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KMID : 0365719990150010111
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Journal of Pusan Surgical Society
1999 Volume.15 No. 1 p.111 ~ p.121
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Clinical Anaylsis of 500 Consecutive Laparoscopic Cholecystectomies
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Kim Jae-Jin
Jeong Joon-Heon
Chung Il-Dong
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Abstract
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Background: Laparoscopic cholecystectomy has become the standard treatment of benign gallbladder disease. It requires the skill of a trained surgeon, and its safe performance. The advantages of laparoscopy are less postoperative pain, absence of cosmetic damage, shorter recovery times, and decreased length of hospital stays compared with conventional open surgery.
Methods: We reviewed 500 consecutive laparoscopic cholecystect~mies retrospectively at the department of general surgery of Maryknoll Hospital from February 1992 to May 1999.
Results: There were 175 males and 325 fcmales(M:F=1:1.86) with ages ranged from 21 to 78 years (mean: 50.0 year). Preoperatively, 72 "patients underwent endoscopic retrograde cholagiography and 7 patients underwent endoscopic sphincterotomy due to common bile duct stone. Mean operation time was 73.7 minutes. Operative cholangiogram was attempted in 8 patients. Conversion to open cholecystectomy during operation was done in 8 cases(1.6%) and leading causes were severe adhesion, uncontrolled bleeding, suspected malignancy, bile duct injury. Operative Complications occured in 18 patients(3.6%): bile duct injury 1, postoperative bleeding 1, bile leakage 4, subcutaneous emphysema 1, abdominal wall hematoma 3, wound infection 8. There was no operative mortality. The length of hospital stay ranged from 2 to 15 day with average of 4.7 day.
Conclusion: Laparoscopic cholecystectomy is a safe and effective operation in patients with benign gallbladder diseases.
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KEYWORD
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Laparoscopic cholecystectomy
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