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급성 충수염 : 2006년 대한소아외과학회회원 대상 전국조사

Other Titles
 Acute Appendicitis -A Survey by the Korean Association of Pediatric Surgeons in 2006- 
Authors
 이석구  ;  김대연  ;  홍정  ;  한석주  ;  최수진나  ;  최승훈  ;  최순옥  ;  최금자  ;  정풍만  ;  정을삼  ;  정성은  ;  정상영  ;  전용순  ;  장수일  ;  이성철  ;  이명덕  ;  이두선  ;  이남혁  ;  오정탁  ;  송영택  ;  서정민  ;  박우현  ;  박귀원  ;  김재천  ;  김재억  ;  김인구  ;  김우기  ;  김신곤  ;  김성철  ;  김상윤 
Citation
 Journal of the Korean Association of Pediatric Surgeons (소아외과), Vol.13(2) : 203-211, 2007 
Journal Title
 Journal of the Korean Association of Pediatric Surgeons (소아외과) 
ISSN
 1225-9047 
Issue Date
2007
Keywords
Acute appendicitis ; Laparoscopic surgery ; Antibiotics
Abstract
A nationwide survey on acute appendicitis (AAP) was undertaken among members of the Korean Association of Pediatric Surgeons. The members were required to complete a questionnaire and the case registration form for each patient during the 6 months period from the 1st October, 2005 to $31^{st}$ March, 2006. Questionnaires were collected from 23 members. Four hundred seventy six patients were registered from 21 hospitals where the members were working. The male to female ratio was 1.67:1. Average age was 9 years and 5 months (range 21 months-20 years). Operations were performed on average 10.4 hours (range 1-230 hours) from arrival at hospital. The average operation time was 59.1 minutes. The average admission days were 5.8 days (range 2-45 days). The most frequent symptoms were abdominal pain (95.1 %), vomiting (50.6 %) and fever (43.7%). The average duration of symptoms was 42.2 hours (range 1 hour-22 days). Leukocytosis (WBC count > 10,000) was found in 85.9%. The most popular diagnostic tools were ultrasonography and CT. Open surgery was performed in 72.1 % and laparoscopic surgery in 27.5 %. Two laparoscopic surgeries were converted to open surgery (0.4 %). Simple appendicitis was found in 54.5 % and complicated appendicitis such as abscess, gangrenous change and perforation in 45.5%. According to the questionnaires 12 hospitals were performing open surgery only in all patients. Four hospitals were performing laparoscopic surgery in all patients. Seven hospitals are performing both surgical methods according to surgeon or occasion. Regarding the use of antibiotics in acute appendicitis, three kinds of antibiotics were used in 40 % of total simple appendicitis patients. The results showed the trend of management in acute appendicitis in Korea. Especially it is necessary for the members to discuss the use of antibiotics for prophylaxis in the simple appendicitis.
Files in This Item:
T200701583.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Oh, Jung Tak(오정탁)
Choi, Seung Hoon(최승훈)
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96579
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