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.87 No.2
- 발행연도
- 2014.7
- 수록면
- 66 - 71 (6page)
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초록· 키워드
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Purpose: Laparoscopic left lateral sectionectomy (LLLS) has been widely accepted due to benefits of minimally invasive surgery. Some surgeons prefer to isolate glissonian pedicles to segments II and III and to control individual pedicles with surgical clips, whereas opt like to control glissonian pedicles simultaneously using endoscopic stapling devices. The aim of this study was to find the rationale of LLLS using endoscopic staples.
Methods: We retrospectively analyzed and compared the clinical outcomes (operation time, drainage length, transfusion, hospital stay, and complication rate) of 35 patients that underwent LLLS between April 2004 and February 2012. Patients were dichotomized by surgical technique based on whether glissonian pedicles were isolated and controlled (the individual group, n = 21) or controlled using endoscopic staples at once (the batch group, n = 14).
Results: Mean operation time was 265.3 ± 21.3 minutes (mean ± standard deviation) in the individual group and 170 ± 22.9 minutes in the batch group. Operation time in the batch group was significantly shorter than the individual group (P = 0.007). Mean drainage length was 4.8 ± 1.6 and 2.6 ± 1.5 days in the individual and the batch group. There was significantly shorter in the batch group, also (P = 0.006). No transfusion was required in the batch group, but 4 patients in the individual group needed transfusion. Mean hospital stay was 10.7 ± 1.1 and 9.4 ± 0.8 days in the individual and the batch groups (P = 0.460). There were no significant complications or mortality in both groups.
Conclusion: LLLS using endoscopic staples (batch group) was found to be an easier and safer technique without morbidity or mortality.
Methods: We retrospectively analyzed and compared the clinical outcomes (operation time, drainage length, transfusion, hospital stay, and complication rate) of 35 patients that underwent LLLS between April 2004 and February 2012. Patients were dichotomized by surgical technique based on whether glissonian pedicles were isolated and controlled (the individual group, n = 21) or controlled using endoscopic staples at once (the batch group, n = 14).
Results: Mean operation time was 265.3 ± 21.3 minutes (mean ± standard deviation) in the individual group and 170 ± 22.9 minutes in the batch group. Operation time in the batch group was significantly shorter than the individual group (P = 0.007). Mean drainage length was 4.8 ± 1.6 and 2.6 ± 1.5 days in the individual and the batch group. There was significantly shorter in the batch group, also (P = 0.006). No transfusion was required in the batch group, but 4 patients in the individual group needed transfusion. Mean hospital stay was 10.7 ± 1.1 and 9.4 ± 0.8 days in the individual and the batch groups (P = 0.460). There were no significant complications or mortality in both groups.
Conclusion: LLLS using endoscopic staples (batch group) was found to be an easier and safer technique without morbidity or mortality.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (19)
참고문헌 신청
1. [학술지(정기간행물)] - Abu Hilal M. / 2008 / Laparoscopic left lateral liver sectionectomy : a safe, efficient, reproducible technique / Dig Surg 25 : 305 ~ 308
2. [학술지(정기간행물)] - Chang S. / 2007 / Laparoscopy as a routine approach for left lateral sectionectomy / Br J Surg 94 : 58 ~ 63
3. [학술지(정기간행물)] - Gumbs AA. / 2008 / Laparoscopic liver resection : when to use the laparoscopic stapler device / HPB(Oxford) 10 : 296 ~ 303
4. [학술지(정기간행물)] - Buell JF. / 2009 / The international position on laparoscopic liver surgery : The Louisville Statement, 2008 / Ann Surg 250 : 825 ~ 830
5. [학술지(정기간행물)] - Nguyen KT. / 2010 / Laparoscopic liver resection : current update / Surg Clin North Am 90 : 749 ~ 760
2. [학술지(정기간행물)] - Chang S. / 2007 / Laparoscopy as a routine approach for left lateral sectionectomy / Br J Surg 94 : 58 ~ 63
3. [학술지(정기간행물)] - Gumbs AA. / 2008 / Laparoscopic liver resection : when to use the laparoscopic stapler device / HPB(Oxford) 10 : 296 ~ 303
4. [학술지(정기간행물)] - Buell JF. / 2009 / The international position on laparoscopic liver surgery : The Louisville Statement, 2008 / Ann Surg 250 : 825 ~ 830
5. [학술지(정기간행물)] - Nguyen KT. / 2010 / Laparoscopic liver resection : current update / Surg Clin North Am 90 : 749 ~ 760
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UCI(KEPA) : I410-ECN-0101-2015-510-002473343