• 제목/요약/키워드: laparoscopy

검색결과 291건 처리시간 0.026초

Laparoscopic Surgery for Removal of the Multiple Large Gastric Bezoars

  • Hong, Tae-Ho;Kim, Jin-Jo;Park, Seung-Man
    • Journal of Gastric Cancer
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    • 제10권2호
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    • pp.84-86
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    • 2010
  • Bezoars are retained concretions of undigested animal or vegetable material that can produce gastrointestinal obstruction, ulceration, and bleeding. Therapeutic options for gastric bezoars include enzyme therapy (papain, cellulase, or acetylcysteine), endoscopic disruption and removal, and surgical removal. Multiple large gastric bezoars generally require conventional surgical management through an upper abdominal incision. With the recent improvement of laparoscopy, a lot of portions of abdominal operations have been performed laparoscopically. We successfully removed multiple large gastric phytobezoars in a 52-year-old female completely through laparoscopy. This supported the feasibility of laparoscopic surgery for patients with gastric bezoars.

Development of Artificial Insemination Techniques with a Minimum Numbers of Insemination Spermatozoa using Laparoscopy

  • Lee, J. H.;Park, S. J.;I. S. Ryu;G. Y. Chung;Park, S. H.;D. Y. Ji;Kim, C. K.;S. H. Baek
    • 한국동물번식학회:학술대회논문집
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    • 한국동물번식학회 2004년도 춘계학술발표대회
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    • pp.250-250
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    • 2004
  • This study was conducted to investigate the effect of the number of spermatozoa and insemination section(field) of reproductive organs at artificial insemination using laparoscopy(Fiber optic laparoscopic system, Good-Gene Co., Korea) in deer(Elk) and cattle. Twenty six elk does and fifteen cows were inserted CIDR into virginia during 12∼14 days for synchronization of estrus. (omitted)

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Fertility-preservation laparoscopic management of an intact broad ligament abdominal ectopic pregnancy: a case report

  • Atef Darwish;Dina Darwish
    • Journal of Medicine and Life Science
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    • 제20권1호
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    • pp.38-42
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    • 2023
  • This study reports a rare case of broad ligament abdominal ectopic pregnancy (EP). Interventions included preoperative transabdominal and transvaginal ultrasonography and operative laparoscopy. Successful extraction of the EP, followed by suturing of the mesosalpinx, was performed. Laparoscopic fertility-preservation treatment of broad ligament EP is valuable for women during the childbearing period.

Office Laparoscopy

  • 서정호
    • 대한생식의학회:학술대회논문집
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    • 대한불임학회 제1차 연수강좌
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    • pp.37-43
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    • 2000
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난소낭종제거수술 후 내원한 만성골반통 환자 1례에 대한 증례보고 (Treatment of the chronic pelvic pain and complications of post-ovarian cystectomy with laparoscopy : a case report)

  • 양승인;한인선;박현재;배상진;이동녕;이연주
    • 대한한방부인과학회지
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    • 제19권4호
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    • pp.287-297
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    • 2006
  • Purpose : Chronic pelvic pain(CPP) is a common gynecologic symptoms. Recent research has been directed towards understanding the pathology of CPP, but many questions have existed. And the study for treating CPP has been tried by various manners. A Korean medicine(KM) also try to treat a various methods for treatment of CPP. It is often that a pelvic pain is continue a post-hysterectomy or a operating of gynecology. We have a case of CPP treatment by KM that is a patient continue pain after post-ovarian cystectomy with laparoscopy. So we report a case on pelvic pain and complication of post-ovarian cystectomy with laparoscopy. Methods : A 44 years old woman, who suffered from chronic pelvic pain, dizziness, nausea, dyspepsia, general weakness, insomnia after ovarian cystectomy, was enrolled in this study. She received KM therapies such as herbal medicine, moxibustion, acupuncture for 4 weeks. Results : CPP and symptoms after ovarian cystectomy were reduced by KM therapies. Conclusion : 'The present study suggests that KM therapies have a significant effect on CPP and complications of post-ovarian cystectomy with laparoscopy.

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심장사상충 복강내 이소기생 개에서 복강경적 치료 1예 (Laparoscopic Retrieval of Ectopic Adult Heartworms from the Abdominal Cavity of a Dog with Heartworm Infestation)

  • 강민희;송근호;임채영;박희명
    • 한국임상수의학회지
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    • 제28권6호
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    • pp.595-597
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    • 2011
  • 5년령의 수컷 비글견이 복통을 주증으로 내원하였다. 환자는 ELISA를 통한 심장사상충 항원 검사 및 자충검사에 양성결과를 보여, 심장사상충 감염증이 확인되었다. 흉부 방사선 검사에서 심비대 및 폐동맥 확장증 소견이 관찰 되었으며, 심초음파를 통하여 주 폐동맥 내의 심장사상충이 확인 되었다. 심초음파상 사상충 감염 이외의 다른 이상은 발견되지 않았다. 복통에 대한 정확한 원인 규명을 위하여 탐색적 복강경 시술이 시행되었으며, 환축에서 복강으로 이소기생한 심장사상충이 관찰되었다. 복강내 심장사상충의 제거 이후 환축의 임상증상은 사라졌다. 본 증례는 탐색적 복강경을 통하여 복강내 이소기생한 심장사상충을 제거한 증례 보고이다.

