합병성 충수염에서 시행된 복강경 충수절제술 및 개복 충수절제술의 비교 (Laparoscopic versus Open Appendectomy for Complicated Appendicitis)

서지정보

· 발행기관 : 대한내시경로봇외과학회
· 수록지 정보 : Journal of Minimally Invasive Surgery / 13권 / 2호 / 69 ~ 73페이지
· 저자명 : 박성수, 김해성, 류병윤, 김홍기, 이정훈, 이진원, 최영희

초록

Purpose: The value of laparoscopic appendectomy for complicated appendicitis is still controversial. The purpose of this clinical study was to evaluate the efficacy of laparoscopic appendectomy in patients with complicated appendicitis.
Methods: This study involved a total of 108 consecutive patients who had undergone appendectomy for complicated appendicitis between January 2008 and August 2009. Those patients were divided into two groups; laparoscopic appendectomy (LA) and open appendectomy (OA). The demographic data, the incidence of drainage tube insertion, the operative time, the duration of pain, the time to a soft oral diet, the hospital days and the complication rate for the two groups were analyzed.
Results: There were no significant differences of the operative time (OA group: 65.2±27.31 min vs the LA group:64.6±23.6 min) (p=0.233). However, in the LA group, there were benefits for number of drainage tube insertions (OA group: 48/60 vs the LA group: 8/48) (p＜0.001), the use of analgesics (OA group: 3.2±3.9 times vs the LA group: 1.4±1.3times) (p＜0.001), the time to start a soft diet (OA group:2.8±1.3 days vs the LA group: 1.4±1.3 days) (p=0.020), the hospital stay (OA group 7.5±3.4 days vs LA group 3.7±2.2days) (p=0.040) and the complication rate (OA group: 18/60vs the LA group: 8/48) (p＜0.001).
Conclusion: These results suggest that laparoscopic appendectomy for treating complicated appendicitis is a safe procedure that may prove to have significant clinical advantages over open appendectomy.

영어초록

Purpose: The value of laparoscopic appendectomy for complicated appendicitis is still controversial. The purpose of this clinical study was to evaluate the efficacy of laparoscopic appendectomy in patients with complicated appendicitis.
Methods: This study involved a total of 108 consecutive patients who had undergone appendectomy for complicated appendicitis between January 2008 and August 2009. Those patients were divided into two groups; laparoscopic appendectomy (LA) and open appendectomy (OA). The demographic data, the incidence of drainage tube insertion, the operative time, the duration of pain, the time to a soft oral diet, the hospital days and the complication rate for the two groups were analyzed.
Results: There were no significant differences of the operative time (OA group: 65.2±27.31 min vs the LA group:64.6±23.6 min) (p=0.233). However, in the LA group, there were benefits for number of drainage tube insertions (OA group: 48/60 vs the LA group: 8/48) (p＜0.001), the use of analgesics (OA group: 3.2±3.9 times vs the LA group: 1.4±1.3times) (p＜0.001), the time to start a soft diet (OA group:2.8±1.3 days vs the LA group: 1.4±1.3 days) (p=0.020), the hospital stay (OA group 7.5±3.4 days vs LA group 3.7±2.2days) (p=0.040) and the complication rate (OA group: 18/60vs the LA group: 8/48) (p＜0.001).
Conclusion: These results suggest that laparoscopic appendectomy for treating complicated appendicitis is a safe procedure that may prove to have significant clinical advantages over open appendectomy.

참고자료

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