단순 급성 충수염, 천공성 충수염 및 충수주위 농양 환자에서의 복강경 충수절제술의 역할

• Published in: Annals of surgical treatment and research Vol. 62; no. 3; pp. 229 - 232
• Main Authors: 황영규(Young Kyu Hwang), 이상권(Sang Kuon Lee), 박승철(Seung Chul Park), 정재희(Jae Hee Jung), 김원우(Won Woo Kim), 전해명(Hae Myung Jeon), 김응국(Eung Kook Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.03.2002
• Subjects: 일반외과학; 충수염; 농양; Appendicitis; Abscess; 복강경충수절제술; Laparoscopic appendectomy; Perforated; 천공성
• ISSN: 2288-6575; 2288-6796

Purpose: Acute gangrenous and perforated appendicitis are associated with an increased risk for intraoperative conversion, postoperative complications and have been considered a relative contraindication for laparoscopic appendectomy. The objective of this study was to analyze the feasibility of the laparoscopic approach in all forms of appendicitis. Methods: A retrospective review of 101 patients who underwent laparoscopic appendectomy for uncomplicated and complicated appendicitis (perforated appendicitis and periappendiceal abscess) between June 2000 and May 2001 was performed. Results: There were 84 patients with uncomplicated appendicitis (group A), 11 patients with perforated appendicitis (group B) and 16 patients with periappendiceal abscess (group C). The mean age of the patients was 42 (12～79) years and there were 47 men and 54 women. The mean operation time was 43, 67 and 105 minutes in groups A, B and C, respectively. Oral intake commenced at 1.4, 2.2 and 2.9 days and the hospital stay was 2.5, 2.9 and 5.2 days in groups A, B and C, respectively. There was no conversion to open surgery in groups A and B; however 4 patients in group C were converted. Complications were noted in 3 patients, one for each group. The overall complication rate was 2.9% and conversion rate, 0.9%. Conclusion: Although our experience is limited, the laparoscopic appendectomy seems to be a feasible and safe procedure for all forms of apppendicitis, including periappendiceal abscess. (J Korean Surg Soc 2002;62:229-232) KCI Citation Count: 1