전 복강경 술식에 의한 간 절제술에 대한 경험

• Published in: Annals of surgical treatment and research Vol. 73; no. 6; pp. 490 - 495
• Main Authors: 김창균(Chang Gyun Kim), 윤유석(Yoo-Seok Yoon), 한호성(Ho-Seong Han), 신상현(Sang-Hyun Shin), 전광식(Kwang-Sik Chun), 장진영(Jin-Young Jang), 서경석(Kyung-Suk Suh), 김선회(Sun-Whe Kim), 이건욱(Kuhn Uk Lee), 박용현(Yong-Hyun Park)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.12.2007
• Subjects: 일반외과학; 간절제술; Laparoscopy; 복강경; Hepatectomy
• ISSN: 2288-6575; 2288-6796

Purpose: The aim of this study is to assess the feasibility and clinical outcomes of laparoscopic liver resection by reviewing our experience of laparoscopic liver resection performed in a single institution. Methods: We retrospectively analyzed the clinical outcome of 64 patients that had undergone laparoscopic liver resection for various liver diseases between May 2003 and June 2006. Results: The patients were composed of 36 men and 28 women, with a mean age of 56.9 years. Indications for laparoscopic liver resection included 37 cases of a tumor (20 hepatocellular carcinomas, 8 metastatic cancers and 9 benign tumors) and 25 cases of IHD stones. The surgical procedures were 19 tumorectomy cases, 24 left lateral sectionectomy cases, 15 left hepatectomy cases, 4 right posterior sectionectomy cases and 2 right hepatectomy cases. The mean surgical time was 280.3 minutes. Intraoperative transfusion was required for 18 patients (28.1%). There was one postoperative death (1.6%) due to biliary sepsis after a left lateral sectionectomy for an IHD stone. Postoperative complications developed in 9 cases (14.0%) (2 intraabdominal abscesses, 1 hematoma, 1 bile leakage, 1 ascites, 1 gastric variceal bleeding, 1 ulcer bleeding and 1 anastomosis leakage), all of which were improved by conservative management. The mean postoperative hospital stay was 11.0 days. Conclusion: Our experience shows that laparoscopic liver resection is a feasible operation and is comparable to surgery with the open method. However, a prospective com-parative study with long term follow-up is needed to confirm the equivalence of the procedures. (J Korean Surg Soc 2007;73:490-495) KCI Citation Count: 4