소화성 궤양 천공에서 복강경하 일차 봉합술과 개복술의 비교 연구
Open Versus Laparoscopic Primary Closure of Perforated Peptic Ulcer
정규영, 한호성, 김영우,
소속 상세정보
정규영 ( Jung Gyu-Young )
이화여자대학교 의과대학 외과학교실
한호성 ( Han Ho-Seong )
이화여자대학교 의과대학 외과학교실
김영우 ( Kim Young-Woo )
이화여자대학교 의과대학 외과학교실
KMID : 0371320030640030219
Abstract
PURPOSE: To compare short-term clinical outcome of laparoscopic primary closure and open primary closure for the treatment of perforated peptic ulcers.
METHODS: A prospective non-randomized study was performed for patients with perforated peptic ulcer at the Ewha Womans University Mokdong Hospital between Janunary 1999 and August 2001. Fifteen patients (Group L) underwent a laparoscopic primary closure by a modified Graham’s method. The control group (Group O) was comprised of twenty patients who underwent a conventional open primary closure by a modified Graham’s method. Statistical comparisons were made by a two-tailed Student’s t-test.
RESULTS: The group L and O were comparable for age, weight, preoperative leucocyte count, Blood urea nitrogen creatinine, and associated medical illness. Significant differences (P<0.05) were present between the groups with regard to the mean operative time (118.7 vs 80.8 minutes) and time to nonfebrile conversion following the operations (postoperative 2.2 days vs. postoperative 3.1 days). There were no differences in blood loss, frequencies of pain control, recovery of bowel movement, and postoperative hospital stay. Complications were seen in 1 of the cases in group L (pleural effusion), and 2 in group O (upper gastrointestinal bleeding, wound dehiscence). There was one case of mortality, due to septic shock, in group O.
CONCLUSION: Laparoscopic primary repair could be a safe and feasible technique for the treatment of peptic ulcer perforations with a cosmetic advantage and faster recovery.
키워드
복강경 일차봉합술;소화성 궤양 천공
Laparoscopic primary repair;Perforated peptic ulcer
원문 및 링크아웃 정보
등재저널 정보