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The Meaning of Open Cholecystectomy for Acute Cholecystitis
급성 담낭염에서 개복 담낭절제술의 의미
Korean Journal of HBP Surgery 2010 Jun;14(2):105-9
Published online June 30, 2010
Copyright © 2010 Korean Journal of Hepato-Biliary-Pancreatic Sursery.

Hee Yong Kwak, M.D., Sung Geun Kim, M.D., Jong Kyoung Park, M.D., Seong Lee, M.D.
곽희용, 김성근, 박종경, 이성

Department of Surgery, School of Medicine, The Catholic University of Korea
가톨릭대학교 의과대학 외과학교실
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: Laparoscopic cholecystectomy has been used widely for effective management of acute cholecystitis. However, it has limitations. In this study, we compared laparoscopic approaches and an open method. The meaning of the open method was assessed again.
Methods: A retrospective review of 60 patients undergoing cholecystectomy for acute cholecystitis was done. Thirty patients were part of a laparoscopic cholecystectomy group; the other 30 patients were part of an open cholecystectomy group. Laparoscopic cholecystectomy was done using a 4-trochar method. We reviewed geographic characteristics, body mass index, white blood cell count, and clinical outcomes.
Results: Age, gallbladder wall thickness and white blood cell counts were significantly different between the 2 groups; operation time was not. The length of the postoperative hospital stay in the laparoscopic group was significantly shorter than that in the open group. There was one case of bile leakage in the laparoscopic group which was treated by endoscopic nasal bile drainage.
Conclusion: Open cholecystectomy is still a valid choice for acute cholecystitis in the modern era of laparoscopic surgery. In severe cases, conversion is not a failure and should be done immediately if necessary.
Keywords : Acurte cholecystitis, Cholecystectomy, Medical insurance

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