J Minim Invasive Surg 1998; 1(1): 107-113
Published online May 20, 1998
© The Korean Society of Endo-Laparoscopic & Robotic Surgery
손길수*, 최원준, 서성옥, 김영철, 김세민
고려대학교 의과대학 외과학교실, 을지병원 일반외과*
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background/Aims : Laparoscopic appendectomy is gradually emerged. To compare laparoscopic appendectomy(LA) with open appedectomy(OA), Methods : we compared retrospectively 48 patients in the LA group with 135 patients in the OA group, operated at Anam hospital, Korea university from January 1996 to January 1997 for age, sex, diagnostic method, postoperative diagnosis, misdiagnosis rate, operative time, conversion to open appendectomy, analgesics injection, hospital stay, complication. Resuls : 1) Mean age and male : femaleis ratio were 28.5 years and 1:2.4 in LA group 34.1 years and 1:1.1 in OA group. 2) Abdominal sonogram was perfomed 18.8% in LA group and 28.9% in OA group(p<0.05). 3) Operative time was 68.4 minutes in LA group and 53.7 minutes in OA group(p<0.05). 4) The number of analgesics injection was 1.23 in LA group and 2.65 in OA group(p<0.05). 5) Postoperative hospital stay was 3.38 days in LA group and 3.84 days in OA group(p>0.05). 6) The complication rate was 10.9% in LA group and 15.5% in OA group(p>0.05), but wound infection rate was 2.2% in LA group and 8.5% in OA group(p<0.05). Conclusions: LA is a safe and effective operation for acute appendicitis, especially superior in regard to diagnosis, postoperative pain, wound infection, and cosmetic benefit than OA.
Keywords Laparoscopy, Appendectomy, Microceliotomy, Diagnostic laparoscopy, Minimally invasive surgery.
J Minim Invasive Surg 1998; 1(1): 107-113
Published online May 20, 1998
Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.
손길수*, 최원준, 서성옥, 김영철, 김세민
고려대학교 의과대학 외과학교실, 을지병원 일반외과*
Gil Soo Son, M.D., Won Jun Choi, M.D., Sung Ock Suh, M.D., Young Chul Kim, M.D., Sae Min Kim, M.D.
Department of Surgery, Korea University Medical College, Seoul Korea, Eul-Ji General Hospital*
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background/Aims : Laparoscopic appendectomy is gradually emerged. To compare laparoscopic appendectomy(LA) with open appedectomy(OA), Methods : we compared retrospectively 48 patients in the LA group with 135 patients in the OA group, operated at Anam hospital, Korea university from January 1996 to January 1997 for age, sex, diagnostic method, postoperative diagnosis, misdiagnosis rate, operative time, conversion to open appendectomy, analgesics injection, hospital stay, complication. Resuls : 1) Mean age and male : femaleis ratio were 28.5 years and 1:2.4 in LA group 34.1 years and 1:1.1 in OA group. 2) Abdominal sonogram was perfomed 18.8% in LA group and 28.9% in OA group(p<0.05). 3) Operative time was 68.4 minutes in LA group and 53.7 minutes in OA group(p<0.05). 4) The number of analgesics injection was 1.23 in LA group and 2.65 in OA group(p<0.05). 5) Postoperative hospital stay was 3.38 days in LA group and 3.84 days in OA group(p>0.05). 6) The complication rate was 10.9% in LA group and 15.5% in OA group(p>0.05), but wound infection rate was 2.2% in LA group and 8.5% in OA group(p<0.05). Conclusions: LA is a safe and effective operation for acute appendicitis, especially superior in regard to diagnosis, postoperative pain, wound infection, and cosmetic benefit than OA.
Keywords: Laparoscopy, Appendectomy, Microceliotomy, Diagnostic laparoscopy, Minimally invasive surgery.
Hae-Hyeon Suh, M.D., Ph.D.
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