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논문 기본 정보

자료유형
학술저널
저자정보
Yu Jeong Bang (Sungkyunkwan University School of Medicine) Joo Hyun Jun (Hallym University College of Medicine) Mi Sook Gwak (Sungkyunkwan University School of Medicine) Justin Sangwook Ko (Sungkyunkwan University School of Medicine) Jong Man Kim (Sungkyunkwan University School of Medicine) Gyu Seong Choi (Sungkyunkwan University School of Medicine) Jae Won Joh (Sungkyunkwan University School of Medicine) Gaab Soo Kim (Sungkyunkwan University School of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.100 No.4
발행연도
2021.4
수록면
235 - 245 (11page)

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초록· 키워드

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Purpose: To lessen the physical, cosmetic, and psychological burden of donors, purely laparoscopic donor hepatectomy (PLDH) has been proposed as an ideal method for living donors. Our study aimed to prospectively compare the effect of PLDH and 2 other types of open living donor hepatectomy (OLDH) on postoperative pain and recovery.
Methods: Sixty donors scheduled to undergo donor hepatectomy between March 2015 and November 2017 were included. Donors were divided into 3 groups by surgical technique: OLDH with a subcostal incision (n = 20), group S; OLDH with an upper midline incision (n = 20), group M; and PLDH (n = 20), group L. The primary outcomes were postoperative pain and analgesic requirement during postoperative day (POD) 3. Other variables regarding postoperative recovery were also analyzed.
Results: Although pain relief during POD 3, assessed by visual analog scale (VAS) score and analgesic requirement, was similar among the 3 groups, group L showed lower VAS scores and opioid requirements than group M. Moreover, group L was associated with a rapid postoperative recovery evidenced by the shorter hospital length of stay and more frequent return to normal activity on POD 30.
Conclusion: This pilot study failed to verify the hypothesis that PLDH reduces postoperative pain. PLDH did not reduce postoperative pain but showed faster recovery than OLDH.

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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

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