• 제목/요약/키워드: Minimal invasive surgery

검색결과 137건 처리시간 0.024초

마이크로머시닝 기술의 의학 및 생물학 응용

  • 장준근;김용권
    • 전자공학회지
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    • 제24권10호
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    • pp.63-72
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    • 1997
  • Application of MEMS to biologic system mainly categorized into bio-electronics and micro-medical systems, Bio-electronics concerns on the biocompatible electronic device, in-vivo sensors, the sensors based on biological materials, biological materials for electronics and optics, the concepts and materials Inspired by biology and useful for electronics, the algorithm inspired by biology, artificial sense, and the biologic-inorganic hybrids. Micro-medical systems are utilited into the drug delivery systems, micro patient monitoring systems, micro prosthesis and artificial organs, cardiology related prothesis, analysis systems, and the minimal invasive surgery tools based on the m icrom achining technology.

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New Surgical Approach for Gastric Bezoar: "Hybrid Access Surgery" Combined Intragastric and Single Port Surgery

  • Son, Tae-Il;Inaba, Kazuki;Woo, Yang-Hee;Pak, Kyung-Ho;Hyung, Woo-Jin;Noh, Sung-Hoon
    • Journal of Gastric Cancer
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    • 제11권4호
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    • pp.230-233
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    • 2011
  • Regarding the removal of a gastric bezoar, laparoscopic surgery was performed and it was shown that the laparoscopic approach is safe and feasible. However, the laparoscopic method has the risk of intraabdominal contamination, when the gastric bezoar is retrieved from the gastric lumen in the peritoneal cavity. We developed and applied a new procedure for the removal of the gastric bezoar using one surgical glove and two wound retractors as a fashion of intragastric single port surgery. Herein we present this new minimal invasive procedure, so named "hybrid access surgery" which involves the use of existing devices and overcomes the weakness of laparoscopic removal of the gastric bezoar. Our new procedure, combining the concept of intragastric and single port access, is acceptable and feasible to retrieve the gastric bezoar. In the future, this procedure may be one of the alternative procedures for retrieving gastric bezoar even when it is incarcerated in the pylorus.

악하선에서 발생한 거대 타석증: 증례 보고 (Giant sialolithiasis of the submandibular gland: a case report)

  • 최우성;윤현중;이상화
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제36권2호
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    • pp.141-144
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    • 2010
  • Sialolithiasis is the common pathology of salivary gland. The size of sialoliths vary from 1 mm to a few cm, but most of that are less than 10 mm. Large sialoliths (larger than 15 mm) are extremely rare. It is called Giant sialolithiasis or megalith. Symptom of the giant sialolithiasis is similar to that of regular sialolithiasis. First choice of treatment is removal of the stone. Many literatures reported various methods to remove the sialoliths. For this case report, we accidentally found the giant sialolith on the computed tomography taken for dental implant, and successfully removed the stone by minimal invasive surgical approach. Base on this result, we report this case with literature reviews.

체외순환을 사용하지 않은 관상동맥우회술-1례보고- (Coronary Artery Bypass Grafti ng without Extracorporeal Ci rculation One Case Report)

  • 임창영;이헌재
    • Journal of Chest Surgery
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    • 제30권3호
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    • pp.326-329
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    • 1997
  • 관상동맥 우회수술은 일반적으로 저체온하에 인공심폐기를 사용하여 체외순환을 하면서 심정지상태에서 시행하는 것이 일반적 인 방법이다. 그러나 선택적 인 병변에 한 하여는 체 외순환을 하지 않고 정상적인 심박동 상태에서 관상동맥 우회 술을 사용하는 방법이 시도되고 있다. 저자들은 우관상동맥에 100%협착을 보이고 경미한 운동시 심한 흉통을 호소한 환자에서 체외순환 없이 관상동맥 우회 술을 성공적으로 시행하였기 에 문헌고찰과함께 보고하는 바이다.

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Neuroendoscopy : Current and Future Perspectives

  • Shim, Kyu Won;Park, Eun Kyung;Kim, Dong-Seok;Choi, Joong-Uhn
    • Journal of Korean Neurosurgical Society
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    • 제60권3호
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    • pp.322-326
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    • 2017
  • Neuroendoscopic surgery is performed because it causes minimal damage to normal structures, carries a lower rate of complications, and achieves excellent outcomes. Surgeons using an endoscope and related instruments can perform complex operations through very small incisions, which is especially useful for minimally invasive procedures for the brain and spine. Neuroendoscopic surgery is now performed in cases of obstructive hydrocephalus, various intraventricular lesions, hypothalamic hamartomas, craniosynostosis, skull base tumors, and spinal lesions. This review discusses the brief history of neuroendoscopy and the current state and future perspectives of endoscopic surgery.

