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KMID : 0978820030060010008
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2003 Volume.6 No. 1 p.8 ~ p.14
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A Comparison of Early Versus Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis in Objective Scoring System
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Bae Jung-Min
Kim Nak-Hee
Jun Kyu-Ha
Bae Jong-Dae
Jung Ki-Hoon
Jung Byeong-Wuk
Bae Sung-Han
Ahn Woo-Sup
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Abstract
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Purpose: Laparoscopic cholecystectomy is the ´Gold standard´ for symptomatic cholelithiasis. Now, laparoscopic cholecystectomy is being replaced in open cholecystectomy for acute cholecystitis. But, the conflict is existed in eary versus delayed laparoscopic cholecystectomy for acute cholecystitis. We analyse the effectiveness of early versus delayed laparoscopic cholecystectomy for acute cholecystitis used ´objective scoring system´.
Methods: Between March 2000 and March 2001, 17 cases of acute cholecystitis were performed by laparoscopic cholecystectomy at Dongguk University hospital. We analysed this cases in structured scoring assessment by Eubanks study.
Results: The early group was operated beyond 4days after developed cholecystitis. Mean operation time in early group was 111.4 minutes. The delayed group was 162 minutes (p=0.015). The average raw point of early group was 74 points. The delayed group was 48.4 points (p=0.002). The average error point of early group was 27.8 points. The delayed group was 61.7 points. The drainage procedure was related to error point (p=0.001).
Conclusion: The total hospital day and postoperative diet day was not related operation timing if cholecystectomy was done completely by laparoscopy. But, the early laparoscopic cholecystectomy in acute cholecystitis was consumed more shorter operation time and was appointed more higher raw point than delayed operation. So, the early laparoscopic cholecystectomy was more beneficial than delayed operation.
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KEYWORD
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Acute cholecystitis, Laparoscopic cholecystectomy, Objective scoring system
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