• Journal of Gastric Cancer
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• v.13 no.4
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• pp.199-206
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• 2013

Since the first transgastric natural orifice transluminal endoscopic surgery was described, various applications and modified procedures have been investigated. Transgastric natural orifice transluminal endoscopic surgery for periotoneoscopy, cholecystectomy, and appendectomy all seem viable in humans, but additional studies are required to demonstrate their benefits and roles in clinical practice. The submucosal tunneling method enhances the safety of peritoneal access and gastric closure and minimizes the risk of intraperitoneal leakage of gastric air and juice. Submucosal tunneling involves submucosal tumor resection and peroral endoscopic myotomy. Peroral endoscopic myotomy is a safe and effective treatment option for achalasia, and the most promising natural orifice transluminal endoscopic surgery procedure. Endoscopic full-thickness resection is a rapidly developing natural orifice transluminal endoscopic surgery procedure for the upper gastrointestinal tract and can be performed with a hybrid natural orifice transluminal endoscopic surgery technique (combining a laparoscopic approach) to overcome some limitations of pure natural orifice transluminal endoscopic surgery. Studies to identify the most appropriate role of endoscopic full-thickness resection are anticipated. In this article, I review the procedures of natural orifice transluminal endoscopic surgery associated with the upper gastrointestinal tract.

• Korean Journal of Bronchoesophagology
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• v.16 no.1
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• pp.16-19
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• 2010

NOTES (Natural orifice transluminal endoscopic surgery) is a new technique in minimally invasive procedure, surgeon use normal orifice and hollow viscus for procedurs as approaching route, Currently the NOTES are performed for diagnostic and therapeutic purpose by some investigators in research setting. NOTES has potential benefit in terms of sear, pain, post op recovery. Rut Bacterial contamination, deal with major complication are needed more stud) and development.

• Journal of Gastric Cancer
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• v.16 no.1
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• pp.51-53
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• 2016

Laparoscopic gastrectomy for cancer has some significant postoperative benefits over open surgery with similar oncologic outcomes. This procedure is more popular in the Far East countries where obesity is not a serious public health problem. In the Western countries, laparoscopic gastrectomy for cancer is not a common procedure, yet obesity is more common. Herein, we aimed to demonstrate the feasibility of laparoscopic gastrectomy for advanced gastric cancer in a morbidly obese patient. Additionally, we used natural orifice specimen extraction as an option to decrease wound-related complications, which are more prevalent in morbidly obese patients. In this case, we performed a fully laparoscopic subtotal gastrectomy with lymph node dissection and Roux-en-Y gastrojejunostomy with the specimen extracted through the vagina. To the best of our knowledge, this was the first report of a natural orifice surgery in a morbidly obese patient with gastric cancer.

• Journal of the Korean Society of Visualization
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• v.12 no.1
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• pp.30-34
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• 2014

Bluff bodies under the external periodic force vibrate at their own natural or forced frequency. Rectangular bodies or similar structures such as high-rise towers and apartments, and recently a well-cited application - offshore floating bodies, usually needs to reduce these vibrations for stability and the mode control. Therefore, this study is aiming to reduce or control the vibration of a structure by a passive control method, i.e., TLCD (Tuned Liquid Column Damper). Controlling a moving body with a TLCD based on a variety of the orifice shape has been preliminary studied. In order to get a proper control, an optimized study is made on the design of the orifice shape, which has internal plates with the holes. The results show the force acting on the body due to the periodic movement highly depends on the number of holes on the plate and the height of the water level. Therefore, the optimum shape of the orifice and the height of the water level should be confirmed by a series of experiments.

