소화성 궤양 천공 환자의 복강경 단순 봉합술의 초기 경험 (Early Experience with Laparoscopic Primary Closure of Peptic Ulcer Perforation)

서지정보

· 발행기관 : 대한내시경로봇외과학회
· 수록지 정보 : Journal of Minimally Invasive Surgery / 12권 / 2호 / 63 ~ 67페이지
· 저자명 : 이진석, 안은정, 박세혁, 김종흥, 박종민

초록

Purpose: Among the surgeries that can be performed for patients with acute peptic ulcer perforation, the frequency of performing laparoscopic surgeries is gradually increasing and it is being reported that laparoscopic surgeries have many advantages over laparotomies. So we will examined if laparoscopic surgery has advantages as compared to open surgery for appropriately selected patients. Methods: The subjects were 15 patients who were diagnosed with peptic ulcer perforation and they were operated on by a single surgeon between September 2007 and January 2009 at the National Medical Center. The subjects were divided into an LG and an OG. Statistical analyses were performed using two-tailed students T-tests. Results: There were 6 patients in the LG and 9 patients in the OG. All the patients in the two groups were male. The time until fist flatulence was 1.6 days in the LG and 2.6 days in the OG. The time until the first oral intake was 3 days in the LG and 3.4 days in the OG. The time during which pain control was necessary was 2.6 (range: 2∼4) days in the LG and 3.3 (range: 2∼4) days in the OG. The number of days of the hospital stay after surgery was 5.6 days (range: 4∼7) in the LG and 10 days (range: 6∼26) in the OG. There were 2 cases of complications in the OG only, and all of them were wound infections. Conclusion: It is thought that laparoscopic surgeries can be performed relatively easily and safely for patients with peptic ulcer perforation by selecting appropriate patients.

영어초록

Purpose: Among the surgeries that can be performed for patients with acute peptic ulcer perforation, the frequency of performing laparoscopic surgeries is gradually increasing and it is being reported that laparoscopic surgeries have many advantages over laparotomies. So we will examined if laparoscopic surgery has advantages as compared to open surgery for appropriately selected patients. Methods: The subjects were 15 patients who were diagnosed with peptic ulcer perforation and they were operated on by a single surgeon between September 2007 and January 2009 at the National Medical Center. The subjects were divided into an LG and an OG. Statistical analyses were performed using two-tailed students T-tests. Results: There were 6 patients in the LG and 9 patients in the OG. All the patients in the two groups were male. The time until fist flatulence was 1.6 days in the LG and 2.6 days in the OG. The time until the first oral intake was 3 days in the LG and 3.4 days in the OG. The time during which pain control was necessary was 2.6 (range: 2∼4) days in the LG and 3.3 (range: 2∼4) days in the OG. The number of days of the hospital stay after surgery was 5.6 days (range: 4∼7) in the LG and 10 days (range: 6∼26) in the OG. There were 2 cases of complications in the OG only, and all of them were wound infections. Conclusion: It is thought that laparoscopic surgeries can be performed relatively easily and safely for patients with peptic ulcer perforation by selecting appropriate patients.

참고자료

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