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KMID : 0614619930250040722
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Korean Journal of Gastroenterology
1993 Volume.25 No. 4 p.722 ~ p.729
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Laparoscopic Cholecystectomy 200 Cases
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서우석
김상운/김재황/이수정/김홍진/권굉보
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Abstract
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Authors performed two hundred cases of laparoscopic cholecystectomies (L.C) at Yeungnam university hospital during one year from may 1991.
In this study authors compared the results of the first 100 cases (the first half) to those of the following 100 cases (the latter half) to evaluate whether accumulated experiences and improved operative skills could bring out any better result.
While 200 cases of L.C were performed 206 cases were tried and 6 cases were converted to open cholecystectomy (O.C) because of poor operative skills (3 cases) and very hard contracted gall bladder (3 cases). Five of these occured during the first
half
and the only one developed during the latter half.
The average operation time for the entire cases were 57.9minutes but it had been reduced remarkably during the latter half (25.4 minutes) compare to the first half (70.4 minutes).
There was no death during the entire period. Overall complication rate was 7% (14 cases). Ten complications (5%) developed in the first half and four (2%0 in the latter half.
The average hospital stay has been shortened from 4.1 days in the first half to 2.7 days in the latter half. Remarkable improvements of the results of laparoscopic cholecystectomy in the latter half suggests that L.C is a safe and effective
treatment
method for the GB disease when it can be performed by a trained surgeon with meticulous attention to techiques.
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