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임신 중 복강경 및 개복 충수돌기 절제술의 비교

Laparoscopic vs. Conventional Appendectomy in Pregnancy

대한대장항문학회지 2008년 24권 3호 p.161 ~ 165
김도형 ( Kim Do-Hyoung ) - 가톨릭대학교 의과대학 외과학교실

이인규 ( Lee In-Kyu ) - 가톨릭대학교 의과대학 외과학교실
최승봉 ( Choi Seung-Bong ) - 가톨릭대학교 의과대학 외과학교실
이윤석 ( Lee Yoon-Suk ) - 가톨릭대학교 의과대학 외과학교실
이상권 ( Lee Sang-Kuon ) - 가톨릭대학교 의과대학 외과학교실
오승택 ( Oh Seung-Tack ) - 가톨릭대학교 의과대학 외과학교실
전해명 ( Jeon Hae-Myung ) - 가톨릭대학교 의과대학 외과학교실
김준기 ( Kim Jun-Gi ) - 가톨릭대학교 의과대학 외과학교실
김응국 ( Kim Eung-Kook ) - 가톨릭대학교 의과대학 외과학교실
장석균 ( Chang Suk-Kyun ) - 가톨릭대학교 의과대학 외과학교실

Abstract


Purpose: The purpose of this study was to evaluate the clinical course and pregnancy outcome according to operative management of appendictis in the Department of Surgery.

Methods: We reviewed the charts of pregnant patients who went through a convential appendectomy and a laparoscopic appendectomy at the Department of Surgery, Catholic University of Korea St. Mary’s Hospital, from May 1995 to June 2006.

Results: The incidence of acute appendicitis during pregnancy was the highest at the 2nd trimester and at ages from 25 to 30 years. The laparoscopic appendectomy was shorter than the open appendectomy in hospital stay and decreased leukocytosis faster in the first postoperative day, except in cases of perforated appendicitis, but the operation times were similar. There was a significant difference in gestational age at delivery between perforated appendicitis and suppurative. We found one fetal anomaly, but it was not related to either the appendicitis or the operation method.

Conclusions: In this study, we found that a laparoscopic appendectomy was better than an open appendectomy for recovery and was safe in pregnant appendicitis patients at any gestational age. However, follow up and investigation in a larger population is needed to get more accurate results. J Korean Soc Coloproctol 2008;24:161-165

키워드

임신;충수돌기염;복강경
Pregnancy;Appendicitis;Laparoscopy
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