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A Clinical Analysis of about 2,000 Cases for the Laparoscopic Cholecystectomy: Single Center Experiences - A Change in the Indication for Laparoscopic Cholecystectomy according to Period
Journal of the Korean Surgical Society ; : 364-370, 2009.
Artigo em Coreano | WPRIM | ID: wpr-35512
ABSTRACT

PURPOSE:

Laparoscopic cholecystectomy has become the standard modality of acute and chronic gallbladder disease. This study was performed to evaluate a change in the indication for laparoscopic cholecystectomy according to period by analyzing our experiences.

METHODS:

We retrospectively analyzed 2,096 cases of laparoscopic cholecystectomy that were treated at the Department of Surgery, Dong-A University. They were divided into 3 groups from October 1992 to December 1996 (Group 1), from January 1997 to December 2001 (Group 2) and from January 2002 to March 2007 (Group 3).

RESULTS:

The mean age was 50.14+/-13.89 years and the male-to-female ratio was 1 1.23. Previous abdominal surgery was noted in 12.24% from Group 1, 14.96% from Group 2 and 21.48% from Group 3. Chronic cholecystitis was the most common pathologic diagnosis in all cases. However, while the incidence of acute cholecystitis and gallbladder empyema in Group 1 was 3.36% and 0%, that of Group 2 was 12.52% and 3.88% and that of Group 3 was 31.79% and 7.59%, which was increased. The mean operation time of each group was 101.00+/-51.00, 69.86+/-40.55, 78.01+/-45.55 minutes (P<0.05). The conversion rate of each group was nine cases (6.04%), 21 cases (3.02%), and 51 cases (4.07%). The surgical complication rate was 7.38%, 3.88% and 4.71%, respectively. The length of hospital stay was 6.08+/-3.65, 3.16+/-2.99 and 2.91+/-3.34 days, which was significantly decreased (P<0.05).

CONCLUSION:

As surgical experience increased and laparoscopic surgical skills developed, the indication for laparoscopic cholecystectomy changed. The results of this study showed that laparoscopic cholecystectomy was feasible for the treatment of complicated gallbladder lesion.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Colecistite / Incidência / Estudos Retrospectivos / Colecistectomia Laparoscópica / Colecistite Aguda / Vesícula Biliar / Doenças da Vesícula Biliar / Tempo de Internação Tipo de estudo: Estudo de incidência / Estudo observacional / Estudo prognóstico Idioma: Coreano Revista: Journal of the Korean Surgical Society Ano de publicação: 2009 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Colecistite / Incidência / Estudos Retrospectivos / Colecistectomia Laparoscópica / Colecistite Aguda / Vesícula Biliar / Doenças da Vesícula Biliar / Tempo de Internação Tipo de estudo: Estudo de incidência / Estudo observacional / Estudo prognóstico Idioma: Coreano Revista: Journal of the Korean Surgical Society Ano de publicação: 2009 Tipo de documento: Artigo