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Efficacy of Single-Port Video-Assisted Thoracoscopic Surgery Lobectomy Compared with Triple-Port VATS by Propensity Score Matching

  • Song, Kyung Sub;Park, Chang Kwon;Kim, Jae Bum
    • Journal of Chest Surgery
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    • v.50 no.5
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    • pp.339-345
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    • 2017
  • Background: In recent years, single-port video-assisted thoracoscopic surgery (VATS) for lobectomy in non-small cell lung cancer (NSCLC) patients has become increasingly common. The objective of this study was to compare the feasibility and safety of single-port and triple-port VATS lobectomy. Methods: A total of 73 patients with NSCLC who underwent VATS lobectomy from December 2011 to August 2016 were retrospectively reviewed, including 47 in the triple-port group and 26 in the single-port group. Statistical analysis was performed after propensity score matching. Patients were matched on a 1-to-1 basis. Results: Operative time and intraoperative blood loss in the triple-port group and the single-port group were similar ($189.4{\pm}50.8minutes$ vs. $205.4{\pm}50.6minutes$, p=0.259; $286.5{\pm}531.0mL$ vs. $314.6{\pm}513.1mL$, p=0.813). There were no cases of morbidity or mortality. No significant differences in complications or the total number of dissected lymph nodes were found between the 2 groups. In the single-port group, more mediastinal lymph nodes were dissected than in the triple-port group ($1.7{\pm}0.6$ vs. $1.2{\pm}0.5$, p=0.011). Both groups had 1 patient with bronchopleural fistula. Chest tube duration and postoperative hospital stay were shorter in the single-port group than in the triple-port group ($8.7{\pm}5.1days$ vs. $6.2{\pm}6.6days$, p=0.130; $11.7{\pm}6.1days$ vs. $9.5{\pm}6.4days$, p=0.226). However, the differences were not statistically significant. In the single-port group, the rate of conversion to multi-port VATS lobectomy was 11.5% (3 of 26). The rates of conversion to open thoracotomy in the triple-port and single-port groups were 7.7% and 3.8%, respectively (p=1.000). Conclusion: In comparison with the triple-port group, single-port VATS lobectomy showed similar results in safety and efficacy, indicating that single-port VATS lobectomy is a feasible and safe option for lung cancer patients.

Factors Affecting the Security Ability of Port Logistics Organization Members (항만물류조직구성원들의 보안능력에 영향을 미치는 요인)

  • Kang, Da-Yeon
    • Journal of Navigation and Port Research
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    • v.43 no.3
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    • pp.179-185
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    • 2019
  • Currently, despite having active movements related to port logistics security, there is lack of awareness, education, and security systems related to port technology. Before implementing port logistics security, a mutual authentication agreement should be reached through the establishment of an integrated network that can share port logistics security information in real time. In order to achieve port competitiveness and strengthen logistics service, establishment of national strategy for logistics security is necessary. However, there is an urgent need to raise the security consciousness among the port logistics organization members and enhance the information security ability which is a crucial feature of the port logistics organization. Therefore, the objective of this study is to analyze the factors affecting the information security capacity of port logistics organization members. Even though the analysis rejected the hypothesis that security regulations affect security awareness, the security activities and security awareness were significantly correlated. It also has a positive impact on the relationship between security norms and security abilities, and security awareness and security abilities.

3D Position Analysis and Tracking of an Object using Monocular USB port Camera (한 대의 USB port 카메라를 이용한 물체추적 과 3차원 정보 추출)

  • 이동엽;이동활;배종일;이만형
    • 제어로봇시스템학회:학술대회논문집
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    • 2000.10a
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    • pp.277-277
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    • 2000
  • This paper's purpose obtain information of three dimension using a camera. This system embody to know the height of object using triangle method between reference point of circumstance and object. As I use java program, it is possible to make system regardless of operating system, set up the system. By using comportable USB port camera, we used to everywhere without the capture board. We can use the internet by using the java's JMF and applet everywhere, we regard the camera as fixed.

