• Title/Summary/Keyword: 흉강경

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The Effect of Less Invasive Methods with VATS in the Management of Descending Necrotizing Mediastinitis (하행성 괴사성 종격동염의 치료에서의 비디오 흉강경을 이용한 저침습적 방법의 효용성)

  • 민호기;심영목;김진국
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.630-633
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    • 2002
  • Although the incidence of descending necrotizing mediastinitis(DNM) is low, this is a serious disease because it"s mortality have been reported to be as high as 40∼50%. Currently, many authors have emphasized aggressive surgical approaches rather than medical treatment alone. We report good results in 2 DNM patients treated by less invasive approach with video-assisted thoracoscopic surgery, Less invasive methods with video-assisted thoracoscopic surgery can reduce hospital stay and morbidity if effective drainage can be achieved in selected DNM patients.

Thoracoscopic Lobectomy of Pulmonary Arteriovenous Fistula -A Case Report- (흉강경을 이용한 폐동정맥루의 수술)

  • Im, Jeong-Cheol;Jang, Taek-Hui;Baek, Hui-Jong;Na, Myeong-Hun
    • Journal of Chest Surgery
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    • v.29 no.6
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    • pp.660-663
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    • 1996
  • Pulmonary arteriovenous fistula is relatively rare disease, and the most common types are congenital in origin. The clinical presentation of pulmonary arteriovenous fistula ranges from incidental finding on a chest roentgenogram to polycythemia, cyanosis, congestive heart failure, and major neurologic deficits caused by paradoxical embolism. Recently we have experienced a case of asymptomatic, well-localized pulmonary arteriovenous fistula In a 13 years-old female patient, which was successfully treated by thoracoscopic lobectomy.

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A Central Diaphragmatic Eventration with Accessory Hepatic Lobe Causing Cardiac Compression. (간 부엽에 의해 심장압박이 동반된 선천성 횡격막 거상증)

  • 오봉석;송상윤;서홍주;임영혁;김보영
    • Journal of Chest Surgery
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    • v.34 no.12
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    • pp.972-975
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    • 2001
  • A case of congenital diaphragmatic eventration on the right and central tendinous portion with accessory hepatic lobe causing direct compression of the right heart is presented. We have performed the video assisted thoracoscopic plication of the right hemidiaphragm and eliminated the mass effect of the accessory hepatic lobe.

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Splanchnicotomy and Thoracic Sympathicotomy for Control of Intractable Abdominal Pain -One Case Report- (내장신경 절단 및 흉부교감신경 절단을 통한 난치성 복통의 치료 -1례 보고-)

  • 황정주;김재영;이두연
    • Journal of Chest Surgery
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    • v.33 no.12
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    • pp.995-997
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    • 2000
  • 내장의 통증은 교감신경을 통하여 척수로 전달된다고 알려져있다. 특히 췌장염이나 췌장암의 통증에 관해서 Mallet-Guy 등이 1943년 큰내장신경 및 요교감신경절 절제술을 시행한 이래로 상기 방법이 이용되어 왔다. 내장신경 절제술은 효과에 비해 수술이 커지고, 긴 바늘을 이용한 복강신경총 차단술이 발달하면서 사장된 방법으로 여겨졌다. 그러나, 최근에 흉강경을 이용한 수술방법이 발달하면서 간단히 큰내장신경 절제술이 가능해져 흉강경을 이용한 큰내장신경 절단술은 난치성 복통치료의 좋은 방법으로 받아 들여지고 있다.

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