• 제목/요약/키워드: Surgical operation

검색결과 2,188건 처리시간 0.034초

Modified Book Binding Technique (MBBT) for Intracorporeal Gastroduodenostomy in Totally Laparoscopic Distal Gastrectomy: Initial Experience

  • Kim, Jin Sung;Park, Eun Young;Park, Dong Jin;Kim, Gyu Yeol
    • Journal of Gastric Cancer
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    • 제19권3호
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    • pp.355-364
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    • 2019
  • Totally laparoscopic distal gastrectomy (TLDG) frequently involves the use of delta shaped gastroduodenostomy (DSG) for intracorporeal anastomosis. However, DSG has some drawbacks, and the book binding technique (BBT) was developed as a new technique to overcome these drawbacks. Subsequently, this technique was further improved with the development of modified book binding technique (MBBT). This study evaluated the safety and feasibility of MBBT in patients undergoing TLDG. Thirty-three patients who underwent TLDG with MBBT were retrospectively evaluated. The mean operation time was $277.6{\pm}37.1minutes$, including $51.9{\pm}15.7minutes$ for reconstruction. Two patients had anastomosis-related complications, one patient with stricture after leakage and 1 patient with stenosis. The former patient was treated with endoscopic balloon dilatation, and the latter was managed conservatively; neither required re-operation. MBBT is a safe and feasible technique, with acceptable surgical outcomes. It may be a good alternative option for the treatment of intracorporeal anastomosis in patients undergoing TLDG.

술전색전술과 경상악법을 이용한 비인강 혈관섬유종의 치료 (Management of Nasopharyngeal Angiofibroma using Preoperative Embolization and Transmaxillary approach)

  • 임상철
    • 대한기관식도과학회지
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    • 제2권1호
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    • pp.120-124
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    • 1996
  • Nasopharyngeal angiofibroma is rare highly vascular tumor and occurs almost exclusively in adolescent boy. This tumor is histologically benign but clinically malignant because of massive bleeding, destruction of surrounding tissue, difficulty in surgical access and recurrence. Preoperative embolization is required to decrease bleeding during operation Surgical method varies according to staging of angiofibroma. Recently, we had experienced a case of angiofibroma that was resected by transmaxillary approach after preoperative embolization.

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체정맥 이상환류를 동반한 성인 활로씨 4증후군의 치험 1례 (A Surgical Experience of Adult TOF with Anomalous Systemic Venous Return)

  • 유환국
    • Journal of Chest Surgery
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    • 제24권11호
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    • pp.1154-1159
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    • 1991
  • Anomalous systemic venous return to the right atrium is clinically innocuous and cause no functional disturbances or physiologic abnormalities by themselves and consequently require no treatment but may be surgical importance. We experienced a case of adult TOF combined with anomalous systemic venous drainage. Rudimentary right SVC with draining left sided vertical vein and IVC with separately drained left vein was revealed at operation time. With the bicaval cannulation, large sucker was used for drainage of blood from the left hepatic vein. Postoperative angiocardiogram showed above findings and combined double inferior vena cava at lumbar level.

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폐 Aspergillosis 의 1치험례 (A Case of Pulmonary Aspergillosis)

  • 박광훈
    • Journal of Chest Surgery
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    • 제6권2호
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    • pp.171-174
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    • 1973
  • A case of pulmonary aspergillosis, strongly suspected before operation and confirmed after surgical intervention, was reviewed with related literatures. It has become to be a well recognized fact that pulmonary mycosis generally results from sapro-phytic colonization of previous lung cavities usually due to pulmonary tbc, lung abscess, cyst of bronchiectasis. Recently, the author experienced one case of pulmonary aspergillosis which had been diagnosed and treated as tuberculosis for 6 years. Sputum culture, immunologic study and X-ray findings constitute essential part of diagnosis. Surgical resection is the treatment of choice combined with systemic administration of anti-fungal agents to eradicate the disease completely.

