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      KCI등재 SCOPUS SCIE

      80세 이상 고령 환자에서의 복강경담낭절제술

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      https://www.riss.kr/link?id=A60187188

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      다국어 초록 (Multilingual Abstract)

      Purpose: Biliary tract disease is one of the most common causes of acute abdominal pain in elderly patients, but there is still some debate over treatment. The aim of this study is to determine the safety and surgical outcomes of laparoscopic cholecys...

      Purpose: Biliary tract disease is one of the most common causes of acute abdominal pain in elderly patients, but there is still some debate over treatment. The aim of this study is to determine the safety and surgical outcomes of laparoscopic cholecystectomy (LC) for benign gallbladder disease in octogenarian patients.
      Methods: We selected 42 patients of 80 years or older who underwent LC or open-converted cholecystectomy(OC) from February 1992 to November 2006. We evaluated clinicopathological features, treatment modalities, and surgical outcomes retrospectively.
      Results: The patients included 17 males and 25 females. The mean age of the patients was 83.3 and 83.7, respectively. Right upper quadrant pain was the most common symptom, present in 85.7% of the patients. Gallstones were present in 85.7%. ASA class Ⅱ and Ⅲ comprised 92.9% of the patients. Comorbidities included hypertension, cardiac disease, pulmonary disease, and diabetes mellitus. Preoperatively biliary drainage was performed in 12 cases (endoscopic drainage in 8, percutaneous drainage in 4 cases). Preoperative cholecystostomy was performed in 5 cases. Emergency operations were more frequent than elective surgery (25 vs. 17). Mean hospital stay of LC patients was 5 days, whereas that of OC patients was 13 days. Open conversion rate was 16.7%. No surgical mortality was present and postoperative morbidity included acute myocardial infarction in one patient and wound infection in one patient.
      Conclusion: LC in octogenarian patients was safe. However, since the incidence of comorbidities is high in these patients, great care should be taken to evaluate and manage the comorbidities before surgery.

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      목차 (Table of Contents)

      • 서론
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      • 결과
      • 고찰
      • 결론
      • 서론
      • 방법
      • 결과
      • 고찰
      • 결론
      • REFERENCES
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      참고문헌 (Reference)

      1 Bakkaloglu H, "Ultrasound guided percutaneous cholecystostomy in high-risk patients for surgical intervention" 12 : 7179-7182, 2006

      2 Harness JK, "Symptomatic biliary tract disease in the elderly patient" 52 : 442-445, 1986

      3 Johansson M, "Randomized clinical trial of open versus laparoscopic cholecystectomy in the treatment of acute cholecystitis" 92 : 44-49, 2005

      4 Kwon AH, "Preoperative diagnosis and efficacy of laparoscopic procedures in the treatment of Mirizzi syndrome" 204 : 409-415, 2007

      5 Patel M, "Percutaneous cholecystostomy is an effective treatment for high-risk patients with acute cholecystitis" 66 : 33-37, 2000

      6 Ross SO, "Pancreatic and biliary disorders in the elderly" 30 : 531-545, 2001

      7 Brunt LM, "Outcomes analysis of laparoscopic cholecystectomy in the extremely elderly" 15 : 700-705, 2001

      8 Fried GM, "Minimally invasive surgery in the elderly patient" 74 : 375-387, 1994

      9 Irvin TT, "Management of symptomatic gallstones in the elderly" 75 : 1163-1165, 1988

      10 Lujan JA, "Laparoscopic vs. open cholecystectomy in patients aged 65 and older" 8 : 208-210, 1998

      1 Bakkaloglu H, "Ultrasound guided percutaneous cholecystostomy in high-risk patients for surgical intervention" 12 : 7179-7182, 2006

      2 Harness JK, "Symptomatic biliary tract disease in the elderly patient" 52 : 442-445, 1986

      3 Johansson M, "Randomized clinical trial of open versus laparoscopic cholecystectomy in the treatment of acute cholecystitis" 92 : 44-49, 2005

      4 Kwon AH, "Preoperative diagnosis and efficacy of laparoscopic procedures in the treatment of Mirizzi syndrome" 204 : 409-415, 2007

      5 Patel M, "Percutaneous cholecystostomy is an effective treatment for high-risk patients with acute cholecystitis" 66 : 33-37, 2000

      6 Ross SO, "Pancreatic and biliary disorders in the elderly" 30 : 531-545, 2001

      7 Brunt LM, "Outcomes analysis of laparoscopic cholecystectomy in the extremely elderly" 15 : 700-705, 2001

      8 Fried GM, "Minimally invasive surgery in the elderly patient" 74 : 375-387, 1994

      9 Irvin TT, "Management of symptomatic gallstones in the elderly" 75 : 1163-1165, 1988

      10 Lujan JA, "Laparoscopic vs. open cholecystectomy in patients aged 65 and older" 8 : 208-210, 1998

      11 Vagenas K, "Laparoscopic cholecystectomy: a report from a single center" 12 : 3887-3890, 2006

      12 Maxwell JG, "Laparoscopic cholecystectomy in octogenarians" 64 : 826-831, 1998

      13 Majeski J, "Laparoscopic cholecystectomy in geriatric patients" 187 : 747-750, 2004

      14 Eldar S, "Laparoscopic cholecystectomy for acute cholecystitis: prospective trial" 21 : 540-545, 1997

      15 Walsh RM, "Innovations in treating the elderly who have biliary and pancreatic disease" 22 : 545-558, 2006

      16 Mouret P, "From the first laparoscopic cholecystectomy to the frontiers of laparoscopic surgery: the future prospectives" 8 : 124-125, 1991

      17 Burdiles P, "Factors affecting mortality in patients over 70 years of age submitted to surgery for gallbladder or common bile duct stones" 36 : 136-139, 1989

      18 Cha SW, "Clinical features of gallstone in elderly patients" 28 : 260-266, 1996

      19 Krasman ML, "Biliary tract disease in the aged" 7 : 347-370, 1991

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-11-12 학술지명변경 한글명 : 대한외과학회지 -> Annals of Surgical Treatment and Research KCI등재
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2013-12-30 학술지명변경 외국어명 : Journal of The Korean Surgical Society -> Annals of Surgical Treatment and Research KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2006-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2005-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2004-01-01 평가 등재후보학술지 유지 (등재후보1차) KCI등재후보
      2002-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 1.39 0.21 0.97
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.73 0.56 0.328 0.06
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