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.93 No.1
- 발행연도
- 2017.7
- 수록면
- 27 - 34 (8page)
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초록· 키워드
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Purpose: This study compared the effects of robotic single-port cholecystectomy (RC) and 3-port laparoscopic cholecystectomy (LC) on patients’ surgical pain, postoperative complications, and satisfaction.
Methods: One hundred twenty patients with gallbladder disease scheduled for either LC or RC were recruited. Each patient was followed up for 1 week after hospital discharge.
Results: Time stayed in operating room was longer in patients with RC, however their hospital stay was shorter than those with LC (t = 3.01, P = 0.003). Since patients with RC received more analgesics during the surgery (t = 3.98, P ＜ 0.001), all participants’ surgical pain level were analyzed by using analysis of covariance. Patients who underwent RC reported less surgical pain consistently at 6 hours and first day after surgery and 2 days and 1 week later than patients in the LC. Repeated measure analysis of variance also demonstrated that the RC with single-port might cause less pain throughout the postoperative period (F = 25.68, P ＜ 0.001). Participants’ conditions appeared stable without complications such as infection or bleeding regardless of the surgical type however, overall satisfaction with RC showed significantly higher than those with LC except for one item, “the cost of surgery.”
Conclusion: These results suggested that the RC might be a better choice for people who concern about surgical pain and early hospital discharge. Since there were no differences in postoperative health status between the 2 groups, health care providers as an advocate can provide more reliable information to their patients.
Methods: One hundred twenty patients with gallbladder disease scheduled for either LC or RC were recruited. Each patient was followed up for 1 week after hospital discharge.
Results: Time stayed in operating room was longer in patients with RC, however their hospital stay was shorter than those with LC (t = 3.01, P = 0.003). Since patients with RC received more analgesics during the surgery (t = 3.98, P ＜ 0.001), all participants’ surgical pain level were analyzed by using analysis of covariance. Patients who underwent RC reported less surgical pain consistently at 6 hours and first day after surgery and 2 days and 1 week later than patients in the LC. Repeated measure analysis of variance also demonstrated that the RC with single-port might cause less pain throughout the postoperative period (F = 25.68, P ＜ 0.001). Participants’ conditions appeared stable without complications such as infection or bleeding regardless of the surgical type however, overall satisfaction with RC showed significantly higher than those with LC except for one item, “the cost of surgery.”
Conclusion: These results suggested that the RC might be a better choice for people who concern about surgical pain and early hospital discharge. Since there were no differences in postoperative health status between the 2 groups, health care providers as an advocate can provide more reliable information to their patients.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (22)
참고문헌 신청
[인터넷자원] - Health Insurance Review and Assessment Service. / / Health insurance major surgery statistics 2013
[학술지(정기간행물)] - McCloy R / 2008 / Is smaller necessarily better? A systematic review comparing the effects of minilaparoscopic and conventional laparoscopic cholecystectomy on patient outcomes / Surg Endosc 22 : 2541 ~ 2553
[학술지(정기간행물)] - Kroh M / 2011 / First human surgery with a novel single-port robotic system : cholecystectomy using the da Vinci Single-Site platform / Surg Endosc 25 : 3566 ~ 3573
[학술지(정기간행물)] - 이승은 / 2016 / 우리나라 단일공 담낭절제술의 현황 / Journal of Minimally Invasive Surgery 19 (1) : 5 ~ 8
[학술지(정기간행물)] - 김용락 / 2004 / 자가통증조절법의 시작시점이 술 후 진통효과발현시간에 미치는 영향 / Korean Journal of Anesthesiology 47 (1) : 101 ~ 105
[학술지(정기간행물)] - McCloy R / 2008 / Is smaller necessarily better? A systematic review comparing the effects of minilaparoscopic and conventional laparoscopic cholecystectomy on patient outcomes / Surg Endosc 22 : 2541 ~ 2553
[학술지(정기간행물)] - Kroh M / 2011 / First human surgery with a novel single-port robotic system : cholecystectomy using the da Vinci Single-Site platform / Surg Endosc 25 : 3566 ~ 3573
[학술지(정기간행물)] - 이승은 / 2016 / 우리나라 단일공 담낭절제술의 현황 / Journal of Minimally Invasive Surgery 19 (1) : 5 ~ 8
[학술지(정기간행물)] - 김용락 / 2004 / 자가통증조절법의 시작시점이 술 후 진통효과발현시간에 미치는 영향 / Korean Journal of Anesthesiology 47 (1) : 101 ~ 105
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UCI(KEPA) : I410-ECN-0101-2018-514-000991880