복강경 위절제환자와 임상적 건강관리와의 관련된 요인 (Factors Related between Clinical Health Management and Laparoscopy-Aided Gastrectomy Patients)

  • 이성란
    • 한국산학기술학회논문지
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    • 제13권12호
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    • pp.5926-5930
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    • 2012
  • 본 연구는 복강경 위절제환자의 임상적 건강관리에 영향을 미치는 요인을 규명하고자 시도하였다. 자료수집은 2012년 1월 16일부터 2월 16일까지 수도권 지역의 종합병원 외과에 내원한 환자 201명을 설문 및 면접조사를 하였다. 연구결과로는 첫째, 수행성과 효율성은 유의한 양의 상관관계를 나타내었다(r=0.24, p<.01). 둘째, 선정된 변수에 의해 임상적 건강관리의 설명력은 42.7%이었다. 셋째, 다중회귀 분석결과 효율성이 0.25로 건강관리 실행에 가장 영향력이 있는 변수였으며 유의한 것으로 나타났다(p=.02). 이러한 결과를 토대로 복강경 위절제술환자의 임상적 건강관리정도를 높이기 위해서는 수행성, 자기성취감 및 지각된 장애 등 개인 특성을 포함하는 포괄적인 교육 프로그램을 개발하여 적용할 필요가 있다.

Long-Term Outcomes and Feasibility with Laparoscopy-Assisted Gastrectomy for Gastric Cancer

  • Kim, Ki-Han;Kim, Min-Chan;Jung, Ghap-Joong;Kim, Hyung-Ho
    • Journal of Gastric Cancer
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    • 제12권1호
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    • pp.18-25
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    • 2012
  • Purpose: Recently, laparoscopy-assisted gastrectomy (LAG) has been widely accepted modality for early gastric cancer in Korea. The indication of LAG may be extended in an experienced institution. In our institution, the first case of laparoscopy-assisted gastrectomy (LAG) for gastric cancer was performed in May 1998. We retrospectively reviewed the long-term oncologic outcomes over 12 years to clarify the feasibility of LAG for gastric cancer. Materials and Methods: The authors retrospectively analyzed 753 patients who underwent LAG for gastric cancer, from May 1998 to August 2010. We reviewed clinicopathological features, postoperative outcomes, mortality and morbidity, recurrence, and survival of LAG for gastric cancer. Results: During the time period, 3,039 operations for gastric cancer were performed. Among them, 753 cases were done by LAG (24.8%). There were 69 cases of total gastrectomy, 682 subtotal gastrectomies, and 2 proximal gastrectomies. According to TNM stage, 8 patients were in stage 0, 619 in stage I, 88 in stage II, and 38 in stage III. The operation-related complications occurred in 77 cases (10.2%). Median follow-up period was 56.2 months (range 0.7~165.6 months). Twenty-five patients (3.3%) developed recurrence, during the follow-up period. The overall 5-year and disease free survival rates were 97.1% and 96.3%, respectively. Conclusions: The number of postoperative complications and survival rates of our series were comparable to the results from that of other reports. The authors consider LAG to be a feasible alternative for the treatment of early gastric cancer. However, rationale for laparoscopic surgery in advanced gastric cancer has yet to be determined.

Comparison of Perioperative and Oncologic Outcomes with Laparotomy, and Laparoscopic or Robotic Surgery for Women with Endometrial Cancer

  • Manchana, Tarinee;Puangsricharoen, Pimpitcha;Sirisabya, Nakarin;Worasethsin, Pongkasem;Vasuratna, Apichai;Termrungruanglert, Wichai;Tresukosol, Damrong
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권13호
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    • pp.5483-5488
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    • 2015
  • Purpose: To compare perioperative outcomes and oncologic outcomes in endometrial cancer patients treated with laparotomy, and laparoscopic or robotic surgery. Materials and Methods: Endometrial cancer patients who underwent primary surgery from January 2011 to December 2014 were retrospectively reviewed. Perioperative outcomes, including estimated blood loss (EBL), operation time, number of lymph nodes retrieved, and intra and postoperative complications, were reviewed. Recovery time, disease free survival (DFS) and overall survival (OS) were compared. Results: Of the total of 218 patients, 143 underwent laparotomy, 47 laparoscopy, and 28 robotic surgery. The laparotomy group had the highest EBL (300, 200, 200 ml, p<0.05) while the robotic group had the longest operative time (302 min) as compared with laparoscopy (180 min) and laparotomy (125 min) (p<0.05). Intra and postoperative complications were not different with any of the surgical approaches. No significant difference in number of lymph nodes retrieved was identified. The longest hospital stay was reported in the laparotomy group (four days) but there was no difference between the laparoscopy (three days) and robotic (three days) groups. Recovery was significantly faster in robotic group than laparotomy group (14 and 28 days, p =0.003). No significant difference in DFS and OS at 21 months of median follow up time was observed among the three groups. Conclusions: Minimally invasive surgery has more favorable outcomes, including lower blood loss, shorter hospital stay, and faster recovery time than laparotomy. It also has equivalent perioperative complications and short term oncologic outcomes. MIS is feasible as an alternative option to surgery of endometrial cancer.