• 제목/요약/키워드: Tree Surgery

검색결과 138건 처리시간 0.026초

식도와 연결된 선천성 기관지성 낭종의 치험 1례 보 (Bronchogenic cyst communicating with esophagus: report of a case)

  • 이철주;최원희;하정옥
    • Journal of Chest Surgery
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    • 제17권3호
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    • pp.505-510
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    • 1984
  • Among varieties of the mediastinal tumors, benign developmental cysts [Entergenous cysts] occur about 10% of them. From the primitive foregut, tracheobronchial tree and esophagus develop at 3 weeks of its embryonal age, and bronchogenic cyst arises from accessory or supernumerary lung bud. Usually it remains isolated with surrounding structures, and causes no specific symptoms. But few cases of bronchogenic cysts have fistulous communication with esophagus causing compressive symptoms. We report a case of unusual complicated case of bronchogenic cyst with review of literatures.

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부서진 기관튜브로 발생한 소아 기관지 이물 (Fractured Tracheostomy Tube as Bronchial Foreign Body in Child)

  • 한민석;권성근
    • 대한기관식도과학회지
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    • 제16권1호
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    • pp.47-50
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    • 2010
  • Fracture of tracheostomy tube with subsequent migration into the tracheobronchial tree is rare, but tracheobronchial foreign body in child carries the potentially fatal risk of respiratory obstruction, We report a case of a 5-year-old girl who had aspirated a fractured tracheostomy tube which was removed under rigid bronchoscope.

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Diagnostic Laparoscopy and Laparoscopic Diverting Sigmoid Loop Colostomy in Penetrating Extraperitoneal Rectal Injury: A Case Report

  • Jo, Young Goun;Park, Yun Chul;Kang, Wu Seong;Kim, Jung Chul;Park, Chan Yong
    • Journal of Trauma and Injury
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    • 제30권4호
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    • pp.216-219
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    • 2017
  • Laparoscopy has been one of the most effective modalities in various surgical situations, although its use in trauma patients has some limitations. The benefits of laparoscopy include cost-effectiveness, shorter length of hospital stay, and less postoperative pain. This report describes diagnostic laparoscopy and laparoscopic diverting sigmoid loop colostomy in penetrating extraperitoneal rectal injury. A 41-year-old male presented with perineal pain following penetrating trauma caused by a tree limb. Computed tomography showed air density in the perirectal space and retroperitoneum. As his vital signs were stable, we performed diagnostic laparoscopy and confirmed no intraperitoneal perforation. Therefore, laparoscopic diverting sigmoid loop colostomy was performed. He was discharged without any complications despite underlying hepatitis C-related cirrhosis. Colostomy closure was performed 3 months later.

사이버 공간의 확산과 물리적 공간에서의 집중화 현상의 관련성 : 성형외과의 강남구 집중현상 고찰 (The Relationship of the Concentration in Physical space and the proliferation of Cyber space : focusing on the Concentration of Plastic Surgery Clinics at Kangnam-gu, Korea)

  • 조영빈;최영근
    • Journal of Information Technology Applications and Management
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    • 제19권1호
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    • pp.85-100
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    • 2012
  • The development of technology causes a lot of change. Many researchers have insisted that the proliferation of cyber space changes the physical space. Their insistences have been accumulated into three aspects. Firstly, the proliferation of cyber space brings out the concentration in the physical space, secondly the decentralization and lastly both at the same time. In Korea, the concentration of plastic surgery clinics has taken place in Kangnam-gu area at similar period of the Internet proliferation. In this research, we execute empirical study of whether the concentration of plastic surgery in specific areas correlates with the proliferation of cyber space or not. In order to do this, we verified homogeneity of plastic surgery websites between Kangnam-gu and Non-Kangnam-gu areas. Also, we used three statistical and data-mining techniques which are Multi-discriminant analysis, Decision tree analysis and artificial neural network analysis. As a result, there was homogeneity between two different area plastic surgery clinics websites, but there was not big heterogeneity as well. Therefore, in this case of concentration of plastic surgery in Korea, the proliferation of cyber space restrictively correlates with the concentration of physical space.

중간기관지 내 잠복이물에 의할 중엽증후군 -1예 보고- (Middle Lobe Syndrome Caused by Occult Foreign Body in the Bronchus Intermedius -A case report-)

  • 이승진;오재윤;이철세;이길노;이석열
    • Journal of Chest Surgery
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    • 제39권6호
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    • pp.498-501
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    • 2006
  • 기관지에 이물이 장시간 존재하는 경우를 잠복 기관지 이물이라고 한다. 63세 남자 환자가 기침을 주소로 입원하였다. 컴퓨터 단층 촬영과 기관지내시경 검사에서 중엽기관지의 허탈소견과 함께 중간기관지에서 이물이 관찰되었다. 개흉술로 기관지 절개를 하여 이물을 제거하자 허탈된 중엽으로 정상적으로 환기가 되었다 저자들은 중간기관지 내 잠복이물에 의한 중엽증후군을 치험하였기에 보고하는 바이다.

