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.91 No.5
- 발행연도
- 2016.11
- 수록면
- 239 - 246 (8page)
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초록· 키워드
오류제보하기
Purpose: To investigate the prevalence and clinical features of retained symptomatic common bile duct (CBD) stone detected after laparoscopic cholecystectomy (LC) in patients without preoperative evidence of CBD or intrahepatic duct stones.
Methods: Of 2,111 patients who underwent cholecystectomy between September 2007 and December 2014 at Seoul Metropolitan Government-Seoul National University Boramae Medical Center, 1,467 underwent laparoscopic cholecystectomy for symptomatic gallbladder stones and their medical records were analyzed. We reviewed the clinical data of patients who underwent postoperative endoscopic retrograde cholangiopancreatography (ERCP) for clinically significant CBD stones (i.e., symptomatic stones requiring therapeutic intervention).
Results: Overall, 27 of 1,467 patients (1.84%) underwent postoperative ERCP after LC because of clinical evidence of retained CBD stones. The median time from LC to ERCP was 152 days (range, 60–1,015 days). Nine patients had ERCPrelated complications. The median hospital stay for ERCP was 6 days.
Conclusion: The prevalence of clinically significant retained CBD stone after LC for symptomatic cholelithiasis was 1.84% and the time from LC to clinical presentation ranged from 2 months to 2 years 9 months. Therefore, biliary surgeons should inform patients that retained CBD stone may be detected several years after LC for simple gallbladder stones.
Methods: Of 2,111 patients who underwent cholecystectomy between September 2007 and December 2014 at Seoul Metropolitan Government-Seoul National University Boramae Medical Center, 1,467 underwent laparoscopic cholecystectomy for symptomatic gallbladder stones and their medical records were analyzed. We reviewed the clinical data of patients who underwent postoperative endoscopic retrograde cholangiopancreatography (ERCP) for clinically significant CBD stones (i.e., symptomatic stones requiring therapeutic intervention).
Results: Overall, 27 of 1,467 patients (1.84%) underwent postoperative ERCP after LC because of clinical evidence of retained CBD stones. The median time from LC to ERCP was 152 days (range, 60–1,015 days). Nine patients had ERCPrelated complications. The median hospital stay for ERCP was 6 days.
Conclusion: The prevalence of clinically significant retained CBD stone after LC for symptomatic cholelithiasis was 1.84% and the time from LC to clinical presentation ranged from 2 months to 2 years 9 months. Therefore, biliary surgeons should inform patients that retained CBD stone may be detected several years after LC for simple gallbladder stones.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (29)
참고문헌 신청
[학술지(정기간행물)] - Bhat M. / 2013 / Ran- domised clinical trial: MRCP-first vs. ERCP- first approach in patients with sus pect ed biliary obstruction due to bile duct stones / Aliment Pharmacol Ther 38 : 1045 ~ 1053
[학술지(정기간행물)] - Morris S. / 2015 / Cost-effectiveness analysis of endoscopic ultrasound versus magnetic resonance cholangiopancreatography in patients with suspected common bile duct stones / PLoS One 10 : e0121699 ~
[학술지(정기간행물)] - Peng WK. / 2005 / Role of liver function tests in predicting common bile duct stones in acute calculous cholecystitis / Br J Surg 92 : 1241 ~ 1247
[학술지(정기간행물)] - Nickkholgh A. / 2006 / Routine versus selective intraoperative cho langio graphy during laparoscopic chole cys tectomy : a survey of 2, 130 patients un der going laparoscopic cholecystectomy / Surg Endosc 20 : 868 ~ 874
[학술지(정기간행물)] - Stuart SA. / 1998 / Routine intraoperative la par oscopic cholangiography / Am J Surg 176 : 6327 ~
[학술지(정기간행물)] - Morris S. / 2015 / Cost-effectiveness analysis of endoscopic ultrasound versus magnetic resonance cholangiopancreatography in patients with suspected common bile duct stones / PLoS One 10 : e0121699 ~
[학술지(정기간행물)] - Peng WK. / 2005 / Role of liver function tests in predicting common bile duct stones in acute calculous cholecystitis / Br J Surg 92 : 1241 ~ 1247
[학술지(정기간행물)] - Nickkholgh A. / 2006 / Routine versus selective intraoperative cho langio graphy during laparoscopic chole cys tectomy : a survey of 2, 130 patients un der going laparoscopic cholecystectomy / Surg Endosc 20 : 868 ~ 874
[학술지(정기간행물)] - Stuart SA. / 1998 / Routine intraoperative la par oscopic cholangiography / Am J Surg 176 : 6327 ~
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UCI(KEPA) : I410-ECN-0101-2017-514-001565460