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KMID : 1148020130380030120
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조선대학교의대논문집
2013 Volume.38 No. 3 p.120 ~ p.124
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Single Incision Laparoscopic Appendectomy; Prospective Study
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Kim Yoo-Seok
Kim Ji-Hoon
Kim Sung-Soo
Kim Young-Il
Min Young-Don
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Abstract
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Laparoscopic appendectomy using three trocars has been widely performed. Recently, a single incision laparoscopic surgicalprocedure has become popular because it is less invasive. We report on our early experience in performance of single incisionlaparoscopic appendectomy (SIL-A). Data on the operating time, the duration to make the pneumoperitoneum, bodymass index (BMI), rate of conversion to another operation, complication, hospital stay, dosage of analgesics, and pain scorewere collected prospectively at two centers. Twenty seven patients underwent SIL-A. The mean BMI was 23.3±3.1 kg/m2(17.6-30.5). The mean time required to make a pneumoperitoneum was 9.9±5.0 minutes (5.0-28.0). The mean operating timewas 37.6±26.7 minutes (10.0-100.0). The rate of intra-operative complication was 3.7% (1/27), and the rate of post-operativecomplication was 22.2% (6/27). The mean hospital stay was 4.1±1.2 days (2-6). The immediately postoperative pain scorewas 5.4±1.5 (3-8), however, the pain score at discharge was 0.4±0.7 (0-2). The mean dosage of analgesics was 1.5±1.3(0-4),however, none of the patients took analgesics after postoperative three days. SIL-A is feasible but requires improved instrumentationand experience.
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KEYWORD
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Appendectomy, Single incision, Laparoscopic appendectomy, Single incision laparoscopic surgery
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