Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Combined Surgery of Pulmonary Resection and Coronary Artery Bypass Grafting (CABG)

폐절제와 관상동맥 우회술의 동반 수술 치험 3예

  • Kim Jin Sun (Department of Thoracic and Cardiovascular Surgery, Sungkyunkwan University School of Medicine) ;
  • Lee Young Tak (Department of Thoracic and Cardiovascular Surgery, Sungkyunkwan University School of Medicine) ;
  • Kim Jhingook (Department of Thoracic and Cardiovascular Surgery, Sungkyunkwan University School of Medicine) ;
  • Kim Kwhanmien (Department of Thoracic and Cardiovascular Surgery, Sungkyunkwan University School of Medicine) ;
  • Choi Yong Soo (Department of Thoracic and Cardiovascular Surgery, Sungkyunkwan University School of Medicine) ;
  • Sung Kiick (Department of Thoracic and Cardiovascular Surgery, Sungkyunkwan University School of Medicine) ;
  • Shim Young Mog (Department of Thoracic and Cardiovascular Surgery, Sungkyunkwan University School of Medicine)
  • 김진선 (성균관대학교 의과대학 삼성서울병원 흉부외과학교실) ;
  • 이영탁 (성균관대학교 의과대학 삼성서울병원 흉부외과학교실) ;
  • 김진국 (성균관대학교 의과대학 삼성서울병원 흉부외과학교실) ;
  • 김관민 (성균관대학교 의과대학 삼성서울병원 흉부외과학교실) ;
  • 최용수 (성균관대학교 의과대학 삼성서울병원 흉부외과학교실) ;
  • 성기익 (성균관대학교 의과대학 삼성서울병원 흉부외과학교실) ;
  • 심영목 (성균관대학교 의과대학 삼성서울병원 흉부외과학교실)
  • Published : 2005.03.01
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Abstract

The patients with primary lung cancer who have symptoms of angina pectoris commonly have underwent coronary artery bypass grafting (CABG) prior to lung resection. Recently, there are attempts to conduct simultaneous operation of CABG and lung resection to reduce disadvantages of staged operation, such as repeated general anesthesia, two wound incisions and delay of lung operation. These attempts generally report good results. Three patients underwent lung resection and CABG simultaneously, and had good post operative status without recurrence of cancer and angina pectoris. We conceive these as worthy cases to report.

원발성 폐암의 환자에서 협심증을 동반하고 있는 경우 그 동안 관상동맥우회술을 폐수술 전에 먼저 시행하여 교정하는 단계적인 방법이 주로 이용되었다. 그러나 최근 관상동맥우회술과 폐절제를 동시에 시행하여 단계적 수술 방법의 단점으로 지적되고 있는 두 번의 전신마취, 두 개의 수술상처, 폐 절제의 지연 등을 감소시키려는 경향이 늘고 있고, 좋은 성적을 보고하고 있다. 본원에서도 국내 최초로 폐절제와 관상동맥우회술을 동시에 시행하여 수술 후 양호한 경과를 보이면서 현재까지 추적 관찰하는 중에 암과 협심증의 재발이 없음을 관찰하였기에 보고하는 바이다.

Keywords

References

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