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총수담관 담석을 동반한 담낭담석 환자에 대한 저 침습성 치료

Other Titles
 Laparoscopic Cholecystectomy following the Endoscopic Sphincterotomy in Patients with GB & CBD Stones 
Authors
 윤동섭  ;  정철운  ;  정준표  ;  이우정  ;  지훈상  ;  김병로 
Citation
 Journal of the Korean Surgical Society (대한외과학회지), Vol.51(2) : 241-247, 1996-08 
Journal Title
JOURNAL OF THE KOREAN SURGICAL SOCIETY (대한외과학회지)
ISSN
 1226-0053 
Issue Date
1996-08
Abstract
In order to evaluate the effects of laparoscopic cholecystectomy(LC) following endoscopic sphincterotomy for cholelithiasis with choledocholithiasis, a clinical study of twenty patients who successfully underwent LC with EST was performed. Eight hundred seven patients underwent LC from Jan. 1992 to Dec. 1994 at Department of General Surgery of Severance Hospital, and 102(12.6%) cases of these were indications of endoscopic retrograde cholangiopancreatography (ERCP). Among the patients 'who were found to have common bile duct stones by ERCP, twenty successfully underwent EST with LC. Indication for ERCP and the accuracy of these indications were as follows: jaundice(15 patients, 53.3%), abnormal liver function test(41, 36.6), CBD stones found by ultrasonogram(20, 90), CBD dilatations found by ultrasonogram(39, 25.6), gall stone pancreatitis(14, 21.4%). Average duration from EST to LC was 4.1dyas(minimum 1day, maximum 8 days). Average duration from LC to discharge was 4.6days(minimum 1 day, maximum 9days). Average duration of total admission was 10.7 days(minimum 5 days, maximum 18 days). Complication rate of EST and LC was 10.0% and 0.0%, respectively. The result of LC with EST is good in admission duration, patient's satisfaction, cosmesis, postop. morbidity & mortality and recurrence rate. LC with EST is a good, minimally invasive surgical treatment modality for patients with cholelithiasis combined with choledocholithiasis. However a longer follow-up period will be needed to better assess long term results.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Dong Sup(윤동섭) ORCID logo https://orcid.org/0000-0001-6444-9606
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/183632
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