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Reduced Port Surgery for Prostate Cancer is Feasible: Comparative Study of 2-port Laparoendoscopic and Conventional 5-port Laparoscopic Radical Prostatectomy

  • Akita, Hidetoshi;Nakane, Akihiro;Ando, Ryosuke;Yamada, Kenji;Kobayashi, Takahiro;Okamura, Takehiko;Kohri, Kejiro
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.11
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    • pp.6311-6314
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    • 2013
  • Background: While 5-port laparoendoscopic radical prostatectomy is standard practice, efforts have been focused in developing a single port surgery for cosmetic reasons. However, this is still in the pioneering stage considering the challenging nature of the surgical procedures. We have therefore focused on reduced port surgery, using only 2-ports. In this study, we compared 2-port laparoendoscopic radical prostatectomy (2-port RP) and conventional 5-port laparoscopic radical prostatectomy (LRP) for clinically localized prostate carcinoma and evaluated the potential advantages of each. Materials and Methods: From January 2010 to December 2010, all 23 patients with clinically localized prostate cancer underwent LRP. Starting November, 2010, when we introduced the reduced port approach, we performed this procedure for 22 consecutive patients diagnosed with early-stage prostate cancer (cT1c, cT2N0). The patients were matched 1:1 to 2-port RP or LRP for age, preoperative serum PSA level, clinical stage, biopsy and pathological Gleason grade, surgical margin status, pad-free rates and post-operative pain. Results: There was a significant difference in operative time between the 2-port RP and LRP groups ($286.5{\pm}63.3$ and $351.8{\pm}72.4$ min: p=0.0019, without any variation in blood loss (including urine) ($945.1{\pm}479.6$ vs $1271.1{\pm}871.8ml$: p=0.13). The Foley catheter indwelling period was shorter in the 2 port RP group, but without significance ($5.6{\pm}1.8$ vs $8.0{\pm}5.6$ days: p=0.057) and the total perioperative complication rates for 2 port RP and LRP were comparable at 4.5% and 8.7% (p=0.58). There was an improvement in pad-free rates up to 6 months follow-up (p=0.090), and significantly improvement at 1 year (p=0.040). PSA recurrence was 1 (4.5%) in 2-port RP and 2 (8.7%) in LRP. Continuous epidural anesthesia was used in most of LRP patients (95.7%) and in early 2-port RP patients (40.9%). In these patients, average total amount of Diclofenac sodium was 27.8mg/patient in 2-port RP and 50.0mg/patient in LRP. Conclusions: Thus the reduced port approach is as efficacious as LRP in terms of many outcome measures, with significant cosmetic advantages and reduction in post surgical pain. This method can be readily performed safely and therefore can be recommended as a standard laparoscopic surgery for prostate cancer in the future.

Measurement of Noise Parameters Using 6-Port Network (Invited Paper) (6-포트 회로망을 이용한 잡음 파라미터 측정)

  • Yeom, Kyung-Whan;Ahmed, Abdule-Rahman
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.26 no.2
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    • pp.119-126
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    • 2015
  • The information about noise parameters is essential in the design of low noise amplifier. In the past, the noise parameters were measured using an impedance tuner and noise figure analyzer. Recently, the authors proposed the method of measuring the noise parameters using the 8-port network without the aid of the mechanically driven impedance tuner. However, the 8-port method still requires the noise source and causes the complexity in the measurements. In this paper, a novel measurement method of the noise parameters without the noise source using 6-port network is proposed. Based on the proposed 6-port method, the noise parameters of 10 dB attenuator whose noise parameters can be theoretically determined were measured and the measured noise parameters are compared with those measured using the previous 8-port network method. As a result, the accuracy of the measured noise parameters using 6-port network is found to be comparable to the previous 8-port network method.

8-Port Network Model for Harmonic Analysis on the Test Track in Seoul-Pusan High-Speed Railway (경부고속전철 시험선로의 고조파 해석을 위한 10단자 회로망 모델)

  • O, Gwang-Hae;Lee, Han-Min;Chang, Sang-Hun;Kim, Jeong-Hun
    • The Transactions of the Korean Institute of Electrical Engineers B
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    • v.51 no.3
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    • pp.99-106
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    • 2002
  • This study presents an approach to model the Electric Railway System with the common grounding based on the 8-port network model and to analyse traction power feeding system focused on the amplification of harmonic current. The entire system can be easily modeled by the combination of 8-port representation of each component in parallel and/or series. Through the research, 8-port network model which can be effectively applied to harmonic analysis is derived.

A Study on the Analysis of the Competitiveness Level in Masan Port (마산항 경쟁력 분석에 관한 연구)

  • Lee, Hong-Girl
    • Journal of Navigation and Port Research
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    • v.35 no.8
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    • pp.677-682
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    • 2011
  • Masan port is a representative port of Kyungnam region, and proceeds to work port development for the future. However, Analytical research related to current competitiveness and strategies for the future of Masan port have been little studied since then. Thus, the aim of this paper is to analyze the current competitiveness level of Masan port. To achieve this abjective, evaluation model based on empirical data was established. And then FHP-based index model that calculate competitiveness level of port was adopted. To analysis competitiveness of Masan port, Data from shippers calling at Masan port were collected. The result of data analysis showed that current competitiveness level of Masan port was 63.

