• Journal of Chest Surgery
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• 제28권1호
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• pp.65-68
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• 1995

Pectus excavatum occasionally occurs in patients who have underlying cardiac disease, especially Marfan syndrome. This report describes a patient with pectus excavatum who had ascending aortic aneurysm with aortic regurgitation and anterior leaflet prolapse of mitral valve. This patient underwent replacement of aortic valve and ascending aorta with 25 mm SJM valved conduit graft[Bentall operation with Cabrol shunt , and mitral valve replacement with SJM 31 mm, the pectus excavatum was corrected at the time of completion of the intracardiac operation with the modified sternal turnover. This procedure offered excellent operative exposure for the inracardiac operation with prevention of low cardiac output after operation due to depressed sternum and maintained chest wall stability resulting good cosmetic chest wall appearance. This patient recovered and discharged in good postoperative result with minimal temporary peroneal nerve palsy in his left leg.

• 대한정형도수물리치료학회지
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• 제2권1호
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• pp.39-49
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• 1996

The techniques of joint mobilization and traction are used to improve joint mobility or to decrease pain by restoring accessory movements to the shoulder joints and thus allowing full, nonrestriced, pain-free range of motion. In the glenohumeral joint, the humeral head would be the convex surface, while the glenoid fossa would be the concave surface. The medial end of the clavicle is concave anterioposteriorly and convex superioinferiorly, the articular surface of the sternum is reciprocally curved. The acromioclavicular joint is a plane synovial joint between a small convex facet on lateral end of the clavicle and a small concave facet on the acromion of the scapula. The relationship between the shape of articulating joint surface and the direction of gliding is defined by the convex-concave rule. If the concave joint surface is moving on a stationary convex surface, gliding occur in the same direction as the rolling motion. If the convex surface is moving on a stationary concave surface, gliding will occur in an opposite direction to rolling. Hypomobile shoulder joint are treated be using a gliding technique.

• Journal of Chest Surgery
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• 제34권10호
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• pp.784-786
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• 2001

계명대학교 의과대학 동산의료원에서는 심방중격결손증을 동반한 누두흉 환자를 동시 교정하였다. 수술은 앙와위에서 정중피부절개후 흉근판을 만들고 변형된 늑연골을 절제한후 흉골을 90$^{\circ}$로 세움으로써 개심술을 위한 시야를 확보하여 심방중격결손을 동시에 교정하였다. 술 후 2시간 뒤 인공호흡기를 제거하였으며, 환아는 합병증없이 회복되어 술 후 6일째 퇴원하였다.

• Journal of Chest Surgery
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• 제29권12호
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• pp.1398-1400
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• 1996

심장은 흉골골절시 흉골 바로 밑에 위치한 해부학적 특성때문에 손상을 받기 쉽다. 또한 이러한손상에 의하여 심장이 파열되는 경우는 드물지만, 만일 이런 경우가 발생하였을 때에는 생존의 가능성은 낮다. 본 흉부외과학교실에서는 흉골골절에 의하여 심장이 파열되어 심장 압전 소견이 있어 체외순환 없이 응급개흉술을 시행하여 일차 봉합술로 치료하여 생존한 1례를 치험하였다. 심장파열이 의심되는 환자가 병원에 도착하였을때는 즉각적으로 진단을 하자마자 바로 응급수술을 하면 생명을 구할 가능성이 높다고 사료된다.

• Journal of Chest Surgery
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• 제34권12호
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• pp.960-963
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• 2001

거대 연골육종은 흉벽의 원발성 악성종양 중 임상에서 드물게 보는 형태이다. 60세 여자 환자가 전흉부에 발생한 거대 종양과 심막 침범 및 심장의 장측 심막에 위성 종양 등의 진행된 연골육종을 보였다. 수술은 종괴를 포함하여 양측 3개의 늑골, 양측 쇄골, 흉골자루와 흉막, 심막을 광범위 총괄절제하고, 2mm Gore-tex 포편과 광배근 자유 피부 근육판을 이용하여 흉벽을 재건하였다.

