임신중 복강경 충수절제술과 개복 충수절제술의 비교
A COMPARISON OF LAPAROSCOPIC VERSUS OPEN APPENDECTOMY DURING PREGNANCY
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초록
목적임신중 복강경하 충수절제술은 최근까지도 안정성에 대해 논란이 되고 있다. 저자들은 본 연구를 통해 복강경 충수절제술과 개복 충수절제술 간의 차이를 분석하고 안정성에 대해 연구해 보고자 한다. 연구방법2003년 1월부터 2010년 6월까지 임신중 급성충수염으로 수술을 받은 65명을 대상으로 하였다. 총 49명이 개복 충수절제술(개복군)을시행 받았으며, 16명이 복강경 충수절제술(복강경군)을 시행 받았다. 두 군 사이에 수술 시간, 입원기간 등 임상적 소견 및 합병증과 태아와 산모에 대한 예후를 추적 관찰하였다. 결과개복군과 복강경군 사이에 수술 시간, 입원 기간, 합병증 발생률의 차이는 없었다. 모든 예에서 유산이나 조산은 없었다. 결론임신중 복강경 충수절제술은 태아와 산모에게 비교적 안전하다고 생각된다.
Abstract
Objective Laparoscopic appendectomy in pregnancy has not been considered the preferred procedure in appendicitis until recently. The aim of this study was to evaluate the safety of laparoscopic appendectomy during pregnancy as compared with open appendectomy during pregnancy. Methods Between January 2003 and June 2010, 65 pregnant women underwent appendectomy for suspected acute appendicitis at the department of surgery, Dankook University Hospital. There were 49 patients in the open appendectomy group (OA group) and 16 patients in the laparoscopic group (LA group). We reviewed the charts of pregnant patients who went through an open and laparoscopic appendectomy. Results There were no signifi cant differences in the length of the surgery, the hospital stay and the complication rate between the LA and OA groups. There were no signifi cant differences between the two groups for pregnancy outcome. There were no fetal losses or abortions. Conclusion Laparoscopic appendectomy is safe during pregnancy and is associated with good maternal and fetal outcome.
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