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
- 264 - 269 (6page)
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초록· 키워드
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Purpose: The aim of this study was to evaluate the surgical outcomes of laparoscopic approach for hiatal hernia (HH) in pediatric patients.
Methods: This was a retrospective study of 33 patients younger than 18 years who underwent an operation for HH between January 1999 and December 2012.
Results: The HH symptoms were various and included regurgitation, vomiting, weight loss, cough, hoarseness, and cyanosis. Among the 33 patients, there were 25 sliding types, 1 paraesophageal type, and 7 mixed types. Open surgery (OS) and laparoscopic surgery (LS) were used in 16 and 17 patients, respectively. There were no statistically significant differences in sex, age, or body weight between the groups. The median operating time was longer in the LS group (150 minutes; range, 90?250 minutes vs. 125 minutes; range, 66?194 minutes; P = 0.028). Time to oral intake was shorter in the LS group than in the OS group (1 day; range, 1?3 days vs. 2 days; range, 1?7 days; P = 0.001) and time to full feeding was shorter in the LS group than in the OS group (6 days; range, 3?16 days vs. 10 days; range, 3?33 days; P = 0.048). There were no differences in length of hospital stay and complications between the two groups. There was no perioperative mortality or recurrence of HH.
Conclusion: A good surgical outcome for laparoscopic correction of HH was seen in pediatric patients.
Methods: This was a retrospective study of 33 patients younger than 18 years who underwent an operation for HH between January 1999 and December 2012.
Results: The HH symptoms were various and included regurgitation, vomiting, weight loss, cough, hoarseness, and cyanosis. Among the 33 patients, there were 25 sliding types, 1 paraesophageal type, and 7 mixed types. Open surgery (OS) and laparoscopic surgery (LS) were used in 16 and 17 patients, respectively. There were no statistically significant differences in sex, age, or body weight between the groups. The median operating time was longer in the LS group (150 minutes; range, 90?250 minutes vs. 125 minutes; range, 66?194 minutes; P = 0.028). Time to oral intake was shorter in the LS group than in the OS group (1 day; range, 1?3 days vs. 2 days; range, 1?7 days; P = 0.001) and time to full feeding was shorter in the LS group than in the OS group (6 days; range, 3?16 days vs. 10 days; range, 3?33 days; P = 0.048). There were no differences in length of hospital stay and complications between the two groups. There was no perioperative mortality or recurrence of HH.
Conclusion: A good surgical outcome for laparoscopic correction of HH was seen in pediatric patients.
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INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
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