• Journal of Yeungnam Medical Science
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• 제29권1호
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• pp.9-13
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• 2012

Lung resection has various and commonly occurring postoperative complications. Pulmonary complication is well known as one of the most important among them, exerting a negative influence on the postoperative course and resulting in mortality. Thus, the prevention of pulmonary complication after lung resection is very important. To prevent postoperative pulmonary complication, the perioperative management must be optimal. Perioperative management begins long before the surgery and does not end until the patient leaves the hospital. The goal of perioperative management is to identify the high-risk patients, to provide appropriate intervention, to prevent postoperative complications, and to obtain the best outcomes.

• Journal of Chest Surgery
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• 제55권4호
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• pp.274-276
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• 2022

The expansion of indications for lung transplantation, the growth of the waiting list, and donor shortages are increasing the waiting list mortality rate in Korea. The current lung allocation system in Korea is based mainly on urgency, but outcomes should also be considered to avoid futile transplantation. This review describes the current status of, and issues with, the lung allocation system in Korea including donors, the waiting list, and transplant outcomes in the context of an aging society, in which the frequency of end-stage pulmonary disease is increasing.

• Journal of Chest Surgery
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• 제7권2호
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• pp.145-152
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• 1974

The effect of reticuloendothelial hyperfunction on hypothermic preservation of lung was studied in dogs. In order to evaluate the viability after hemodynamic_ load in preserved isolated lung, observations were made on the rate of increase in weight, degree of edema,compliance and surface activity of lung. The results obtained as follows: l. In the group of activating of the reticuloendothelial system by injection of sodium thiosulfate intravenously before pneumonectomy and infusion of naphthionine through the pulmonary artery before hypothermic preservation of isolated lung the limit of preservation was eight hours whereas four hours in non-treated control group. 2.Therefore the method of activating of the reticuloendothelial system before and after pulmonary resection seems effective in preserving for prolonging the period of preservation of lung by means of inhibition of pulmonary edema. 3. Pulmonary surface activity is expected to be valuable as a method in evaluation of the viability of preserved lung along with compliance and rate of increase in weight of lung.

• Journal of Chest Surgery
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• 제28권2호
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• pp.162-165
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• 1995

To evaluate the impact of open lung biopsy on diagnosis and treatment of diffuse infiltrative lung disease, we conducted a retrospective review of 28 patients who underwent this procedure at the Kyoungpook National University Hospital from 1986 to 1993. There were 19 men and 9 women; average age was 50.9 years. During open lung biopsy, The region of the lobe was radiographically and grossly identified and was examined by a biopsy. The biopsy yielded a specific diagnosis in 27 [96.4 % patients and changes in therapy in 24[85.7% patients. Complications developed in three[10.8% patients, directly related to the biopsy procedure in 2. One patient died[3.6% due to underlying disease. We conclude that open lung biopsy can be accomplished safely in the patient with diffuse infiltrative lung disease and it is an important tool in decision-making process and therapy.

• Journal of Chest Surgery
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• 제34권10호
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• pp.805-808
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• 2001

동시성 원발성 폐암은 전체 폐암의 1∼2%정도로 드문 암으로 술전 진단이 어렵고 수술 중이나 수술 후에 진단되는 경우가 대부분이다. 특히 동종 조직학적 특징을 나타내는 경우 진단이 어렵고 술전 폐에서 폐로 전이된 원격 전이로 오인될 수 있다. 본 교실에서는 수술 중 발견된 서로 다른 편편상피암을 가지는 동시성 원발성 폐암을 1례 경험하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제50권3호
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• pp.215-219
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• 2017

Pulmonary arteriovenous fistula (PAVF) is a complication of the Glenn shunt. A 57-year-old tetralogy of Fallot (TOF) patient, who had undergone a Glenn shunt and TOF total correction, complained of dyspnea and cyanosis. PAVFs were present in the rig ht lung, and rig ht lung perfusion was nearly absent. After coil embolization, takedown of the Glenn shunt, and reconstruction of the rig ht pulmonary artery, the patient's symptoms were relieved. Extrapulmonary radioisotope uptake caused by the PAVFs shown in lung perfusion scans decreased, and right lung perfusion increased gradually. Although the development and resolution of PAVFs after a Glenn shunt have been reported in the pediatric population, this may be the first report on this change in old age.

• Journal of Chest Surgery
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• 제43권4호
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• pp.450-453
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• 2010

선천성 낭종성 선종양 기형은 폐격리증과 같은 다른 동반된 기형 없이는 혈액공급을 폐동맥에서 받는 것으로 알고 있었으나, 저자들의 증례에서는 다른 기형이 동반되지 않은 단순 선천성 낭종성 선종양 기형이 영양동맥을 가지고 있었다. 술 전 영양동맥이 발견되지 않았어도 선천성 낭성 폐질환에서 영양혈관의 가능성에 유의하여야 할 것이다.

• Journal of Chest Surgery
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• 제47권1호
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• pp.55-58
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• 2014

Mixed squamous cell and glandular papilloma of the lung is an extremely rare benign epithelial tumor showing a mixture of squamous and glandular epithelium. Here, we report a case of mixed squamous cell and glandular papilloma that presented as a solitary nodule in the left lower lobe of a 64-year-old woman. Chest computed tomography demonstrated a lobulated mass in the basal segment of the left lower lobe. The patient underwent a lobectomy under the suspicion of lung malignancy. The histopathological diagnosis was mixed squamous cell and glandular papilloma.

• Journal of Chest Surgery
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• 제42권3호
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• pp.388-391
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• 2009

분화가 좋은 태아성 선암종은 $10\sim15$주의 태아폐와 유사하며 풍부한 당원을 가지는 종양성 선과 관성구조로 이루어진 드문 폐종양으로 폐모세포종이나 폐선암의 아형으로 분류되어지나 예후는 전형적인 폐모세포종(이형성 모세포종)이나 폐선암보다는 좋다. 젊은 환자에서 악성의 정도가 낮은 종양을 확인하는 것은 높은 생존율과 연관되므로, 저자들은 현재까지 종양의 재발 없이 생존하고 있는 3명의 환자에서 경험한 분화가 좋은 태아성 선암종에 대해 보고한다.

• Journal of Chest Surgery
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• 제41권5호
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• pp.659-662
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• 2008

흉강경을 이용한 폐절제술이 1990년대 초반 처음으로 소개된 이후로 조기 폐암 환자의 수술에 있어 안정성과 적합성이 발표되면서 그 시행 횟수가 서서히 증가되고 있다. 그러나, 흉강경을 이용한 수술은 2차원 영상과 불안정한 카메라의 움직임, 기구의 움직임이 제한되는 등의 여러 가지 단점들이 있다. 이러한 단점을 극복하고 최근에 개발된 다빈치 로봇 시스템은 고해상도의 3차원 입체영상과 사람의 팔목관절과 유사한 움직임을 구사하는 기구들로 인하여 더욱 안정되고 편리하게 수술을 시행할 수 있게 하였다. 본원에서는 다빈치 로봇 시스템을 이용하여 3명의 조기 폐암환자에서 폐엽 절제술을 시행하였기에 보고하는 바이다.