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KMID : 0870420100140020105
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2010 Volume.14 No. 2 p.105 ~ p.109
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The Meaning of Open Cholecystectomy for Acute Cholecystitis
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Kwak Hee-Yong
Kim Sung-Geun
Park Jong-Kyung
Lee Sung
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Abstract
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Purpose: Laparoscopic cholecystectomy has been used widely for effective management of acute cholecystitis. However, it has limitations. In this study, we compared laparoscopic approaches and an open method. The meaning of the open method was assessed again.
Methods: A retrospective review of 60 patients undergoing cholecystectomy for acute cholecystitis was done. Thirty patients were part of a laparoscopic cholecystectomy group; the other 30 patients were part of an open cholecystectomy group. Laparoscopic cholecystectomy was done using a 4-trochar method. We reviewed geographic characteristics, body mass index, white blood cell count, and clinical outcomes.
Results: Age, gallbladder wall thickness and white blood cell counts were significantly different between the 2 groups; operation time was not. The length of the postoperative hospital stay in the laparoscopic group was significantly shorter than that in the open group. There was one case of bile leakage in the laparoscopic group which was treated by endoscopic nasal bile drainage.
Conclusion: Open cholecystectomy is still a valid choice for acute cholecystitis in the modern era of laparoscopic surgery. In severe cases, conversion is not a failure and should be done immediately if necessary.
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KEYWORD
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Acurte cholecystitis, Cholecystectomy, Medical insurance
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