단일 절개 복강경 충수절제술의 초기 경험 (The Initial Experience with a Single Incision Laparoscopic Appendectomy)

서지정보

· 발행기관 : 대한대장항문학회
· 수록지 정보 : Annals of Coloproctolgy / 25권 / 5호 / 312 ~ 317페이지
· 저자명 : 김종원, 장인택, 최유신, 송형준, 김범규, 박준석

초록

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 The appendix was withdrawn into the wound protector and extracted from the abdomen.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.

영어초록

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 The appendix was withdrawn into the wound protector and extracted from the abdomen.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.

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