Design and Performance Analysis of Wideband Six-port Phase correlator (대역폭이 향상된 Six-port 위상 상관기 설계 및 성능 분석)

  • Kim, Young-Wan;Yu, Jae-Du
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.12 no.3
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    • pp.414-419
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    • 2008
  • The six-port correlator is comprised of a power divider and three hybrid couplers. In this paper, the six-port phase correlator using three-arm branch $90^{\circ}$ hybrid coupler were designed with the center frequency of 11.85 GHz. The performances for the six-port phase correlator was analyzed by using ADS2003A tool. Three-arm six-port phase correlator provides more wide dynamic frequency range than that of six-port using the conventional hybrid coupler in range of circa five times, which is range of 10.8 to 12.3GHz (1.5 GHz). The phase errors among the output ports of the six-port phase correlator are below $5^{\circ}$. The six-port Phase correlator was fabricated to evaluate the Performance of the proposed six-port phase correlator. The measured performance of the six-port phase correlator shows the good accordance with the simulation data.

An Analysis on an Action about Port Choice of Shipper using Fuzzy-Neural Network (퍼지-뉴로를 이용한 화주의 항만선택 행동 분석)

  • Jang, Woon-Jae;Keum, Jong-Soo
    • Journal of Navigation and Port Research
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    • v.31 no.8
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    • pp.725-731
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    • 2007
  • This paper aims to analyze an action about a port choice of shipper between two ports. For this propose, this paper analyzed a port choice action for Kwangyang and Busan port using a fuzzy logic and neural network. Also, this paper compared classification performance of fuzzy-neural network to Logit model, and analyzed a port choice action into change Para-meta such as freight volumes and service standard.

Design of a Monopulse Feed for $2{\times}2$ Array Feed horn Antenna ($2{\times}2$배열 피드혼 안테나용 모노 펄스 피드 설계)

  • Kim, Won-Sub
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.45 no.1
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    • pp.91-96
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    • 2008
  • In this paper, a monopulse fled for three mode $2{\times}2$ array feed horn antenna was designed. Gain of single feed was 8.25dB. Increasing property of gain and rectangular waveguide and reflection of free space is decreased because it has structure extending to electric plane at connected part from transformation to free space. When fled port1 and port2 is placed vertically and thickness of aperture hem is reduced, isolation is satisfied with property of lower -25dB. Also, at higher frequency, it is confirmed that isolation is improved. Combination of electric field occurs less influence because port1 and port3 is placed horizontally and distribution of electric field is connected to parallel. However, because of combination of electric field, it is more improved from 2dB to 6dB than isolation of port1 and port2. Direct combination occult less effect at port1 and port4 than effect of port2 and port3, it is lower -35dB.

A Study on the Classification of Ports and its Characteristics using Fuzzy C-Means (FCM법에 의한 항만의 분류 및 그 특성 분석에 관한 연구)

  • 금종수;윤명오;양원재
    • Journal of Korean Port Research
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    • v.14 no.2
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    • pp.143-154
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    • 2000
  • In port management, the scale of facilities and port layouts are major factors characterizing the port, which influence port economics and productivities continuously through the port operation. Grouping ports in certain region by their characteristics could be used as the principal informations to establish national policy for port development or investment and also to analyze the competitiveness between ports. Currently Korean ports are divided into two groups such as the local port and the designated port containing foreign trade port and coastal port under the Korean port law. These divisions seem to be used for port administration as the matter of convenience but some qualitative grouping is needed for research of port problems. In this paper, 20 major Korean ports were clustered by the similar characteristics using Fuzzy C-Means and found to be classified 8 qualitative groups.

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A Study on the Fitness of Korea's Hub-Port Strategy in Northeast Asia by SCM (공급사슬관리에 의한 동북아 거점항만전략의 적합성에 관한 연구)

  • Lee In-Soo;Ahn Ki-Myung;Kim Hyun-Duk
    • Journal of Navigation and Port Research
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    • v.29 no.8 s.104
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    • pp.709-714
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    • 2005
  • The purpose of this research is to verify the strategic fitness and relevance of the hub port strategy by SCM in Northeast Asia and to find a method to be a hub-port with a competitive edge. The fitness of the hub port development strategy is analysed by the structural equation model. The essential results of the research show that minimizing lead time from arrival of ship to inland transport and maximizing logistic services of each stage are important to provide optimal logistic service. And value-added port supply chain strategy is highly co-related with all the parts of port operation system, port transport system, distribution park and port information system. It shows that: various value added logistic service activity is more important than lowing cost; inland multimodal system should be rightly connected; distribution park should be connected to industry park to be a port cluster; and port information system should be developed.

A Study on Deciding Port Development Priority (항만개발 우선순위 선정에 관한 연구)

  • Baek In-Hum;Moon Seong-Hyeok
    • Journal of Navigation and Port Research
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    • v.29 no.8 s.104
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    • pp.701-707
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    • 2005
  • This study aims to suggest how the port specialists think the priority of port development in Korea To illustrate the ideas regarding a port development, 87 detailed attributes were identified both from the previous studies and from brainstorming on port professionals. And these were grouped into 6 criteria by 'KJ method' and made into 4 levels hierarchy structure. AHP technique identifies the relative weights of each levels, trends of the preference of port specialists and the composite relative weights of alternatives. As a result, a port development priority in Korea has been proposed.