{"id":25214,"date":"2025-12-13T09:01:53","date_gmt":"2025-12-13T00:01:53","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/12\/13\/25214\/"},"modified":"2025-12-13T09:01:53","modified_gmt":"2025-12-13T00:01:53","slug":"%eb%b3%b5%ea%b0%95%ea%b2%bd%eb%8b%b4%eb%82%ad%ec%a0%88%ec%a0%9c%ec%88%a0-laparoscopic-cholecystectomy","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/12\/13\/25214\/","title":{"rendered":"\ubcf5\uac15\uacbd\ub2f4\ub0ad\uc808\uc81c\uc220 Laparoscopic cholecystectomy"},"content":{"rendered":"

<\/p>\n

\ubaa9\ucc28<\/strong><\/p>\n

1) \uc77c\ubc18\uc801 \uc815\ubcf4<\/p>\n

2) \ubb38\ud5cc\uace0\ucc30(\ud658\uc790\uc5d0\uac8c \uc5ec\ub7ec \uac00\uc9c0 \uc9c8\ubcd1\uc774 \uc788\ub2e4\uba74 \uc218\uc220\ud558\ub294 \uc9c8\ud658\uc5d0 \ub300\ud55c \uc870\uc0ac)<\/p>\n

3-1) \uc218\uc220 \uc804 \uac04\ud638
\n3-2) \uc218\uc220 \uc804 \ud22c\uc57d (\uc608\uc2dc\uc774\ubbc0\ub85c \uc2e4\uc81c \uc790\uae30 \ud658\uc790 \uac83\uc744 \ud655\uc778\ud558\uae30)<\/p>\n

4) \uc218\uc220 \uc911 \uac04\ud638\uae30\ub85d<\/p>\n

5) \uc218\uc220\uacfc\uc815-\ubcf8\uc778\uc774 \uad00\ucc30\ud55c \ub0b4\uc6a9\uc744 EMR\uacfc \ub2e4\ub978 \uc790\ub8cc\ub97c \ucc38\uc870\ud558\uc5ec \uc790\uc138\ud788 \uae30\ub85d\ud558\uc2dc\uae38 \ubc14\ub78d\ub2c8\ub2e4.<\/p>\n

