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
- 278 - 282 (5page)
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초록· 키워드
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Minimally invasive surgery is being widely accepted in various fields of surgery. Although several appendectomy techniques have been reported but, there is no standardization. We report here the experiences of transumbilical endoscopic appendectomy in humans. Between July 2008 and September 2010, ten patients with appendicitis successfully underwent transumbilical endoscopic appendectomies. There were 7 cases of suppurative, 2 cases of gangrenous and 1 case of perforated in operative findings. The ages of the patients were 13?56 years (mean age, 32.7 ± 15.4 years). Under general anesthesia, a 15-mm port was inserted through the umbilicus and then a two-channel endoscope was inserted in the peritoneal cavity. After appendix identification, counter-traction of the appendix with a direct abdominal wall puncture using a straight round needle prolene was performed to achieve good visualization of the operative field. Tissue dissection was performed using an endoscopic needle knife. Tissue grasping and resected appendix retrieval were done with endoscopic forceps. The average operation time was 79.5 ± 23.6 minutes (range, 45 to 110 minutes). No procedures were converted to laparoscopic or open appendectomy. Hospital stay was 4?6 days. All patients completely recovered without complications. As it is highly maneuverable, we believe transumbilical endoscopic appendectomy can be a feasible method. And, as surgeons want to proceed from laparoscopic surgery to natural orifice transluminal endoscopic surgery, this procedure could be a triable method.
목차
INTRODUCTION
SURGICAL TECHNIQUE
CONCLUSION
REFERENCES
참고문헌 (10)
참고문헌 신청
1. [학술지(정기간행물)] - Himal HS. / 2002 / Minimally invasive(laparoscopic)surgery / Surg Endosc 16 : 1647 ~ 1652
2. [학술지(정기간행물)] - Semm K. / 1983 / Endoscopic appendectomy / Endoscopy 15 : 59 ~ 64
3. [학술지(정기간행물)] - Long KH. / 2001 / A prospective randomized comparison of laparoscopic appendectomy with open appendectomy : clinical and economic analyses / Surgery 129 : 390 ~ 400
4. [학술지(정기간행물)] - Kalloo AN. / 2004 / Flexible transgastric peritoneoscopy : a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity / Gastrointest Endosc 60 : 114 ~ 117
5. [학술지(정기간행물)] - Noguera JF. / 2012 / Prospective randomized clinical trial comparing laparoscopic cholecystectomy and hybrid natural orifice transluminal endoscopic surgery(NOTES)(NCT00835250) / Surg Endosc 26 : 3435 ~ 3441
2. [학술지(정기간행물)] - Semm K. / 1983 / Endoscopic appendectomy / Endoscopy 15 : 59 ~ 64
3. [학술지(정기간행물)] - Long KH. / 2001 / A prospective randomized comparison of laparoscopic appendectomy with open appendectomy : clinical and economic analyses / Surgery 129 : 390 ~ 400
4. [학술지(정기간행물)] - Kalloo AN. / 2004 / Flexible transgastric peritoneoscopy : a novel approach to diagnostic and therapeutic interventions in the peritoneal cavity / Gastrointest Endosc 60 : 114 ~ 117
5. [학술지(정기간행물)] - Noguera JF. / 2012 / Prospective randomized clinical trial comparing laparoscopic cholecystectomy and hybrid natural orifice transluminal endoscopic surgery(NOTES)(NCT00835250) / Surg Endosc 26 : 3435 ~ 3441
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