• Journal of Chest Surgery
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• 제48권1호
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• pp.86-89
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• 2015

Primary sternal osteomyelitis is a rare disease. Common infectious organisms causing primary sternal osteomyelitis include Staphylococcus aureus and Pseudomonas aeruginosa. Actinomyces species are common saprophytes of the oral cavity, but there have been few reports in the literature of primary sternal osteomyelitis caused by Actinomyces species. We describe a case of primary sternal osteomyelitis caused by Actinomyces israelii without pulmonary involvement.

• 대한두경부종양학회지
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• 제13권1호
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• pp.69-73
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• 1997

We have experienced a case of occult papillary thyroid carcinoma presenting as an anterior mediastinal mass in a 40-year-old man. The CT scan revealed a huge mass behind the manubrium of the sternum but the ultrasound examination failed to detect any lesion and developmental defect in the thyroid. Excision of the mediastinal mass and total thyroidectomy were carried out. Histologically, the mediastinal mass turned out to be papillary carcinoma without any portion of the normal thyroid tissue or normal lymph node tissue and the thyroid gland showed a tiny papillary carcinoma with the diameter of 0.3cm. Although a mediastinal mass as the sole presentation of the thyroid carcinoma is very rare, we suggest that a mediastinal mass should be added to the list of possible metastatic thyroid carcinoma.

• Journal of Chest Surgery
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• 제54권4호
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• pp.314-318
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• 2021

In this paper, I present the technique of subxiphoid single-port video-assisted thoracic surgery (VATS) thymectomy for thoracic surgeons to perform this procedure safely. This procedure is indicated for all anterior mediastinal masses and may be extended to lung cancer. The patient is placed in the lithotomy position, and the operator should be on the midline. Below the xiphoid process, a skin incision is made 4-5 cm horizontally at a single thumb's width down. Under two-lung ventilation, CO₂ is insufflated, maintaining 10 mm Hg. The fat tissue and thymic tissue are all resected from the sternum and pericardium between both phrenic nerves using an articulated grasper and an energy device. After retrieval of the mass with a wrap bag, a Jackson-Pratt drain is inserted instead of a chest tube. One of the advantages of this procedure is less postoperative pain than intercostal VATS. The subxiphoid approach can be used for bilateral pneumothorax, bilateral pulmonary metastasectomy, and simple lobectomy for both upper lobes and the right middle lobe.

• Animal Systematics, Evolution and Diversity
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• 제39권4호
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• pp.322-324
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• 2023

The hepialid species, Korscheltellus lupulina (Linnaeus) is newly recorded from Korea. A female specimen of K. lupulina was collected on Jeju Island, southern Korea. This species can be distinguished by the whitish linear marking on the postmedian and dorsum of the forewing but these markings are often unseen in females. The female genitalia can be diagnosed by the semi-rounded ninth abdominal tergum, a pair of semi-rounded ninth abdominal sternum with weakly produced, semi-rounded central plate-shaped medial region, a pair of narrow band-shaped subanal plates, the short, thin ductus bursae, and the large, ball-shaped corpus bursae without a signum. Currently, there are four genera and five species of the Hepialidae distributed in Korea.

• Journal of Chest Surgery
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• 제57권2호
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• pp.213-216
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• 2024

Bilateral transverse thoracosternotomy, or "clamshell" thoracotomy, can be complicated by dehiscence. A 65-year-old male underwent lung transplantation via clamshell thoracotomy, with subsequent sternal dehiscence on postoperative day 11. Upon repair, the previous sternal wires had pulled through, so a Sternal Talon connected to a Recon Talon was utilized to re-approximate the inferior sternum. On follow-up at 3 months, the patient recovered well. Use of the Sternal Talon provides an effective technique for repairing transverse sternal dehiscence.