Subcision Using a Spinal Needle Cannula and a Thread for Prominent Nasolabial Fold Correction

  • Lee, Sang-Yeul;Sung, Kun-Yong
    • Archives of Plastic Surgery
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    • 제40권3호
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    • pp.256-258
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    • 2013
  • Deepening of the nasolabial crease is an esthetically unpleasing aging phenomenon occurring in the midface. Various treatment modalities have been introduced to improve the appearance of prominent nasolabial folds, all of which have pros and cons. Currently, a minimally invasive technique using synthetic dermal fillers is most commonly used. A simple and easy subcision procedure using a wire scalpel has also been used and reported to be effective for prominent nasolabial fold correction, with minimal complications. As an alternative to the wire scalpel, we used a 20-gauge metal type spinal needle cannula (Hakko Co.) and 4-0 Vicryl suture (Ethicon Inc.) for subcision of nasolabial folds. This technique is less expensive than the use of a wire scalpel and easily available when needed. Therefore, on the basis of favorable results, our modified subcision technique may be considered effective for prominent nasolabial fold correction.

광배근 피판의 공여부에 대한 문제점의 분석 (Complications of Donor Site in Latissimus Dorsi Muscle Flap)

  • 정덕환;한정수;조창현
    • Archives of Reconstructive Microsurgery
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    • 제8권2호
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    • pp.149-153
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    • 1999
  • Purpose : To investigate the complication of donor site in latissimus dorsi muscle flap. Materials and Methods : From April 1983 to March 1999, forty patients with latissimus dorsi muscle flap for reconstruction of extremity and with a follow-up period of more than 12 months were included. We analysed the complication, shoulder function, degree of shoulder muscle weakness, skin scar width after operation. Results After 1 year, skin scar widening in 12 cases(30%), limitation of shoulder motion in 9 cases(12.5%), muscle weakness in 14 cases(17.5%) were found. Conclusion. The rate of complication at donor site after latissimus dorsi flap operation is around 10%. To minimize the complication, avoiding axillary skin incision, minimal invasive harvesting by endoscopy, meticulous suturing of subcutaneous layer are needed.

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경구강 로봇을 이용해 시행한 근치적 하인두암 이상와 절제술 1례 (A Case of Partial Pharyngectomy Using Transoral Robotic Surgical System in Hypopharyngeal Cancer)

  • 박영민;정진세;백승재;김원식;최은창;김세헌
    • 대한두경부종양학회지
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    • 제25권1호
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    • pp.47-51
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    • 2009
  • Hypopharyngeal cancer have shown poor prognosis though various treatment modalities were developed for several decades. Therefore current trend in managing hypopharyngeal cancer is organ preservation therapy to improve patient's quality of life. Recently, surgery via robotic surgical system in genitourinary surgery improved minimal invasive technique and reduced morbidity dramatically. Hypopharyngeal cancer treatment using Transoral robotic surgery (TORS) in treating lesions of hypopharynx could reduce the morbidity and achieve organ preservation.

치성 낭종 및 종양의 치료를 위한 조대술의 사용 : 증례 보고(3례) 및 문헌 고찰 (Marsupialization for management of odontogenic cysts and tumors : Report of three cases with literature review)

  • 이재일;윤현중;이상화
    • 대한치과의사협회지
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    • 제53권8호
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    • pp.569-580
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    • 2015
  • Cyst is a closed sac, having a distinct membrane and division compared to the nearby tissue. Most cysts in the oro-maxillofacial area are odontogenic origin and found most commonly by oral and maxillofacial surgeons. Enucleation is considered as a definitive therapy in the management of these cysts. However, to select the treatment method for large cyst, consideration of position of the cyst, size and accessibility to main structure are needed. Marsupialization is a minimal invasive technique to treat large odontogenic cyst and tumor without damage to adjacent important structures. This study was undertaken to describe three cases of odontogenic cysts and tumors of jaws that were successfully treated with enucleation after marsupialization.

The Vestibuloplasty Using Non-eugenol-based Non-zinc Oxide Oral Dressing Material

  • Ku, Jeong-Kui;Leem, Dae Ho
    • Journal of Korean Dental Science
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    • 제14권1호
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    • pp.46-50
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    • 2021
  • This study describes a patient with insufficient vestibular depth who was operated with a vestibuloplasty using a non-eugenol-based non-zinc oxide oral dressing material. Partial thickness flap was elevated on recipient. After stabilization of apical positioned flap, the dressing material was applied on the recipient site with additional fixation by suture. The patient presented minimal discomfort such as in pain, food impaction and management of oral hygiene. Adequate vestibular depth without relapse was observed until 4 weeks after surgery. The vestibuloplasty with the oral dressing material may be an option for obtaining proper vestibular depth without complications.