CAJ | 학술논문

目的探讨腹腔镜手术在青少年十二指肠穿孔中的应用价值.方法 2003年7月至2008年7月,非随机将21例十二指肠穿孔患儿分为腹腔镜手术组和传统开腹组,对比观察手术操作情况及患儿术中、术后情况,结果通过统计学分析.结果所有手术均顺利完成,腹腔镜手术修补青少年十二指肠穿孔均获成功无中转开腹,手术时间(75.5±18.0)min,较开腹手术(68.5±14.7)min无明显延长,住院时间腹腔镜组(5.8±1.8)d,对比开腹组(6.5±1.5)d亦无明显差别.术后无严重并发症发生.随访3～18个月,无远期并发征发生.结论在青少年十二指肠穿孔患者中,腹腔镜手术可以替代传统开腹手术.
목적 탐토복강경수술재청소년십이지장천공중적응용개치.방법 2003년7월지2008년7월,비수궤장21례십이지장천공환인분위복강경수술조화전통개복조,대비관찰수술조작정황급환인술중、술후정황,결과통과통계학분석.결과 소유수술균순리완성,복강경수술수보청소년십이지장천공균획성공무중전개복,수술시간(75.5±18.0)min,교개복수술(68.5±14.7)min무명현연장,주원시간복강경조(5.8±1.8)d,대비개복조(6.5±1.5)d역무명현차별.술후무엄중병발증발생.수방3～18개월,무원기병발정발생.결론 재청소년십이지장천공환자중,복강경수술가이체대전통개복수술.
Objective To evaluate the application of laparoscopie surgery for juveniles with duo-denal ulcer perforation. Methods From July 2003 to July 2008, clinical data from 21 juveniles with du-odenal ulcer perforation in this hospital were analyzed retrospectively. Twenty-one patients with the clinical diagnosis of duodenal ulcer perforation were allocated into two groups to undergo either open or laparoscopic surgery. The mean operating time, mean length of stay and the incidence of postoperative complications in both groups were eompered. Results Both of the procedures were performed success-fully for all patients. None in the laparoscopie group required conversion to an open procedure. No sig-nificant difference was noted in the mean operating time between the laparoscopic and open surgery group (75. 5 ± 18. 0 min vs 68. 5 ± 14. 7 min, P= 0. 37) or in the mean length of stay (5. 8±1.8 d vs 6. 3 ± 1.5 d). No severe complication was noted in either group. Conclusions Laparoscopic repair is technically feasible and safe, which is an effective alternative for juveniles with duodenal ulcer perfora-tion.