외상성 횡격막 파열에 대한 복강경적 치료
Laparoscopic Repair of Traumatic Diaphragmatic Rupture
소속 상세정보
오수연/Oh SY
안은정/민석기/문병인/이현국/김광호/한호성/Ahn EJ/Min SK/Moon BI/Lee HK/Kim KW/Han HS
KMID : 0978820040070010040
Abstract
Purpose: This study is aimed to evaluate the safety and efficacy of laparoscopic repair for the management of diaphragmatic rupture due to trauma.
Methods: From February 2002 to December 2003, we experienced 7 cases of laparoscopic repair to treat the diaphragmatic rupture due to trauma. The contraindications of this procedure were unstable vital state, obvious other intraabdominal organ injury that need the exploratory laparotomy. We reviewed the clinical outcomes include the laparoscopic procedure.
Results: All cases had left sided diaphragmatic rupture. Diaphragmatic defect of 6 cases were successfully repaired and herniated organ could be released laparoscopically. In one case, open conversion was needed to manage of strangulated stomach that was discovered at reduction from hernia. The mean size of defect was 6.8⁑2.32 cm and the mean operative time was 185⁑91.3 min. Two patients developed postoperative pulmonary complications, but quickly recovered by conservative management. There was no postoperative mortality.
Conclusion: Laparoscopic repair could be safe and effective procedure for treatment of diaphragmatic rupture due to trauma in selective patient.
키워드
횡격막 파열;외상성;복강경;Diaphragmatic rupture;Trauma;Laparoscopy
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