급성 담낭염에서의 복강경 담낭 절제술의 적용
Application of Laparoscopic Cholecystectomy in Acute Cholecystitis
민석기, 한호성, 김영우, 이남준, 김유진, 안창용, 최용만,
소속 상세정보
민석기 ( Min Seog-Ki )
이화여자대학교 의과대학 외과학교실
한호성 ( Han Ho-Seong )
이화여자대학교 의과대학 외과학교실
김영우 ( Kim Young-Woo )
이화여자대학교 의과대학 외과학교실
이남준 ( Yi Nam-Joon )
이화여자대학교 의과대학 외과학교실
김유진 ( Kim Eu-Gene )
이화여자대학교 의과대학 외과학교실
안창용 ( Ahn Chang-Yong )
이화여자대학교 의과대학 외과학교실
최용만 ( Choi Yong-Man )
이화여자대학교 의과대학 외과학교실
KMID : 0371320010610030312
Abstract
Purpose
Acute cholecystitis has been a general contraindication of laparoscopic cholecystectomy, and complicated cholecystitis is a challenging disease even in open surgery. The purpose of this study is to evaluate the effectiveness and safety of
laparoscopic
cholecystectomy in acute and complicated cholecystitis.
Methods
We retrospectively reviewed the medical records of 233 cases treated with laparoscopic cholecystectomy for acute and complicated cholecystitis at Ewha Mokdong hospital from March 1997 to February 2001. Postoperative outcomes were compared between
simple
acute cholecystitis and complicated cases. The uncomplicated simple acute cholecystitis group (simple acute group) comprised 161 cases (69%) and the complicated cholecystitis group, which included hydrops, empyema, and peric
holecystic abscess (complicated group), included 72 cases (31%).
Results
In the acute and complicated cholecystitis groups, the length of postoperative diet was 2.19 days and 2.46 days, the conversion rate was 8.07% and 8.3%, and the complication rate was 4.97% and 12.5%, respectively. There was no statistical
difference for
these three factors (p＞0.05). The hospital stay was 6.19 days and 7.57 days, and the mean time of operation was 97.09 minute and 116.5 minute, respectively. These two factors were significantly different (p＜0.05).
Conclusion
Laparoscopic cholecystectomy was shown to be a safe and effective treatment for simple acute cholecystitis and complicated acute cholecystitis. Even in severe complicated cholecystitis, laparoscopic cholecystectomy can be a primary treatment
modality.
키워드
복강경 담낭 절제술; 급성 담낭염; 합병증 동반 담낭염; Laparoscopic cholecystectomy; Acute cholecystitis; Complicated cholecystitis;
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