급성 담낭염에서 복강경적 조기 수술과 지연 수술의 객관적인 득점 체계를 적용한 효율성 비교
A Comparison of Early Versus Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis in Objective Scoring System
배정민, 김낙희, 전규하, 배종대, 정기훈, 정병욱, 배성한, 안우섭,
소속 상세정보
배정민 ( Bae Jung-Min )
동국대학교 의과대학 외과학교실
김낙희 ( Kim Nak-Hee )
동국대학교 의과대학 외과학교실
전규하 ( Jun Kyu-Ha )
동국대학교 의과대학 외과학교실
배종대 ( Bae Jong-Dae )
동국대학교 의과대학 외과학교실
정기훈 ( Jung Ki-Hoon )
동국대학교 의과대학 외과학교실
정병욱 ( Jung Byeong-Wuk )
동국대학교 의과대학 외과학교실
배성한 ( Bae Sung-Han )
동국대학교 의과대학 외과학교실
안우섭 ( Ahn Woo-Sup )
동국대학교 의과대학 외과학교실
KMID : 0978820030060010008
Abstract
Purpose: Laparoscopic cholecystectomy is the ´Gold standard´ for symptomatic cholelithiasis. Now, laparoscopic cholecystectomy is being replaced in open cholecystectomy for acute cholecystitis. But, the conflict is existed in eary versus delayed laparoscopic cholecystectomy for acute cholecystitis. We analyse the effectiveness of early versus delayed laparoscopic cholecystectomy for acute cholecystitis used ´objective scoring system´.
Methods: Between March 2000 and March 2001, 17 cases of acute cholecystitis were performed by laparoscopic cholecystectomy at Dongguk University hospital. We analysed this cases in structured scoring assessment by Eubanks study.
Results: The early group was operated beyond 4days after developed cholecystitis. Mean operation time in early group was 111.4 minutes. The delayed group was 162 minutes (p=0.015). The average raw point of early group was 74 points. The delayed group was 48.4 points (p=0.002). The average error point of early group was 27.8 points. The delayed group was 61.7 points. The drainage procedure was related to error point (p=0.001).
Conclusion: The total hospital day and postoperative diet day was not related operation timing if cholecystectomy was done completely by laparoscopy. But, the early laparoscopic cholecystectomy in acute cholecystitis was consumed more shorter operation time and was appointed more higher raw point than delayed operation. So, the early laparoscopic cholecystectomy was more beneficial than delayed operation.
키워드
급성 담낭염;복강경적 담낭절제술;객관적 득점 체계
Acute cholecystitis;Laparoscopic cholecystectomy;Objective scoring system
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