• 제목/요약/키워드: Minimal Invasive Surgery

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Minimal Invasive Coronary Artery Fistula Ligation

  • Mitropoulos, Fotios A.;Kanakis, Meletios A.;Chatzis, Andrew;Contrafouris, Constantinos;Sofianidou, Ioanna A.;Lioulias, Achilleas G.
    • Journal of Chest Surgery
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    • 제47권6호
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    • pp.545-547
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    • 2014
  • A coronary artery fistula was surgically ligated in a 38-year-old woman via a left anterior mini-thoracotomy without the use of cardiopulmonary bypass. In selected cases, this surgical approach can provide an excellent surgical exposure for coronary artery fistula ligation. It also offers an excellent cosmetic result and shorter hospital stay.

식도암에 대한 최소 침습수술 (Minimally Invasive Surgery for Esophageal Cancer)

  • 류경민;정요천;조석기;진성훈;성숙환;박도중;김형호;전상훈
    • Journal of Chest Surgery
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    • 제39권3호
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    • pp.255-259
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    • 2006
  • 식도암의 수술은 일반적으로 개흉술과 개복술이 동시에 시행되며 경우에 따라 경부절개까지 추가되므로 다른 수술에 비해 이환율과 사망률이 상대적으로 높다. 수술에 따른 합병증을 최소화하고 빠른 회복을 유도하기 위하여 최근에는 양성 질환뿐만 아니라 악성 종양의 수술에도 저 침습적인 방법이 많이 시행되고 있으나, 식도암에는 적극적으로 적용되고 있지는 않으며 아직 국내보고도 없다. 최근 저자들은 8예의 식도암 환자에게 저 침습 수술을 적용하였기에 수술 기법을 중심으로 보고하는 바이다.

Silastic Molding Method for Pectus Excavatum Correction Using a Polyvinyl Alcohol (Ivalon) Sponge

  • Lee, Jun-Ho;Kim, Sung-Jin;Kang, Jeong-Ho;Chung, Won-Sang;Kim, Hyuck;Chon, Soon-Ho
    • Journal of Chest Surgery
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    • 제45권6호
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    • pp.418-420
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    • 2012
  • Pectus excavatum is rare, but it is the most common type of sternal congenital disorder. There are many surgical methods to correct pectus excavatum such as the Ravitch method, Wada method, Silastic mold method, and the Nuss operation. We report a case of minimal invasive surgery for pectus excavatum using a polyvinyl alcohol sponge.

부분 하흉골절개술을 이용한 심장수술 (Cardiac Surgery Via Lower Partial Sternotomy Lower Partial Sternotomy)

  • 권혁면;정태은;이정철;한승세;이동협
    • Journal of Chest Surgery
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    • 제33권9호
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    • pp.729-733
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    • 2000
  • Background: Recent trends suggest that minimally invasive cardiac surgery reduces postoperative morbidity and offers a cosmetic benefit. This study was performed to evaluate the CPB time, ACC time, OP time, ICU stay and postoperative hospital stay following a lower partial sternotomy and those of the median sternotomy. Material and Method: A group of 26 adult patients who underwent cardiac surgery through lower partial sternotomy from August 1997 to July 1999(A group) were compared to 45 adult patients who underwent cardiac surgery through median sternotomy from January 1996 to July 1997(B group). The mean ages(46.4$\pm$14.6 years, A group and 46.8$\pm$13.2 years, B group) were similar. Operations were performed with central cannula and antegrade/retrograde blood cardioplegia. Result: There was no death in each group. No differences were found in CPB time, ACC time, OP time, ICU stay and postoperative hospital stay. Postoperative complications were sternal splitting in a patient in group A and a patient with bleeding that required reoperation and a patient with delayed wound closure in group B. Conclusion: The lower partial sternotomy offered a cosmetic benefit, but does not significantly reduced the length of operative time and hospital stay. Minimally invasive cardiac surgery will be applied increasing because of the suggested advantage and choosing a proper operative technique will be helpful.

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식도암 최소 침습 수술 시 좌측 종격동 림프절 절제술 (Left Upper Mediastinal Lymph Nodes Dissection during Minimally Invasive Esophagectomy)

  • 이교선;정인석;류상우;송상윤;나국주
    • Journal of Chest Surgery
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    • 제40권3호
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    • pp.244-246
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    • 2007
  • 식도암 수술 시 종격동 림프절 절제는 식도암의 재발과 관련하여 환자의 장기 생존율을 높이는 하나의 방법이다. 하지만 좌측 종격동 림프절 절제는 수술 시야의 제한으로 인해 절제가 거의 불가능하다. 이에 본원에서는 식도암 최소 침습 수술 시 경부 절개창을 통하여 흉강경을 이용한 좌측 종격동 림프절 절제를 시행하였기에 보고하는 바이다.

