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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 59 - 64 (6page)
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Purpose: A recent internal review of a community-based hospital system revealed a 19.19% rate of conversion from a laparoscopic appendectomy to an open procedure. This study examined the preoperative risk factors for failed laparoscopic appendectomy requiring a conversion to a laparotomy.Methods: A total of 198 patients presented with perforated appendicitis. Perforation was defined as a computed tomography (CT) scan interpretation, pathology findings, or surgical findings. Of these patients, 161 underwent a laparoscopic appendectomy or laparoscopy converted to an open procedure. The preoperative risk factors in the two groups were compared through a retrospective chart review.Results: Through multivariant analysis, age greater than 45 was the greatest risk factor for the need to convert to an open procedure with an odds ratio (OR) of 3.51. A CT scan read of perforation was associated with a significant 2.65 OR. The C-reactive protein was 19.82 mg/L in the failed laparoscopic cases and 9.96 mg/L in the laparoscopic cases.Conclusion: Patients older than 45 years old with a CT radiologist’s read of a perforation in multivariant analysis have an increased risk of failed laparoscopic surgery requiring conversion to open surgery.
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참고문헌 (18)
참고문헌 신청
Popa D / 2015 / Are there specific indications for laparoscopic appendectomy? A review and critical appraisal of the literature / J Laparoendosc Adv Surg Tech A 25:897~902
Galli R / 2013 / Laparoscopic approach in perforated appendicitis: increased incidence of surgical site infection? / Surg Endosc 27:2928~2933
Gomes CA / 2014 / Lessons learned with laparoscopic management of complicated grades of acute appendicitis / J Clin Med Res 6:261~266
Wei HB / 2010 / Laparoscopic versus open appendectomy: a prospective randomized comparison / Surg Endosc 24:266~269
Kim JK / 2016 / Does conversion adversely impact the clinical outcomes for patients with complicated appendicitis? / J Laparoendosc Adv Surg Tech A 26:635~640
Galli R / 2013 / Laparoscopic approach in perforated appendicitis: increased incidence of surgical site infection? / Surg Endosc 27:2928~2933
Gomes CA / 2014 / Lessons learned with laparoscopic management of complicated grades of acute appendicitis / J Clin Med Res 6:261~266
Wei HB / 2010 / Laparoscopic versus open appendectomy: a prospective randomized comparison / Surg Endosc 24:266~269
Kim JK / 2016 / Does conversion adversely impact the clinical outcomes for patients with complicated appendicitis? / J Laparoendosc Adv Surg Tech A 26:635~640
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