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KMID : 0978820050080020062
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2005 Volume.8 No. 2 p.62 ~ p.65
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Laparoscopic Cholecystectomy with Miniaturized Instrumentation
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진창익/Jin CI
이상목/홍성화/Lee SM/Hong SH
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Abstract
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Purpose: The laparoscopic cholecystectomy (LC) has become the standard operation of cholecystectomy. Recently amplifying the advantage of LC a new technique utilizing miniaturized instrumentation (2 mm) to perform LC has introduced. We assessed the safety and efficacy of these instruments for the performance of LC.
Methods: From January 2004 to October 2004, 54 consecutive patients had performed minilaparoscopic-LC using one 10 mm port and three 2 mm port by a experienced laparoscopic surgeon. If there were some difficulties in performing LC using 2 mm instruments we changed the instruments into 5 mm. Parameters evaluated included patient age, operative indication, mean operative time, conversion rate, postoperative stay and postoperative complications.
Results: The mean age was 41.5 (7∼74) years. The mean operative time was 74.7 (40∼195) minutes. The postoperative stay was 2.7 (2∼8) days. There were 6 cases (11.1%) of trocar conversion but no open conversion and no postoperative 2 complication.
Conclusion: Minilaparoscopic cholecystectomy using 2 mm instruments was technically difficult due to handling of instruments. But our results reveal that this procedure could be performed successfully and safely by experienced surgeon.
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