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 Journal of the Korean Surgical Society Vol.83 No.2
- 발행연도
- 2012.8
- 수록면
- 92 - 96 (5page)
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초록· 키워드
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Purpose: Laparoscopic totally extraperitoneal (TEP) herniorrhaphy has been recognized as a treatment option for inguinal hernia. The objective of this study was to clarify the learning curve for laparoscopic TEP herniorrhaphy using the moving average method. Methods: A total of 90 patients underwent laparoscopic TEP herniorrhaphy by a single surgeon between March 2009 and March 2011. We analyzed medical records including the demographic data, operating time, hospital stay, and postoperative complications. Results: The mean operating time of the initial 30 cases (learning period group) was 66.3 minutes. After the initial 30 cases were performed, the time decreased to 52.8 minutes in the later 60 cases (experienced period group, P = 0.015). This represents the operating time becoming stabilized and then decreasing as the number of performed cases accumulates. Hospital stay was shorter and frequency of pain control, and complication rate were lower in the experienced period, however, there was no statistical significance. Conclusion: We suggest that number of patients needed for the learning curve for laparoscopic TEP herniorrhaphy should be 30 cases. The operating time for laparoscopic TEP herniorrhaphy stabilizes after 40 cases in moving average analysis.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (11)
참고문헌 신청
1. [학술지(정기간행물)] - Belyansky I / 2011 / Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified Lichtenstein repairs / Ann Surg 254 : 709 ~ 714
2. [보고서] - National Health Insurance / 2011 / The 2010 annals of major operation statistics
3. [학술지(정기간행물)] - Lichtenstein IL / 1989 / The tension-free hernioplasty / Am J Surg 157 : 188 ~ 193
4. [학술지(정기간행물)] - 한민수 / 2009 / 복강경 복막외 접근 탈장교정술과 PerfixⓇ를 이용한 무긴장 탈장교정술의 비교: 단기 추적 결과 / 대한외과학회지 77 (3) : 189 ~ 194
5. [학술지(정기간행물)] - Lal P / 2004 / Laparoscopic total extraperitoneal (TEP) inguinal hernia repair: overcoming the learning curve / Surg Endosc 18 : 642 ~ 645
2. [보고서] - National Health Insurance / 2011 / The 2010 annals of major operation statistics
3. [학술지(정기간행물)] - Lichtenstein IL / 1989 / The tension-free hernioplasty / Am J Surg 157 : 188 ~ 193
4. [학술지(정기간행물)] - 한민수 / 2009 / 복강경 복막외 접근 탈장교정술과 PerfixⓇ를 이용한 무긴장 탈장교정술의 비교: 단기 추적 결과 / 대한외과학회지 77 (3) : 189 ~ 194
5. [학술지(정기간행물)] - Lal P / 2004 / Laparoscopic total extraperitoneal (TEP) inguinal hernia repair: overcoming the learning curve / Surg Endosc 18 : 642 ~ 645
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UCI(KEPA) : I410-ECN-0101-2014-514-001417176