복강경 담낭절제술에서 3공식과 4공식의 임상 비교
A Comparison between Three-Port and Four-Port Technique in the Laparoscopic Cholecystectomy
이재훈, 설재욱, 전창원, 이용직, 고수종, 양윤수, 이영택,
소속 상세정보
이재훈 ( Lee Jae-Hoon )
성분도병원 외과
설재욱 ( Seol Jae-Wook )
성분도병원 외과
전창원 ( Jeon Chang-Won )
성분도병원 외과
이용직 ( Lee Yong-Jik )
성분도병원 외과
고수종 ( Ko Soo-Jong )
성분도병원 외과
양윤수 ( Yang Yun-Soo )
성분도병원 외과
이영택 ( Lee Young-Taek )
성분도병원 외과
KMID : 0978820030060010022
Abstract
Purpose: Laparoscopic cholecystectomy has been the standard treatment of benign gallbladder disease due to its minimal invasiveness. Usual laparoscopic cholecystectomy requires four ports but some surgeons perform laparoscopic cholecystectomy through 3 ports. In this study, we tried to estimate usefulness of three-ports technique.
Methods: Clinical reviews were made from medical records of 248 patients who had been treated by laparoscopic cholecystectomy at St. Benedict hospital from July 1991 to December 2001 retrospectively.
Results: Three-port technique was performed in 70 patients and four-port technique in 178 patients. Both procedures were more performed in female. Mean operative time was 98 minutes in three-port technique and 111 minutes in four-port technique (p=0.294). Mean hospital stay was 5.5 days in three-port technique and 4.9 days in four-port technique (p=0.003). Rates of conversion to open surgery were 9% in 3 port technique and 2% in 4 port technique respectively.
Conclusion: Three port technique is the recommendable procedure to an experienced laparoscopic surgeon becuse of its cost-effectiveness and cosmetic result. When surgeon faces to surgical difficulties or problem, the 4th trocar should be added without any hesitance.
키워드
복강경 담낭절제술;삼공식;사공식
Laparoscopic cholecystectomy;Three-port technique;Four-port technique
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