CAJ | 학술논문

目的：探讨线袢固定阑尾在腹腔镜阑尾切除术的安全性。方法选择行腹腔镜阑尾切除术的急性阑尾炎患者74例，随机分为线袢固定组38例和未固定组36例。2组除固定外采用相同的手术程序。比较2组手术时间、术后住院时间及手术后并发症（切口感染与发热）发生率。结果线袢固定组手术时间及术后住院时间明显少于未固定组（P＜0．01）；2组术后并发症发生率差异无统计学意义（P＞0．05）。结论采用经皮线袢固定阑尾切除术未增加手术切口，安全可行，且可减少手术时间，不增加任何术后并发症。
목적：탐토선번고정란미재복강경란미절제술적안전성。방법선택행복강경란미절제술적급성란미염환자74례，수궤분위선번고정조38례화미고정조36례。2조제고정외채용상동적수술정서。비교2조수술시간、술후주원시간급수술후병발증（절구감염여발열）발생솔。결과선번고정조수술시간급술후주원시간명현소우미고정조（P＜0．01）；2조술후병발증발생솔차이무통계학의의（P＞0．05）。결론채용경피선번고정란미절제술미증가수술절구，안전가행，차가감소수술시간，불증가임하술후병발증。
Obj ective To explore the safety of laparoscopic appendectomy with percutaneous thread loop.Methods Acute appendicitis patients 74 cases treated with laparoscopic appendectomy were enrolled.The patients were randomly divided into wire loop fixation group (n=38)and non fixation group.The two group adopted the same operation procedure except the fixation.Comparison was made between two groups of patients in operation time,post-operation hospitalization time and post-operation complications (incision infection and fever).Results Compared with non fixation group,the mean operation time and post-operation hospital stay in loop group were significantly decreased (P<0.01),but there were no significant difference in the post-operation complications between two groups.Conclusion Laparoscopic appendectomy with percutaneous thread loop did not increase operative incision in the clinical use,the method is safe and effective,and also it reduced the operation time,but did not raise any post-operation complications.