• 유체기계공업학회:학술대회논문집
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• 1999.12a
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• pp.97-105
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• 1999

Orifice flow meters are frequently used for measuring gas flow in gas industry. However, to insure the accuracy of the measurement, a certain length of the meter run at the upstream of the flow meter is required. The objective of this study is to analyze flow measurement errors of the orifice flow meter quantitatively for shorter lengths of the meter runs than those suggested in the standard manuals with variation of diameter ratio( $\beta$ ratio) and flow rate. The test results showed that the flow measurement errors of the orifice meter were inversely proportional to the diameter ratio. In other words, when the diameter ratio is 0.3 and 0.7, the measurement error is $-7.3\%$ and $-3.5\%$, respectively. the main reason of the measurement error is due to the swirl effect from the configuration of the meter run at the upstream of the flow meter. In case the length of the meter run is shorter than that suggested in the standard manuals, the swirl effect is not removed completely and it affects the flow meter's performance. As mentioned above, the less the pipe diameter ratio, the more the flow measurement error. It means that the swirl effect on the orifice meter increases as the $\beta$ ratio decreases.

• Proceedings of the KOR-BRONCHOESO Conference
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• 2010.03a
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• pp.18-21
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• 2010

• 유체기계공업학회:학술대회논문집
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• 2000.12a
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• pp.265-271
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• 2000

Orifice meters and turbine meters are frequently used for measuring gas flow in gas industry. However, to insure the accuracy of the measurement, a certain length of the meter run at the upstream of the flow meter is required. The objective of this study is to analyze flow measurement errors of the orifice meter quantitatively for shorter lengths of the meter runs than those suggested in the standard manuals with variation of diameter ratio( $\beta$ ratio) and flow rate and also to analyze flow measurement errors of the turbine meter with and without straightener. The test results showed that the flow measurement errors of the orifice meter were inversely proportional to the diameter ratio. In other words, when the diameter ratio is 0.3 and 0.7, the measurement error is $-7.3\%$ and $-3.5\%$, respectively. the main reason of the measurement error is due to the swirl effect from the configuration of the meter run at the upstream of the flow meter. In case the length of the meter run is shorter than that suggested In the standard, the swirl effect is not removed completely and it affects the flow meter's performance. As mentioned above, the less the pipe diameter ratio, the mon the flow measurement error. It means that the swirl effect on the orifice meter increases as the $\beta$ ratio decreases.

• Journal of Chest Surgery
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• v.47 no.4
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• pp.327-332
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• 2014

Single-port video-assisted thoracic surgery (VATS) has slowly established itself as an alternate surgical approach for the treatment of an increasingly wide range of thoracic conditions. The potential benefits of fewer surgical incisions, better cosmesis, and less postoperative pain and paraesthesia have led to the technique's popularity worldwide. The limited single small incision through which the surgeon has to operate poses challenges that are slowly being addressed by improvements in instrument design. Of note, instruments and video-camera systems that are narrower and angulated have made single-port VATS major lung resection easier to perform and learn. In the future, we may see the development of subcostal or embryonic natural orifice translumenal endoscopic surgery access, evolution in anaesthesia strategies, and cross-discipline imaging-assisted lesion localization for single-port VATS procedures.

• 유체기계공업학회:학술대회논문집
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• 2000.12a
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• pp.272-277
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• 2000

The flow computer named Kogas I has been developed for measuring high flow natural gas. The developed model is classified as individual type in order that one flow computer covers one metering line. Nearly all of the functions are adopted similar to the foreign, commercial flow computer, and the merit of this flow computer is being able to apply for both orifice and turbine meters. The performance has been verified through the field test for 2 years.

• Journal of Yeungnam Medical Science
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• v.35 no.2
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• pp.150-155
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• 2018

Recently, an increasing interest in less invasive surgery has led to the advent of laparoendoscopic single-site surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES). LESS and NOTES could be technically challenging, but available literature has demonstrated the feasibility and safety of LESS for benign gynecologic diseases. However, the evidence is not strong enough to recommend the use of LESS over that of conventional multiport laparoscopic surgery (MLS). As per the results of the most recently published meta-analysis, the majority of surgical outcomes are equivalent between LESS and MLS, except for the longer operative time in LESS for both adnexal surgery and hysterectomy. Although an increasing number of studies have reported on robotic LESS, NOTES, and LESS for gynecologic malignancy, definite conclusions have not been drawn owing to the lack of sufficient information.