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복강경과 개복하 담낭절제술의 비교 분석

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Affiliated Author(s)
장영호전재규이정구
Alternative Author(s)
Jang, Young HoCheun, Jae KyuLee, Jung Koo
Journal Title
대한마취과학회지
ISSN
0302-5780
Issued Date
1995
Abstract
Laparoscopic choiecystectomy, a surgical technique first performed in France, which has gained widespread acceptance among surgeons in Korea.
The advantages of the laparoscopic technique include : lesser patient discomfort, shorter hospi-talization, and a shorter return interval to full activities after operation. It has been postulated that due to the minimal incisional discomfort of laparoscopic cholecystectomy, the postoperative pulmonary function following this procedure would be improved as compared to open cholecystectomy.
Laparoscopic cholecystectomy uses carbon dioxide, a highly diffusable gas, for insufflation. With extended periods of insufflation, a patient's arerial carbon dioxide levels may be adversely altered.
We performed 44 laparoscopic cholecystectomy in 1993. There were 22 women and 22 men, with a mean age of 50.0±11.9 years. The mean operative time was 86.7±24.3 minutes, reflecting a 62 oercebt decrease in operative time compared to the open cholecystectomy. The mean hospital stay was 4.6±2.0 days.
To analyze the hemodynamic effects of carbon dioxide during laparoscopic cholecystectomy, the changes of pH, PaCO2, and SaO2 were studied.
The measurement showed significant increase of arterial carbon dioxide.
Finally, during laparoscopic cholecystectomy patients may require careful intraopererative arterial blood gas monitoring of the absorbed carbon dioxide.
Key Words : Laparoscopy, Carbon dioxide insufflation
Alternative Title
Comparison of Open and Laparoscopic Cholecystectomies
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Publisher
School of Medicine
Citation
장영호 et al. (1995). 복강경과 개복하 담낭절제술의 비교 분석. 대한마취과학회지, 28(6), 796–802. doi: 10.4097/kjae.1995.28.6.796
Type
Article
ISSN
0302-5780
DOI
10.4097/kjae.1995.28.6.796
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40074
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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