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복강 잠복고환에서 발생한 정상피종의 수술적 제거 (Surgical Removal of Seminoma Occurred in a Dog with Abdominal Cryptorchidism)

  • 박현정;정종태
    • 한국임상수의학회지
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    • 제33권4호
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    • pp.243-245
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    • 2016
  • A 7-year-old male poodle dog with abdominal distension and dysuria was referred to the Veterinary Teaching Hospital at Jeju National University. Intraabdominal mass was detected by radiography and ultrasonography. Surgical excision was performed by laparotomy. After the operation, this intraabdominal mass was diagnosed as seminoma based on histopathologic examination.

대혈관전위를 동반한 양대혈관 우심실기시증 치험 1례 (S.D.L.) (Surgical Correction Of Double Outlet Right Ventricle (S.D.L.))

  • 조범구
    • Journal of Chest Surgery
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    • 제12권3호
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    • pp.225-232
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    • 1979
  • A 15-year-old girl underwent successful surgical correction of double-outlet right ventricle [S.D.L.] subaortic ventricular septal defect, patent foramen ovale, and pulmonary hypoplasia with valvular stenosis. The operation consisted of an internal baffling connecting the left ventricle to the aorta through the ventricular septal defect. The pulmonary stenosis was corrected with the method of connection the right ventricle to the pulmonary artery bifurcation using the Hancock valve[18mm] contained conduit. This rare type of DORV seemed to be suitable for corrective surgery, and the patient`s condition is very good until present time (post operative 7 months).

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Konnerell's diverticulum에 동반된 완전 혈관류의 수술적 교정 (Surgical Treatment of Complete Vascular Ring Associated with Kommerell's Diverticulum)

  • 윤태진;오정훈;민경석;서동만;김영휘;고재곤;박인숙
    • Journal of Chest Surgery
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    • 제33권9호
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    • pp.761-765
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    • 2000
  • Forty year old woman with dysphagia underwent surgical correction of complete vascular ring formed by right aortic arch, Kommerell's diverticulum and ligamentum arteriosum. Operation consisted of ligamentum division, reduction diverticuloplasty and posterior diverticulopexy via left posterolateral thoracotomy. Dysphagia was relieved postoperatively, and concentic narrowing of esophagus in the level of aortic arch disappeared on postoperative esophagography.

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다발성 늑골골절에 의한 동요흉에서 늑골고정판을 사용한 늑골고정술 (Surgical immobilization using Judet`d strut for flail chest with multiple rib fractures)

  • 구자홍
    • Journal of Chest Surgery
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    • 제26권1호
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    • pp.64-66
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    • 1993
  • We experienced 2 cases of surgical immobilization with Judet`s strut for flail chest with multiple rib fractures. The patients were undertaken explorative thoracotomy for unevacuated hematoma and chest wall fixation for paradoxically moving segments of ribs after initial trials of internal fixation, i.e. mechanical ventilation with endotracheal intubation. Immediately after operation, the patient`s general condition and respiratory status were improved remarkably. Mechanical ventilation and endotracheal intubtion were removed on postoperative second day without any events.

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기관지 확장증을 동반한 식도-기관지루 -1례 보고- (Broncho-esophageal Fistula with Bronchiectasis -Report of one case-)

  • 정종수
    • Journal of Chest Surgery
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    • 제23권3호
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    • pp.594-599
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    • 1990
  • Congenital or acquired esophagotracheobronchial fistula are rare. The chief causes of the acquired form are malignancy developing on the esophagus or tracheobronchial system and infection, and trauma. The pathognomonic symptom is a paroxysmal cough occurring several seconds after ingestion of liquids. This report reviews a case of bronchoesophageal fistula of unknown origin accompanying bronchiectasis. The patient is 32 years old woman with excellent result by surgical intervention. But the fistula is accidently found in the operation field. The surgical procedures consissts of fistulectomy with Right lower lobectomy.

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