단순 급성 충수염, 천공성 충수염 및 충수주위 농양 환자에서의 복강경충수절제술의 역할
Laparoscopic Appendectomy is Feasible for All Forms of Appendicitis
황영규, 이상권, 박승철, 정재희, 김원우, 전해명, 김응국,
소속 상세정보
황영규 ( Hwang Young-kyu )
가톨릭대학교 의과대학 외과학교실
이상권 ( Lee Sang-Kuon )
가톨릭대학교 의과대학 외과학교실
박승철 ( Park Seung-Cheol )
가톨릭대학교 의과대학 외과학교실
정재희 ( Chung Jae-Hee )
가톨릭대학교 의과대학 외과학교실
김원우 ( Kim Won-Woo )
가톨릭대학교 의과대학 외과학교실
전해명 ( Jeon Hae-Myung )
가톨릭대학교 의과대학 외과학교실
김응국 ( Kim Eung-Kook )
가톨릭대학교 의과대학 외과학교실
KMID : 0371320020620030229
Abstract
Purpose: Acute gangrenous and perforated appendicitis are associated
with an increased risk for intraoperative conversion, postoperative
complications and have been considered a relative contraindication for
laparoscopic appendectomy. The objective of this study was to analyze the
feasibility of the laparoscopic approach in all forms of appendicitis.
Methods: A retrospective review of 101 patients who underwent
laparoscopic appendectomy for uncomplicated and complicated appendicitis
(perforated appendicitis and periappendiceal abscess) between June 2000 and
May 2001 was performed. Results: There were 84 patients with
uncomplicated appendicitis (group A), 11 patients with perforated
appendicitis (group B) and 16 patients with periappendiceal abscess (group
C). The mean age of the patients was 42 (12∼79) years and there were 47 men
and 54 women. The mean operation time was 43, 67 and 105 minutes in groups
A, B and C, respectively. Oral intake commenced at 1.4, 2.2 and 2.9 days and
the hospital stay was 2.5, 2.9 and 5.2 days in groups A, B and C,
respectively. There was no conversion to open surgery in groups A and B;
however 4 patients in group C were converted. Complications were noted in 3
patients, one for each group. The overall complication rate was 2.9% and
conversion rate, 0.9%. Conclusion: Although our experience is
limited, the laparoscopic appendectomy seems to be a feasible and safe
procedure for all forms of apppendicitis, including periappendiceal abscess.
키워드
천공성; 충수염; 농양; 복강경 충수절제술; Perforated; Appendicitis; Abscess; Laparoscopic appendectomy;
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