담석증 외 질환에서의 복강경 수술: 초기 치험 122 예 분석

초록

Background: After worldwide acceptance of laparoscopic cholecystectomy as the preferred approach for the resection of the gallbladder, surgeons have gradually applied laparoscopic techniques to managing various other diseases. This study was performed to evaluate the feasibility of laparoscopic surgery in managing non-biliary diseases. Methods: From July 1997 to July 1999, 249 laparoscopic procedures were performed in the Korea University Ansan Hospital. One hundred twenty seven patients who underwent laparoscopic cholecytectomy were excluded in this study, and the other 122 cases were analyzed in terms of diagnosis, type of operation, conversion rate, and complication. Results: The location of diseases was classified into the stomach & duodenum (n=47, 38.5%), small bowel (n=15, 12.3%), colon & rectum (n=52, 42.6%), solid organ (n=5, 4.1%), and others (n=3, 2.5%). Therapeutic versus diagnostic laparoscopy was performed in 100 (82%) versus 22 cases. A conversion to open surgery was performed in 15 cases (15%) of therapeutic laparoscopy. There were 7 postoperative complications (5.7%). Mortality occurred in 1 patient (0.8%). Conclusions: Laparoscopic surgery mainly with therapeutic intent was technically feasible for managing various non-biliary diseases. Our preliminary data with acceptable morbidity and mortality justify to continuing further clinical study to clarify the role of laparoscopy for non-biliary diseases.

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