6) \uc218\uc220 \uc2dc \uac04\ud638\uc0ac\uc758 \uc5ed\ud560<\/p>\n

7) \ubd09\ud569\uc0ac\uc758 \uc885\ub958\uc640 \ud2b9\uc9d5<\/p>\n

\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n

2) \ubb38\ud5cc\uace0\ucc30(\ud658\uc790\uc5d0\uac8c \uc5ec\ub7ec \uac00\uc9c0 \uc9c8\ubcd1\uc774 \uc788\ub2e4\uba74 \uc218\uc220\ud558\ub294 \uc9c8\ud658\uc5d0 \ub300\ud55c \uc870\uc0ac)
\n\uc9c4\ub2e8
\nr\/o GB cancer
\n\uc815\uc758
\n\ub2f4\ub0ad\uc554\uc774\ub780 \ub2f4\ub0ad\uc5d0\uc11c \uc0dd\uae30\ub294 \uc554\uc138\ud3ec\ub85c \uc774\ub8e8\uc5b4\uc9c4 \uc885\uad34\uc774\ub2e4.
\n\ub2f4\ub0ad \uc138\ud3ec\uc5d0\uc11c \ubc1c\uc0dd\ud558\ub294 \uc120\uc554\uc885\uc774 80%\uc815\ub3c4\ub97c \ucc28\uc9c0\ud558\uba70, \uc77c\ubc18\uc801\uc778 \ub2f4\ub0ad\uc554\uc740 \uc120\uc554\uc885\uc744 \ub9d0\ud55c\ub2e4.
\n\uc120\uc554\uc885\uc740 \uc778\uccb4\uc758 \uc120 \uc870\uc9c1, \uc989\uc0d8\uc138\ud3ec \uc870\uc9c1\uc5d0 \uc0dd\uae30\ub294 \uc554\uc774\ub2e4.
\n\uc99d\uc0c1
\n– \ub2f4\uc11d \uce58\ub8cc\ub97c \uc704\ud574 \uc808\uc81c\ud55c \ub2f4\ub0ad \uc870\uc9c1\uc5d0\uc11c \uc6b0\uc5f0\ud788 \ubc1c\uacac\ub418\uba70, \uc544\uc8fc \uae09\uaca9\ud558\uac8c \uc9c4\ud589\ub418\uc5b4 \uadfc\uce58\uc801 \uce58\ub8cc\uac00 \ubd88\uac00\ub2a5\ud574\uc9c0\ub294 \uacbd\uc6b0\uae4c\uc9c0 \ub2e4\uc591\ud55c \ubaa8\uc2b5\uc744 \ubcf4\uc778\ub2e4.
\n– \uc77c\ubc18\uc801\uc73c\ub85c \uc554 \ucd08\uae30\uc5d0\ub294 \uc99d\uc0c1\uc774 \uc5c6\uc5b4 \uc870\uae30 \ubc1c\uacac\uc774 \uc5b4\ub835\ub2e4.
\n– \ucd08\uae30 \uc99d\uc0c1 : \ud669\ub2ec \uc99d\uc0c1 \uc5c6\uc74c, \ube44\ud2b9\uc774\uc801 \ubcf5\ud1b5, \uac04 \uae30\ub2a5 \uac80\uc0ac \uc774\uc0c1, \ub2f4\uc11d\ub9cc \uc788\ub294 \uac83\uc73c\ub85c \uc624\uc778\ud558\uc5ec \ub2f4\ub0ad\uc744 \uc808\uc81c\ud558\uace0 \ubcf4\ub2c8 \uc554\uc774 \uc788\ub294 \uc0ac\ub840\uac00 \uc788\ub2e4.
\n– \ube44\ud2b9\uc774\uc801 \uc99d\uc0c1 : \uccb4\uc911 \uac10\uc18c, \ud53c\uace4\ud568, \uc2dd\uc695\ubd80\uc9c4, \uc624\uc2ec, \uad6c\ud1a0, RLQ \ub610\ub294 \uc2ec\uc640\ubd80\uc758 \ub69c\ub837\ud558\uc9c0 \uc54a\uc740 \ud1b5\uc99d, \ud669\ub2ec, \uac04\ud639 \uc2ed\uc774\uc9c0\uc7a5\uc774\ub098 \ub300\uc7a5\uc758 \ud3d0\uc0c9\uc774 \ub3d9\ubc18\ub418\uae30\ub3c4 \ud55c\ub2e4.
\n– \ub2f4\ub0ad\uc554, \ub2f4\ub3c4\uc554\uacfc \uc5f0\uad00\ub41c \ud669\ub2ec\uc740 \uc885\uc591\uc774 \ub2f4\ub3c4\uc5d0\uc11c \uc2ed\uc774\uc9c0\uc7a5\uc73c\ub85c \uc774\uc5b4\uc9c0\ub294 \ubd80\ubd84\uc744 \ud3d0\uc1c4\ud558\uc5ec \ubc1c\uc0dd\ud55c\ub2e4.
\n\uc9c4\ub2e8
\n– \ub2f4\ub0ad\uc554\uc740 \ucd08\uae30\uc5d0 \uc99d\uc0c1\uc774 \uac70\uc758 \uc5c6\uc744 \ubfd0 \uc544\ub2c8\ub77c, \uc788\ub2e4 \ud574\ub3c4 \uc18c\ud654\uae30\uacc4\ud1b5 \ub2e4\ub978 \ubd80\uc704(\ud2b9\ud788 \uc704, \uac04)\uc5d0 \ubb38\uc81c\uac00 \uc788\uc744 \ub54c\uc758 \uc99d\uc0c1\ub4e4\uacfc \ub69c\ub837\uc774 \uad6c\ubd84\ub418\uc9c0 \uc54a\uc544 \uc870\uae30 \ubc1c\uacac\uc774 \ub9e4\uc6b0 \uc5b4\ub835\ub2e4.
\n– \ucd08\uc74c\ud30c\uac80\uc0ac, \uc804\uc0b0\ud654\ub2e8\uce35\ucd2c\uc601(CT), \uc790\uae30\uacf5\uba85\uc601\uc0c1(MRI), \ub0b4\uc2dc\uacbd\uc801 \uc5ed\ud589\uc131 \ub2f4\ucdcc\uad00\uc870\uc601\uc220 (ERCP), \uacbd\ud53c\uacbd\uac04 \ub2f4\ub3c4\uc870\uc601\uc220(PTC), \ub0b4\uc2dc\uacbd \ucd08\uc74c\ud30c\uac80\uc0ac(EUS), \uc591\uc131\uc790\ubc29\ucd9c\ub2e8\uce35\ucd2c\uc601(PET), \ud608\uccad \uc885\uc591\ud45c\uc9c0\uc790\uac80\uc0ac \ub4f1\uc73c\ub85c \uc9c4\ub2e8\uc774 \uac00\ub2a5\ud558\ub2e4.
\n– \ucd08\uc74c\ud30c\uac80\uc0ac : \ud1b5\uc99d\uc774 \uc788\uac70\ub098 \ud669\ub2ec\uc774 \uc654\uc744 \ub54c \ub2f4\uc11d\uc99d \ub4f1\uacfc \uac10\ubcc4\ud558\uae30 \uc704\ud574 \uc77c\ucc28\uc801\uc73c\ub85c \uc2dc\ud589
\n– \uc804\uc0b0\ud654\ub2e8\uce35\ucd2c\uc601 : \ucd08\uc74c\ud30c\ubcf4\ub2e4 \uc9c4\ub2e8\uc5d0 \ub354 \uc720\uc6a9\ud558\uba70, 1cm \uc815\ub3c4\uc758 \uc554\ub3c4 \ubc1c\uacac\ud560 \uc218 \uc788\ub2e4.
\n– \uc790\uae30\uacf5\uba85\uc601\uc0c1\ucd2c\uc601 : \uac04 \uc804\uc774\ub97c \ub354 \uc798 \ubc1c\uacac\ud560 \uc218 \uc788\ub2e4.
\n– \ub0b4\uc2dc\uacbd\uc801 \uc5ed\ud589\uc11d \ub2f4\ucdcc\uad00\uc870\uc601\uc220 : \uc815\ud655\ub3c4\uac00 \ub192\uace0, \ub2f4\uc999\ubc30\uc561\uc220 \uac19\uc740 \uce58\ub8cc \ub3d9\uc2dc \uc9c4\ud589 \uac00\ub2a5\ud558\ub2e4.
\n\uc9c4\ud589 \ub2e8\uacc4
\n<\uac01\uc885 \uc554\uc758 \ubcd1\uae30 \uacb0\uc815\uc5d0 \uac00\uc7a5 \ub9ce\uc774 \uc4f0\uc774\ub294 TNM \ubd84\ub958\ubc95>
\n** \uc774 \uc138 \uc694\uc18c\ub97c \uc870\ud569\ud558\uc5ec \ubcd1\uae30\ub97c 1~4\uae30\ub85c \uad6c\ubd84\ud569\ub2c8\ub2e4.
\n\u2192 T (tumor) : \uc6d0\ubc1c \uc885\uc591\uc758 \ud06c\uae30\uc640 \uce68\uc724 \uc815\ub3c4
\n\u2192 N (node) : \uc8fc\uc704 \ub9bc\ud504\uc808\ub85c \ud37c\uc9c4 \uc815\ub3c4
\n\u2192 M (metastasis) : \ub2e4\ub978 \uc7a5\uae30\ub85c\uc758 \uc804\uc774(\uc6d0\uaca9\uc804\uc774) \uc5ec\ubd80<\/p>\n

