복강경 담낭 절제술의 개복 전환율의 시기적 변화
The Conversion Rate of Laparoscopic Cholecystectomy in Consecutive Two Periods
소속 상세정보
민석기/Seog Ki Min
한호성/김영우/최용만/유권/Ho Seong Han/Young Woo Kim/Yong Man Choi/Kwon Yu
KMID : 0978820020050010044
Abstract
Purpose: With the development of surgical technique in laparoscopic surgery, the indication of laparoscopic cholecystectomy for gallbladder disease has been expanded. In addition, the conversion rate of the laparoscopic cholecystectomy is
decreasing with the accumulation of experience. The aim of this study is to compare the conversion rate of laparoscopic cholecystectomy between two consecutive periods in the treatment of inflammatory gallbadder disease.
Method: We compared the results of the laparoscopic cholecystectomy during two periods at Ewha Womans University University, Mokdong hospital. The period 1 was August 1997 to July 1998, and the period 2 was from August 1998 to July 1999.
Totally,
226 patients with acute and chronic cholecystitis were treated with laparoscopic cholecystectomy in these periods.
Results: There were 108 cases in the period 1, and 118 cases in the period 2. The operating time was 84.5(±38.0) minutes in the period 1, and 83.9(±32.4) minutes in the period 2. The postoperative morbidity was 2 cases(1.9%) in the
period
1,
and 2 cases(1.7%) in the period 2. The conversion rate 7.4% in the period 1, and 2.5% in the period 2.(p<0.05).
Conclusions: With accumulation of the experience, the conversion rate of the laparoscopic cholecystectomy could be decreased.
키워드
복강경; 담낭절제술; 개복 전환율; 시기적 변화; laparoscopic cholecystectomy; conversion rate; periodic change;
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