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한윤구; 김익희; 문기명; 김준현; 황국성

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자료유형: 학술저널

저자정보: 한윤구 (부산성모병원) 김익희 (부산성모병원) 문기명 (부산성모병원) 김준현 (부산성모병원) 황국성 (부산성모병원)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제12권 제4호

발행연도: 2008.12

수록면: 263 - 267 (5page)

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Purpose: We wanted to clinically evaluate the antibiotic therapy used from pre- to postlaparoscopic cholecystectomy along with the improved surgical techniques and instruments and the patient nutrition.
Methods: We prospective studied 105 patients who were treated with laparoscopic cholecystectomy for acute and chronic cholecystitis at Busan St. Mary Hospital from March 2007 to January 2008. The two groups were divided as follows: (A) the group was not injected with antibiotics, and the other group (B) was injected with antibiotics. We did not used antibiotics when the patient had no acute aggravating symptoms, and we exclude the patients with old age (>70 years), a past history of diabetes mellitus (DM) or hypertension (HTN), and a past operation history.
Results: Between the two group, there was no difference when they were compared for age, BMI (Body Mass Index), the operation time (minute) and the length of the hospital stay: (A) Group 49.3±13.0 years, 24.4±3.2 kg/m2, 37.9 ±10.0 minute and 4.6 ±1.3 days, respectively, and (B) Group 55.9±15.6 years, 23.5±3.5 kg/m2, 43.2 ±23.8 minute and 5.5 ±2.5 days, respectively. There was a significant different in the leukocyte count and the % of neutrophils: (A) Group 6396㎕-1 and 53.4%, respectively and (B) Group 9354㎕-1 and 66.6%, respectively. In (B) group, there were 2 cases of atrial fibrillation, 1 case of diarrhea and 1 case of wound seroma. There were no surgical related complications in group (A).
Conclusion: For the well nourished chronic cholecystitis patients, the use of the prophylatic antibiotics may be less effective because of the many drug-induced side effects. More studies about the use of prophylactic antibiotics are needed.

#laparoscopic cholecystectomy #propylatic antibiotics

참고문헌 (13)

참고문헌 신청

1. [학술지(정기간행물)] - Lee HS / 2001 / A clinical review of laparoscopic cholecystectomy / Korean J HBP surgery 5 : 85 ~ 93

2. [학술지(정기간행물)] - Sohn BH / 1998 / Clinical effect of an intraoperative bile culture and antiobiotic prophylaxis in billary tract surgery / J Korean Surg Soc 54 : 109 ~ 116

3. [학술지(정기간행물)] - 문현경 / 2003 / 1998년도 국민건강영양조사자료를 이용한 한국인의 경제수준별 영양 섭취 현황 / 한국영양학회지 36 (10) : 1061 ~ 1070

4. [기타자료] - Ministry for Health and Welfare / 2006 / The Third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005

5. [보고서] - WHO(World Health Organization) / 1995 / Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. WHO Technical Report Series 854

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