급성 아킬레스건 파열의 최소 침습적 봉합술 (Minimal Invasive Surgery for Acute Achilles Tendon Rupture)

  • 이명진;김민우
    • 대한족부족관절학회지
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    • 제25권2호
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    • pp.76-79
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    • 2021
  • Recently, the incidence of Achilles tendon rupture has been increasing with an increase in the elderly and the sports population. Various kinds of surgical options have been introduced up to now. Among them, the traditional open repair is most commonly used despite the risk of re-rupture or post-operative infections, which in turn can impair the blood flow to the Achilles tendon. Therefore, minimally invasive methods to overcome these complications have been studied with excellent outcomes.

스폰지 겸자를 이용한 아킬레스건의 최소 절개 봉합술: 술기 보고 (Minimally Invasive Repair Technique of Achilles Tendon Using Sponge Forceps: A Technical Report)

  • 박삼국;박철현
    • 대한족부족관절학회지
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    • 제20권2호
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    • pp.88-91
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    • 2016
  • Various minimally invasive repair techniques have been performed for acute Achilles tendon rupture. Despite this, it is difficult to use these techniques in common practice because of the necessity of special instruments. We propose a novel minimal invasive technique using sponge holding forceps, which are commonly used in the operating room for the acute Achilles tendon rupture.

수술 침습도에 따른 등장성 요부선전운동이 술후 체간 선전근력에 미치는 영향 (The Effort after Isotonic Lumbar Extension Exercise According to Surgery Invasiveness)

  • 남건우;이현옥;김종순
    • 대한정형도수물리치료학회지
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    • 제11권2호
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    • pp.83-95
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    • 2005
  • The purpose of this study is to analyze, durability of motor effort after finishing rehabilitation program and the influence from the isotonic lumbar region extension exercise after an operation according to the different operation way in invasive degrees. We selected randomly 80 patients who have no complication and musculoskeletal system diseases with finishing the 12 weeks' rehabilitation program after getting laser discectomy, but fail to conservative treatment, about Lumbar HNP, and divided into minimal invasive groups 38 and invasive groups 42 for study. As the results, in minimal invasive group, after finishing cure and 6 months later, the degree of hold muscle of women is much better than that of men. but in Invasive group, that of men is better than that of women, in case of women, the $0^{\circ}$ and $72^{\circ}$ in lumbar flexion angle have weaken or no improvement than before beginning exercise. and muscle force in $72^{\circ}$ in lumbar flexion angle increased to all men and women than before beginning exercise in Minimal invasive group. but in invasive group. it decreased. When analyze the lapsed time in Minimal invasive group, the groups who start the exercise within 3 months are better than the groups who start the exercise above 3 months after an operation the hold muscle degree all angles after finishing cure and 6 months later. Meanwhile, in invasive group, the groups who start the exercise within 3 months are better than the groups who start the exercise above 3 months after an operation about the hold muscle degree in 36-72 of lumbar flexion angle but 0-36 are not good after finishing cure and 6 months later. When analyze BMI in Minimal invasive group, the normal groups are better than the overweight groups about hold muscle degree in all angles after finishing cure and 6 months later.

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"Cohesiveness of Hyaluronic Acid Fillers": Evaluation Using Multiple Cohesion Tests

  • Kyun Tae Kim;Won Lee;Eun-Jung Yang
    • Archives of Plastic Surgery
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    • 제51권1호
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    • pp.14-19
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    • 2024
  • Background Hyaluronic acid fillers can be manufactured using various processes. They have multiple properties, including their concentration, degree of modification, and rheological data. Cohesion is one such property to evaluate gel integrity; however, there is no standardized method for calculating this parameter. This study aimed to evaluate different tests for calculating hyaluronic acid cohesion and discuss the importance of hyaluronic acid cohesion as a consideration when selecting fillers. Methods The cohesion levels of five different hyaluronic acid fillers with different rheological properties were evaluated and compared using the drop weight, compression, tack, and dispersion time tests. Results The cohesion tests yielded different results in the samples. Samples 2 and 4 showed approximately two times the number of droplets when compared with Sample 5 in drop weight test. Samples 1, 2, 3, and 4 were superior to Sample 5 in tack test. Samples 1, 2, and 3 showed cohesive appearances at 95 seconds in most cases in dispersion test. Rheological test results did not reflect the measures of cohesion. Conclusion Although there are no definite standardized tests to evaluate the cohesion of hyaluronic acid fillers, our proposed tests showed similar results for different hyaluronic acid filler products. Further studies are needed to evaluate the cohesion of hyaluronic acid fillers and determine the clinical use of this distinguishing characteristic for clinicians selecting the product of choice. Level of evidence statement: These data are Level IV evidence.