위암수술 시 복강세척 및 배액관 삽입이 백혈구 수에 미치는 영향
Assessment of Peritoneal Irrigation and Drainage by Perioperative Leukocyte Count following Gastric Cancer Surgery
김용훈, 이철주, 박치우, 민락기, 노승무,
소속 상세정보
김용훈 ( Kim Yong-Hun )
충남대학교 의과대학 외과학교실
이철주 ( Lee Cheol-Ju )
충남대학교 의과대학 외과학교실
박치우 ( Park Chi-Woo )
충남대학교 의과대학 외과학교실
민락기 ( Min Lac-Kee )
충남대학교 의과대학 외과학교실
노승무 ( Noh Seung-Moo )
충남대학교 의과대학 외과학교실
KMID : 0371320040670060453
Abstract
Purpose: There has been debate on the use of peritoneal irrigation and drainage following gastric cancer surgery. This study was conducted to evaluate the usefulness of routine peritoneal irrigation and drainage following gastric cancer surgery, especially with regard to the perioperative leukocyte count.
Methods: Of 298 patients, 153 were enrolled in the test group (without peritoneal irrigation & drainage), between October 2001 and August 2002, and 145 in the control group (with peritoneal irrigation and drainage), between January 2001 and September 2001. The demographics, range of dissection, pathological staging, operation times, anesthesia times, fever, perioperative leukocyte counts and operative complications were retrospectively analyzed in these consecutive patients.
Results: It was found that there was no difference in the demographics, range of dissection, pathological staging and operative complications between the two groups. However, the operation times, anesthesia times, and mean length of hospitalization in the test group were significantly shorter than those in the control group. No significance differences were found between the two groups with regard to the perioperative leukocyte counts.
Conclusion: The routine usage of peritoneal irrigation and drainage was found to be neither safe nor effective in gastric cancer surgery patients. (J Korean Surg Soc 2004;67:453- 457)
키워드
위암;복강세척;배액관 삽입;수술 전·후 백혈구 수;Gastric cancer;Peritoneal irrigation;Peritoneal drainage;Perioperative leukocyte count
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