총수담관결석 환자에서 복강경 수술과 개복술의 비교 연구
Comparative Study of Laparoscopic Common Bile Duct Exploration vs Open Method for the Treatment of CBD Stone
이남준, 김영우, 한호성, 민석기, 최용만,
소속 상세정보
이남준 ( Yi Nam-Joon )
이화여자대학교 의과대학 외과학교실
김영우 ( Kim Young-Woo )
이화여자대학교 의과대학 외과학교실
한호성 ( Han Ho-Seong )
이화여자대학교 의과대학 외과학교실
민석기 ( Min Seog-Ki )
이화여자대학교 의과대학 외과학교실
최용만 ( Choi Yong-Man )
이화여자대학교 의과대학 외과학교실
KMID : 0371320020630050416
Abstract
Purpose: To compare a laparoscopic common bile duct (CBD) exploration with the open method with regards to the clinical outcome in the treatment of a CBD stone.
Methods: A comparative study was performed on 88 patients who underwent surgical treatment for a CBD stone at Ewha Womans University Mokdong Hospital from February 1997 to December 2001. The patients were divided into three groups; a group
treated by a laparoscopic CBD exploration (group L, n=59), a group treated by open surgery (group O, n=22), and a group converted to open surgery during laparoscopic treatment (group C, n=7). The medical records were reviewed, and the follow-ups
study
of the quality of life was assessed with a questionnaire on the symptoms associated with cholangitis.
Results: Among the 3 groups, there was no difference in the preoperative status of the patients (age, sex, preoperative comorbidity and previous abdominal operation history). The mean operating time were 230.7 minutes in group L, 182.0
minutes in
group O, and 247.9 minutes in group C (P＞0.05). The time to diet and hospital stay was longer in group C than the others (P＜0.05). The postoperative complications were 10.5% in group L, 40.9% in group O and 14.3% in group C. The symptoms of
cholangitis by the questionnaire during the follow-up period were 2.7% in group L, 33.3% in group O, and 66.7% in group C.
Conclusion: Laparoscopic CBD exploration has acceptable operative difficulties, less morbidity, and good follow-up quality of life compared to the open method in treating CBD stones.
키워드
총수담관결석; 복강경 수술; 담도 절개술; 수술 후 회복; CBD stone; Laparoscopic surgery; CBD exploration; Quality of life;
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