복강경 수술에서 복강경 감시 없이 Endopouch의 삽입 및 제거 기법에 대한 임상적 고찰

Abstract

Purpose: The purpose of this study is to evaluate the clinical outcomes of new technique about insertion and removal of Endopouch through umbilical port without laparoscopic monitoring during laparoscopic surgery.

Methods: From January 2003 through December 2003, 1030 patients treated by laparoscopic appendectomy and cholecystectomy were enrolled. All laparoscopic appendectomies and cholecystectomies were performed using the conventional method (control group) and new method (study group), alternatively. Clinical characteristics and postoperative results between control group and study group were compared.

Results: 654 patients underwent laparoscopic appendectomy (327 control group and 327 study group), and 376 patients underwent laparoscopic cholecystectomy (188 controlgroup and 188 study group). There were no differences in demographic characteristics and postoperative complications including operative time and postoperative hospital stay between control and study group (p＞0.05).

Conclusion: The method using this new technique is a safe and effective procedure for organ retrieval after laparoscopic appendectomy or cholecystectomy. We believe that more experience of this tissue removal during laparoscopic surgery will contribute to technical development that can reduce complications during laparoscopic surgery.