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On the Effect of Sea Borne Cargo Movement to Urban Transportation in the Pusan Port -Container Transport Oriented- (부산 항만물동량이 도시교통에 미치는 영향에 관한 연구 - 컨테이너 화물 운송을 중심으로 -)

  • Yang, Won;Lee, Cheol-Yeong
    • Journal of Korean Port Research
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    • v.4 no.1
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    • pp.3-20
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    • 1990
  • The Port of Pusan, the largest port in Korea, handled 23% of total sea borne cargo movement, 14% of imported cargo, 58% of exported cargo and 95% of container cargo in 1989. Also the port of Pusan has been played a key role in handing container cargo throughout the last 10 years. The paper is aimed to survey the effect of sea borne cargo movement to urban transportation, that is, to find traffic volume arising by general/bulk cargoes through the port and to estimate vehicle rated of container tractor tailer on the roads between terminal including conventional piers and ODCY, and finally the following results are obtained. (1) AADV of truck to transport general/bulk cargoes are 6,322 units in 1989,and routes penetrate into the center of city and pass through the most of urban arterials. (2) In the container transport, if HVEF is adopted to 3 of tractor trailer, AVR in each transport freeway 13.7%. (3) IF HVEF is adopted to 6 of tractor trailer. AVR are as follows: BooDoo-Ro 44.1%, WooAm-Ro 39.3%, SooYoung-Ro 17.8%, Urban freeway 20.3%. Based upon these results, the following suggestions were drawn : o ODCY scattered around the city should be unified in a few groups to raise port productivity. o Rail service for inland container transportation should be escalated to relieve urban traffic congestion. o Coastal feeder service between terminal and hinterland should be studied to restrict the penetration of container tractor trailer into the central parts in the urban areas. o Exclusive freeway system for effective container transportation should be implemented to reduce urban traffic delay.

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Strategies for the Efficient Management of the Port Authority System in Korea: Focused on Incheon Port Authority (항만공사제도의 효율적 운영방안 - 인천항만공사를 중심으로 -)

  • Kang, Won-Duck;Kim, Hyeong-Il;Ahn, Seung-Bum
    • Journal of Korea Port Economic Association
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    • v.21 no.3
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    • pp.171-189
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    • 2005
  • In order to improve inefficient and unproductive factors and in response to criticisms of the failure in harbor privatization introduced in 1997, the Korean government introduced the Port Authority system, which is commonly adopted in advanced harbors in the world. This research examined the theoretical background of harbor management system and various cases of harbor management in foreign countries. The desirable introduction of Port Authority system must be preceded by the settlement of problems in harbor structure and operation. In addition, the Port Authority Act, which restricts the autonomy of harbor corporations, should be improved for user-centered Port Authority system. Strategies for the successful introduction of Incheon Port Authority are as follows. Firstly it is required to establish consumer-centered harbor operation system. The second requirement is to activate the harbor logistics industry through the development of nearby logistic complexes led by Port Authority and, by doing so, to promote the development of local economy. Thirdly it is essential to lay the foundation of mutual prosperity through developing profitable businesses by linking localities and harbors, and to suggest a crisis control network for Port Authority and local self-governing bodies to cope jointly with crises in logistics and natural disasters.

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Comparison and Analysis of Operation & Facilities Capacity of North Port of Busan (부산북항의 운영 및 시설능력 비교분석)

  • Kim Woo-sun;Choi Yong-suk;Ha Tae-Young
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2005.10a
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    • pp.313-317
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    • 2005
  • The purpose of this paper is grasp of busan port present situation. In particular, It is compare with facility and operation aside of abroad competitition port and busan new port, indivisual terminal of busan north port.

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Development of Model for the Alternative Selection of Port Privatization (항만 민영화 대안 선정을 위한 모형개발)

  • Baek, In-Hum
    • Journal of Fisheries and Marine Sciences Education
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    • v.26 no.6
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    • pp.1442-1450
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    • 2014
  • The aim of this study is to develop a model for the alternative selection in port privatization using Brainstorming, the ISM and AHP methods. For this, 30 detailed attributing factors were identified by both previous studies and port users, Also, 13 attributing evaluation factors were identified by a group of port experts using the brainstorming method. These were made into a model of hierarchical structure with 3 levels, taking 1 goal factor, 5 evaluation factors and 7 alternative factors using the ISM method. The collected date of questionnaires through the AHP method were analyzed with a group of port experts for an empirical analysis. The result of the hierarchical level 2 shows that profitability is the most important factor, followed by public interest, management professionality, service quality and financial soundness. The analysis results of hierarchical level 3 shows that commercialization is the most important factor.

