomy in the management of gangrenous cholecystitis / Am J Surg 181 : 71 ~ 75 google schola 4. [학술지(정기간행물)] - Majeski J / 2004 / Laparoscopic cholecystectomy in geriatric patients / Am J Surg 187 : 747 ~ 750 google schola 5. [학술지(정기간행물)] - Miller K / 1993 / Laparoscopic cholecystectomy for patients who have had previous abdominal surgery / Surg Endosc 7 : 400 ~ 403 google schola

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