복강경 충수절제술의 임상적 유용성
Clinical Usefulness of Laparoscopic Appendectomy
신준호, 박용래, 김흥대,
소속 상세정보
신준호 ( Shin Jun-Ho )
성균관대학교 의과대학 강북삼성병원 외과학교실
박용래 ( Park Yong-Lai )
성균관대학교 의과대학 강북삼성병원 외과학교실
김흥대 ( Kim Heung-Dae )
성균관대학교 의과대학 강북삼성병원 외과학교실
KMID : 0356719980140030541
Abstract
Purpose: There have been numerous retrospective and uncontrolled study of laparoscopic appendectomy. Although most of these have concluded that the laparoscopic appendectomy is at least as good as open appendectomy, there has been considerable controversy as to whether laparoscopic appendectomy is superior.
Methods: We performed total 47 cases of laparoscopic appendectomy (LA) during one year from January 1997 to December 1997 and these were compared with 50 cases of open appendectomy (OA) in same period to assess the clinical usefulness.
Results: The sex, male to female ratio and severity of appendicitis were similar in both groups. The anesthetic time was longer in the LA group (P<0.05) but operative time was similar. Gas-passing time and diet-intake time in postoperative period were earlier in LA group (P<0.05). The LA group required less analgesics in postoperative period. In LA group, no case was converted to open appendectomy and overall complication rate was lower in LA group but this was not statistically significant. Among the postoperative complication, the wound infection rate was absolutely lower in LA group (P < 0.05). The diagnostic rate for acute abdomen including acute appendicitis was superior in LA group, especially in reproductive women. The hospital stay was shorter in LA group (P<0.05) and hospital charges was not different in both group.
Conclusion: Laparoscopic appendectomy offers considerable advantages over open appendectomy because this has ability to reduce postoperative complications and shorten recovery times and is useful for detecting the cause of acute abdomen other than acute appendicitis. So we expect this technique will be alternative operation or new standard operation in selected cases for suggestive acute appendicitis.
키워드
복강경 충수절제술;개복 충수절제술;급성 충수염
Laparoscopic appendectomy;Open appendectomy;Acute appendicitis
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