A Study on the Classification of Chinese Major Ports based on Competitiveness Level

  • Lee, Hong-Girl;Yeo, Ki-Tae;Ryu, Hyung-Geun
    • Journal of Navigation and Port Research
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    • v.27 no.3
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    • pp.315-320
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    • 2003
  • Since the beginning of open-door policy, China has been making rapid annual growth with an average 10% economic development. And due to this rapid growth, cargo volumes via ports have been also rapidly increased, and accordingly, current China government has intensively invested in port development. Further, this development project is significantly big scale, compared with those project which Korea and Japan have. Thus, China is beginning to threaten Korean ports, especially Busan port which try to be a hub port in Northeast Asia. For this reason, it has been very important issue for Korea and Busan port to investigate or analyze Chinese ports based on empirical data. Especially, although various studies related to Shanghai and Hong Kong have been conducted, the competitiveness of overall Chinese major ports has been little studied. In this paper, we analyzed competitiveness level of eight Chinese ports with capabilities as container terminal, based on reliable sources. From data analysis, eight Chinese ports were classified into four groups according to competitiveness level. Rankings among four clusters based on competitiveness level are cluster(Hone Kong), cluster C(Shanghai), cluster A(Qingdao, Tianjin, and Yantian) and cluster D(Dalian, Shekou, and Xiamen).

Visual Preference Analysis of North Port Landscapes in Busan (부산 북항 항만경관의 시각적 선호도 분석)

  • Yhang, Wii-Joo;Gu, Bon-A;Yuhn, Ky-Hyang
    • Journal of Navigation and Port Research
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    • v.32 no.3
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    • pp.265-269
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    • 2008
  • This study was to analyze the visual preference of the port landscapes for North port in Busan. Preference related variables came from Semantic Differential(SD) method and then were conducted by the factor analysis. Multiple regression was done for the relationship between the preference and factors. The result found 4 factors, including dynamics, stability, pleasantness and healthiness. Much importance was placed on dynamics among them. Therefore, building port landscapes and their image attracting viewers should consider dynamics in terms of port landscape plan and user attraction development for visual quality management.

Current Issues in Reduced-Port Gastrectomy: A Comprehensive Review

  • Jong Won Kim
    • Journal of Gastric Cancer
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    • v.24 no.1
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    • pp.57-68
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    • 2024
  • Reduced-port gastrectomy (RPG) includes all procedures derived from various efforts to minimize surgical invasiveness, with single-incision laparoscopic gastrectomy (SILG) being the ultimate reduced-port technique. However, there are challenges related to its feasibility, oncological validity, training, and education. This review describes the current issues and challenges, as well as the future prospects of RPG for gastric cancer. Gastrectomy, which started as an open surgery, has evolved into a laparoscopic surgery. With the advancements in laparoscopic technology, SILG has been used to minimize surgical scarring. However, owing to the technical difficulties of SILG, cases involving the addition of 1 trocar or needle grasper alongside the multichannel port have also been reported. Additionally, 3-port laparoscopic gastrectomy (3PLG) using only 3 trocars is also being performed. RPG, as a concept, includes a range of approaches such as SILG, 2-port laparoscopic gastrectomy, and 3PLG. These techniques aimed to reduce the number of ports or incisions required for laparoscopic gastrectomy. Despite technical difficulties, RPGs offer numerous advantages, including minimal invasiveness, excellent cosmetic outcomes, and the potential for improved postoperative recovery, such as reduced length of hospital stay and post-operative pain. It could be considered similar to conventional laparoscopic gastrectomy, and may not be oncologically inferior. Ongoing studies, such as the KLASS 12, are required to gain further insights.