3도 이상의 치핵 환자에서 StarionTM과 Harmonic ScalpelTM을 이용한 치핵절제술의 치료효과 비교
Randomized Trial Comparing a StarionTM and a Harmonic ScalpelTM Hemorrhoidectomy
김주형, 이용표,
소속 상세정보
김주형 ( Kim Joo-Hyung )
수원한빛외과 대장항문클리닉
이용표 ( Lee Yong-Pyo )
구리제일병원 외과
KMID : 0356720090250010008
Abstract
Purpose: The present study was designed to evaluate the efficacy and the outcome when using the Starion™ and the Harmonic Scalpel™ vessel sealing systems for a sutureless hemorrhoidectomy.
Methods: This study is a randomized, controlled trial. Patients with Grade 3 and 4 hemorrhoids were categorized into two groups: the Starion™ hemorrhoidectomy (30 patients) group and the Harmonic Scalpel™ hemorrhoidectomy (30 patients) group. The measures of the primary outcomes were the operating time, the postoperative pain score, and the patient satisfaction score. Secondary outcome criteria included early and delayed complications: postoperative bleeding, anal stenosis, urinary difficulty, and skin tag.
Results: The satisfaction scores 4 wk postoperatively were not significantly different between the two groups (P=0.186). However, the operating time was reduced (P=0.019), the pain score was lower (P=0.009), and the satisfaction score 1 wk postoperatively (P=0.001) was lower in the Starion™ hemorrhoidectomy group. In addition, there were no differences in early and delayed postoperative complications between the two groups (all P>0.05).
Conclusion: Both methods were found to be surprisingly equivalent in all major aspects analyzed. A Starion™ hemorrhoidectomy with submucosal dissection can provide a safe, fast, bloodless, reduced-pain, and low-priced surgical alternative to hemorrhoidal surgery. More studies are needed to determine whether similar favorable results can be attained in patients with more severe, strangulated hemorrhoids.
키워드
치핵;치핵절제술;StarionTM;Harmonic ScalpelTM
Hemorrhoids;Hemorrhoidectomy;StarionTM;Harmonic ScalpelTM
원문 및 링크아웃 정보
등재저널 정보