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.91 No.5
- 발행연도
- 2016.11
- 수록면
- 226 - 232 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: Laparoscopic subtotal cholecystectomy (LSC) can be an alternative surgical technique for difficult cholecystectomies. Surgeons performing LSC sometimes leave the posterior wall of the gallbladder (GB) to shorten the operation time and avoid liver injury. However, leaving the inflamed posterior GB wall is a major concern. In this study, we evaluated the clinical outcomes of standard laparoscopic cholecystectomy (SLC), LSC, and LSC removing only anterior wall of the GB (LSCA).
Methods: We retrospectively reviewed the medical records of laparoscopic cholecystectomies performed between January 2006 to December 2015 and analyzed the outcomes of SLC, LSC, and LSCA.
Results: A total of 1,037 patients underwent SLC. 22 patients underwent LSC; and 27 patients underwent LSCA. The mean operating times of SLC, LSC, and LSCA were 41, 74, and 68 minutes, respectively (P < 0.01). Blood loss was 5, 45, and 33 mL (P < 0.05). The mean lengths of postoperative hospitalization were 3.4, 5.4, and 5.8 days. Complications occurred in 24 SLC patients (2.3%), 2 LSC patients (9%), and 1 LSCA patient (3.7%). There was no mortality among the LSC and LSCA patients.
Conclusion: LSC and LSCA are safe and feasible alternatives for difficult cholecystectomies. These procedures help surgeons avoid bile duct injury and conversion to laparotomy. LSCA has the benefits of shorter operation time and less bleeding compared to LSC.
Methods: We retrospectively reviewed the medical records of laparoscopic cholecystectomies performed between January 2006 to December 2015 and analyzed the outcomes of SLC, LSC, and LSCA.
Results: A total of 1,037 patients underwent SLC. 22 patients underwent LSC; and 27 patients underwent LSCA. The mean operating times of SLC, LSC, and LSCA were 41, 74, and 68 minutes, respectively (P < 0.01). Blood loss was 5, 45, and 33 mL (P < 0.05). The mean lengths of postoperative hospitalization were 3.4, 5.4, and 5.8 days. Complications occurred in 24 SLC patients (2.3%), 2 LSC patients (9%), and 1 LSCA patient (3.7%). There was no mortality among the LSC and LSCA patients.
Conclusion: LSC and LSCA are safe and feasible alternatives for difficult cholecystectomies. These procedures help surgeons avoid bile duct injury and conversion to laparotomy. LSCA has the benefits of shorter operation time and less bleeding compared to LSC.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (20)
참고문헌 신청
[학술지(정기간행물)] - Khan TF / 1992 / Modified subtotal cholecystectomy : a procedure for the difficult gall bladder / Med J Malaysia 47 : 65 ~ 68
[학술지(정기간행물)] - Zhong H. / 2012 / Mirizzi syndrome : experience in diagnosis and treatment of 25 cases / Am Surg 78 : 61 ~ 65
[학술지(정기간행물)] - Kaplan D. / 2014 / Sub to tal cholecystectomy and open total cho le cystec tomy : alternatives in compli cated chole cystitis / Am Surg 80 : 953 ~ 955
[학술지(정기간행물)] - Bornman PC. / 1985 / Subtotal chole cystectomy : for the difficult gallbladder in portal hypertension and cholecystitis / Surgery 98 : 1 ~ 6
[학술지(정기간행물)] - Strasberg SM. / 2016 / Subtotal cholecystectomy-"fene stra ting"vs"reconstituting"subtypes and the pre vention of bile duct injury : definition of the optimal procedure in difficult opera tive conditions / J Am Coll Surg 222 : 89 ~ 96
[학술지(정기간행물)] - Zhong H. / 2012 / Mirizzi syndrome : experience in diagnosis and treatment of 25 cases / Am Surg 78 : 61 ~ 65
[학술지(정기간행물)] - Kaplan D. / 2014 / Sub to tal cholecystectomy and open total cho le cystec tomy : alternatives in compli cated chole cystitis / Am Surg 80 : 953 ~ 955
[학술지(정기간행물)] - Bornman PC. / 1985 / Subtotal chole cystectomy : for the difficult gallbladder in portal hypertension and cholecystitis / Surgery 98 : 1 ~ 6
[학술지(정기간행물)] - Strasberg SM. / 2016 / Subtotal cholecystectomy-"fene stra ting"vs"reconstituting"subtypes and the pre vention of bile duct injury : definition of the optimal procedure in difficult opera tive conditions / J Am Coll Surg 222 : 89 ~ 96
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UCI(KEPA) : I410-ECN-0101-2017-514-001565440