상세 보기
- Park, Jesung;
- Suh, Suk-Won;
- Kim, Min Kyoon;
- Park, Byung Kwan;
- Lee, Seung Eun;
- ... Kim, Jong Won;
- ... Park, Joong Min;
- ... Choi, Yoo Shin;
- ... Kim, Beom Gyu;
- 외 1명
WEB OF SCIENCE
3SCOPUS
4초록
Laparoscopic appendectomy (LA) is perceived as a procedure requiring a short hospital stay; however, some patients require prolonged hospitalization because of postoperative ileus and pain; therefore, we introduced clipless LA, using only an ultrasonic energy device only for coagulation. A total of 1013 patients (clipless LA; n=290 and conventional LA; n=723) who underwent LA at our hospital between January 2015 and February 2018 were analyzed. The mean operative time was shorter (P<0.001), and postoperative pain score at 24 hours was lower (P<0.001) for clipless than for conventional LA. There were no significant differences in postoperative complications, except with regard to early postoperative ileus (clipless LA; 18.1% vs. conventional LA; 31.6%, P=0.025), and the operative method had significantly influenced early postoperative ileus (relative risk, 0.505; 95% confidence interval, 0.257-0.994; P=0.048). Clipless LA is comparable to conventional LA with regard to operative safety but results in significantly less pain and postoperative ileus.
키워드
- 제목
- Less Pain and Reduced Risk of Early Postoperative Ileus After Clipless Versus Conventional Laparoscopic Appendectomy
- 저자
- Park, Jesung; Suh, Suk-Won; Kim, Min Kyoon; Park, Byung Kwan; Lee, Seung Eun; Kim, Jong Won; Park, Joong Min; Choi, Yoo Shin; Kim, Beom Gyu; Park, Yong Gum
- 발행일
- 2019-12
- 유형
- Article
- 권
- 29
- 호
- 6
- 페이지
- 543 ~ 547