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
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.86 No.5
- 발행연도
- 2014.5
- 수록면
- 232 - 236 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: Laparoscopy is considered the treatment of choice for hepatic cysts, especially those located in anterolateral segments (AL; segments II, III, IVb, V, and VI) because of the ease of laparoscopic access. Here, we evaluated the feasibility and safety of laparoscopic treatment of hepatic cysts in posterosuperior segments (PS; segments I, IVa, VII, and VIII).
Methods: We retrospectively analyzed clinical data for 34 patients who underwent laparoscopic treatment of hepatic cysts between September 2004 and December 2012. Patients were divided into two groups depending on whether the main largest cyst was located in AL (n = 20) or PS (n = 14). Laparoscopic cyst unroofing was performed in 29 patients with symptomatic simple cysts. Laparoscopic resection was performed in 5 patients with suspected cystic neoplasms.
Results: There were no deaths or major complications. The mean operation time was 110 minutes and the mean hospital stay was 4.4 days. The mean cyst size was not significantly different (P = 0.511) but the frequency of multiple cysts was significantly greater in group PS (P = 0.003). The predominant type of resection was unroofing in both groups (P = 0.251). The mean blood loss (P = 0.747), mean hospital stay (P = 0.812), mean operation time (P = 0.669), morbidity rate (P = 0.488), and relapse rate (P = 0.448) were not significantly different. Relapse occurred in one patient who underwent reunroofing 17 months later. The median follow-up is 62 months.
Conclusion: Laparoscopy is a safe procedure for hepatic cysts located in posterosuperior segments.
Methods: We retrospectively analyzed clinical data for 34 patients who underwent laparoscopic treatment of hepatic cysts between September 2004 and December 2012. Patients were divided into two groups depending on whether the main largest cyst was located in AL (n = 20) or PS (n = 14). Laparoscopic cyst unroofing was performed in 29 patients with symptomatic simple cysts. Laparoscopic resection was performed in 5 patients with suspected cystic neoplasms.
Results: There were no deaths or major complications. The mean operation time was 110 minutes and the mean hospital stay was 4.4 days. The mean cyst size was not significantly different (P = 0.511) but the frequency of multiple cysts was significantly greater in group PS (P = 0.003). The predominant type of resection was unroofing in both groups (P = 0.251). The mean blood loss (P = 0.747), mean hospital stay (P = 0.812), mean operation time (P = 0.669), morbidity rate (P = 0.488), and relapse rate (P = 0.448) were not significantly different. Relapse occurred in one patient who underwent reunroofing 17 months later. The median follow-up is 62 months.
Conclusion: Laparoscopy is a safe procedure for hepatic cysts located in posterosuperior segments.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (28)
참고문헌 신청
1. [학술지(정기간행물)] - Paterson-Brown S. / 1991 / Laserassisted laparoscopic excision of liver cyst / Br J Surg 78 : 1047 ~
2. [학술지(정기간행물)] - Koffron A. / 2006 / Laparoscopic liver surgery : Shifting the management of liver tumors / Hepatology 44 : 1694 ~ 1700
3. [학술지(정기간행물)] - Buell JF. / 2004 / An initial experience and evolution of laparoscopic hepatic resectional surgery / Surgery 136 : 804 ~ 811
4. [학술지(정기간행물)] - Morino M. / 2003 / Laparoscopic vs open hepatic resection : a comparative study / Surg Endosc 17 : 1914 ~ 1918
5. [학술지(정기간행물)] - Cherqui D. / 2000 / Laparoscopic liver resections : a feasibility study in 30 patients / Ann Surg 232 : 753 ~ 762
2. [학술지(정기간행물)] - Koffron A. / 2006 / Laparoscopic liver surgery : Shifting the management of liver tumors / Hepatology 44 : 1694 ~ 1700
3. [학술지(정기간행물)] - Buell JF. / 2004 / An initial experience and evolution of laparoscopic hepatic resectional surgery / Surgery 136 : 804 ~ 811
4. [학술지(정기간행물)] - Morino M. / 2003 / Laparoscopic vs open hepatic resection : a comparative study / Surg Endosc 17 : 1914 ~ 1918
5. [학술지(정기간행물)] - Cherqui D. / 2000 / Laparoscopic liver resections : a feasibility study in 30 patients / Ann Surg 232 : 753 ~ 762
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