복강경 담낭절제술 500예의 합병증원인에 대한 고찰
Complications of 500 cases of Laparoscopic Cholecystectomy
안재현, 김갑태, 김우영,
소속 상세정보
안재현 ( )
전주예수병원 외과
김갑태 ( )
전주예수병원 외과
김우영 ( )
전주예수병원 외과
KMID : 0978820010040010008
Abstract
Backgrounds: Since its introduction in 1987, the laparoscopic cholecystectomy has become the choice of treatment for most patients with symptomatic cholelithiasis in the days. As experiences are accumulated and equipments developed, the
rate
of
complication associated with laparoscopic cholecystectomy is less than or equal to that of open procedure. The purpose of this study is to present the evaluation and causes of complications during and after laparoscopic cholecystectomy.
Methods:
500 laparoscopic cholecystectomies, performed with or without symptomatic gallbladder disease from July 1993 to October 1999 in Presbyterian Medical center, were retrospectively analyzed. Results: The complications of the 500 patients
underwent
laparoscopic cholecystectomy(LC) occured during LC in 11 cases(2.2%) and after LC in 13 cases(2.6% : postoperative 1day - 15days). A number of patients underwent open abdominal surgery before LC were 67 cases and complications in its were 7
cases.
The
incidence rate of complication in patients underwent open abdominal surgery before LC was greater(10.4% : P<0.05). 8 complications of 347 chronic cholecystitis, 12 of 94 acute cholecystitis, and 4 of 24 GB empyema occured in this study. The
relative
seriousness of diseases are related to incidence of complications(P<0.001). Conclusion: The laparoscopic cholecystectomy has been golden standard of GB disease despite of complications. But patients underwent open abdominal surgery and
serious GB
diseases are selected carefully for LC to reduce complications.
키워드
복강경 담낭절제술; 합병증; 개복술; Laparoscopic cholecystectomy; Complication; Open abdominal surgery;
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