\ucd9c\ucc98 : \ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\ubaa9\ucc28 1) \uc77c\ubc18\uc801 \uc815\ubcf4 2) \ubb38\ud5cc\uace0\ucc30(\ud658\uc790\uc5d0\uac8c \uc5ec\ub7ec \uac00\uc9c0 \uc9c8\ubcd1\uc774 \uc788\ub2e4\uba74 \uc218\uc220\ud558\ub294 \uc9c8\ud658\uc5d0 \ub300\ud55c \uc870\uc0ac) 3-1) \uc218\uc220 \uc804 \uac04\ud638 3-2) \uc218\uc220 \uc804 \ud22c\uc57d (\uc608\uc2dc\uc774\ubbc0\ub85c \uc2e4\uc81c \uc790\uae30 \ud658\uc790 \uac83\uc744 \ud655\uc778\ud558\uae30) 4) \uc218\uc220 \uc911 \uac04\ud638\uae30\ub85d 5) \uc218\uc220\uacfc\uc815-\ubcf8\uc778\uc774 \uad00\ucc30\ud55c \ub0b4\uc6a9\uc744 EMR\uacfc \ub2e4\ub978 \uc790\ub8cc\ub97c \ucc38\uc870\ud558\uc5ec \uc790\uc138\ud788 \uae30\ub85d\ud558\uc2dc\uae38 \ubc14\ub78d\ub2c8\ub2e4. 6) \uc218\uc220 \uc2dc \uac04\ud638\uc0ac\uc758 \uc5ed\ud560 7) \ubd09\ud569\uc0ac\uc758 \uc885\ub958\uc640 \ud2b9\uc9d5 \ubcf8\ubb38\ub0b4\uc6a9 2) \ubb38\ud5cc\uace0\ucc30(\ud658\uc790\uc5d0\uac8c […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[9301,31351,3559,18330,22877,24298],"class_list":["post-25214","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-__aa","tag-laparoscopic","tag-3559","tag-18330","tag-22877","tag-24298"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/25214","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/comments?post=25214"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/25214\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=25214"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=25214"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=25214"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}