Harmonic Scapel을 이용한 복강경 충수절제술
Laparoscopic Appendectomy Using Harmonic Scapel
박용조, 서기식, 서기원,
소속 상세정보
박용조 ( )
부산위생병원 외과
서기식 ( )
부산위생병원 외과
서기원 ( )
부산위생병원 외과
KMID : 0978820020050020148
Abstract
Purpose: To evaluate the usefulness of Laparoscopic appendectomy using Harmonic scapel in acute appendicitis.
Methods: The Authers reviewed 30 cases of conventional laparoscopic appendectomy and 30 cases of laparoscopic appendectomy using Harmonic scapel from January 2001 to March 2002.
Results: There was no significant difference between two groups in regard to age and sex. The ratio between two groups in pathologic findings. The suppurative appenditis was most common in both groups. The mean operative time was 53.3±10.9 minutes in old group and 44.0±14.9 minutes in new group (p＜0.05). The mean postoperative pain score was 1.0 in old group and 0.97 in new group (p＞0.05). There was no difference between two groups in regard to flatus and defecation and liquid diet (p＞0.05). the mean length of postoperative hospital stay was 3.7±1.0 days in old group, 4.0±1.0 days innew group (p＞0.05). The total length of hospital stay was 4.69±1.0 days (old group), 4.8±1.0 days (new group) (p＞0.05). Wound infections were similar with two groups. But postoperative ileus (one case) and intraabdominal bleeding (one case) were occurred in old group.
Conclusion: Laparoscopic appendectomy using Harmonic scapel is a relative safe than conventional laparoscopic appendectomy.
키워드
Harmonic scapel; Laparoscopic appendectomy; 복강경 충수절제술
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