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단일 절개 복강경 충수절제술의 초기 경험

The Initial Experience with a Single Incision Laparoscopic Appendectomy

대한대장항문학회지 2009년 25권 5호 p.312 ~ 317
김종원 ( Kim Jong-Won ) - 중앙대학교 의과대학 외과학교실

장인택 ( Chang In-Taek ) - 중앙대학교 의과대학 외과학교실
최유신 ( Choi Yoo-Shin ) - 중앙대학교 의과대학 외과학교실
박준석 ( Park Jun-Seok ) - 중앙대학교 의과대학 외과학교실
송형준 ( Song Hyung-Jun ) - 중앙대학교 의과대학 외과학교실

Abstract


Purpose: A laparoscopic appendectomy (LA) is becoming popular for the treatment of acute and perforated appendicitis. Since it was first described, the LA has been modified many times. We present the result for a new technique of LA, in which the LA is conducted through a single umbilical incision without exteriorizing the appendix to perform the operation.

Methods: A single incision laparoscopic appendectomy was attempted in 25 patients (17 men, 8 women). Under general anesthesia, a wound retractor was inserted through the umbilicus. The appendix was grasped and dissected from surrounding tissues with a single flexible dissector or grasper. After mesenteric dissection with ultrasonic shear, the base of the appendix was ligated with an Endoloop. The appendix was withdrawn into the wound protector and extracted from the abdomen.

Results: A single incision laparoscopic appendectomy was completed in 25 patients. No major intraoperative or postoperative complications were encountered. The average duration of the procedure was 50.3±21.3 min. The average hospital stay was 4.1±2.4 days.

Conclusion: This new technique, a single incision laparoscopic appendectomy, further improves the minimal invasiveness of a LA because a single incision is used. This procedure is a safe, very minimally invasive procedure with excellent cosmetic results

키워드

복강경 충수절제술;단일 절개창 복강경 충수절제술;단일 절개 복강경 충수절제술
Laparoscopic appendectomy;Single port appendectomy;Single incision laparoscopic appendectomy
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