Extended left hepatectomy associated with resection of the vena cava and suprahepatic veins by in situ perfusion to treat intrahepatic cholangiocarcinoma

  • Caroline Celestino Girao Nobre;Raquel Lima Sampaio;Ana Clemilda Marques Ximenes;Gustavo Rego Coelho;Jose Huygens Parente Garcia
    • 한국간담췌외과학회지
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    • 제28권1호
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    • pp.109-113
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    • 2024
  • Cholangiocarcinoma is a heterogeneous group of aggressive tumors that correspond to the second most common primary liver tumor. They can be classified according to their anatomical position concerning the biliary tree, and each subtype demonstrates different behavior and treatment. A 38-year-old male patient presenting solely right lumbar pain was diagnosed with a 7 cm hepatic tumor involving segments I, Iva, and VIII associated with involvement of the hepatic veins. He underwent a bloc resection of hepatic segments I, II, III, IV, partial V, partial VII, and VIII; right, middle, and left hepatic veins; and inferior vena cava segment, with perfusion of the remaining liver in situ with a preservation solution. As the patient had a large accessory inferior right hepatic vein draining the remaining liver, no reimplantation of hepatic veins was necessary. He remained clinically stable in outpatient follow-up, with excellent performance status-current survival of 2 years 6 months after surgical treatment.

CANCER CLASSIFICATION AND PREDICTION USING MULTIVARIATE ANALYSIS

  • Shon, Ho-Sun;Lee, Heon-Gyu;Ryu, Keun-Ho
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2006년도 Proceedings of ISRS 2006 PORSEC Volume II
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    • pp.706-709
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    • 2006
  • Cancer is one of the major causes of death; however, the survival rate can be increased if discovered at an early stage for timely treatment. According to the statistics of the World Health Organization of 2002, breast cancer was the most prevalent cancer for all cancers occurring in women worldwide, and it account for 16.8% of entire cancers inflicting Korean women today. In order to classify the type of breast cancer whether it is benign or malignant, this study was conducted with the use of the discriminant analysis and the decision tree of data mining with the breast cancer data disclosed on the web. The discriminant analysis is a statistical method to seek certain discriminant criteria and discriminant function to separate the population groups on the basis of observation values obtained from two or more population groups, and use the values obtained to allow the existing observation value to the population group thereto. The decision tree analyzes the record of data collected in the part to show it with the pattern existing in between them, namely, the combination of attribute for the characteristics of each class and make the classification model tree. Through this type of analysis, it may obtain the systematic information on the factors that cause the breast cancer in advance and prevent the risk of recurrence after the surgery.

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대기행렬이론을 활용한 의료서비스 환자 대기환경 평가 (Evaluation of Patients' Queue Environment on Medical Service Using Queueing Theory)

  • 여현진;박원숙;유명철;박상찬;이상철
    • 품질경영학회지
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    • 제42권1호
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    • pp.71-79
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    • 2014
  • Purpose: The purpose of this study is to develop the methods for evaluating patients' queue environment using decision tree and queueing theory. Methods: This study uses CHAID decision tree and M/G/1 queueing theory to estimate pain point and patients waiting time for medical service. This study translates hospital physical data process to logical process to adapt queueing theory. Results: This study indicates that three nodes of the system has predictable problem with patients waiting time and can be improved by relocating patients to other nodes. Conclusion: This study finds out three seek points of the hospital through decision tree analysis and substitution nodes through the queueing theory. Revealing the hospital patients' queue environment, this study has several limitations such as lack of various case and factors.

폐공동성 병변의 임상적 고찰 (A Clinical Study for the Cavitary Lesion of the Lung)

  • 이정래;김종원;정황규
    • Journal of Chest Surgery
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    • 제18권3호
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    • pp.474-481
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    • 1985
  • Pulmonary cavity is the result of necrosis of lung parenchyma with evacuation of the necrotic material via the tracheobronchial tree. A communication with the tracheobronchial tree permits air to enter the area of necrosis, so the radiologic result show the a lucent defect. The radiologic characteristics of the wall of a cavity are determined by the reaction of the lung parenchyma to the pathologic process. Therefore, the shadows of the chest films in cavitary lesion were variable in its nature. The author, in 42 cases which have a cavitary lesion in X-ray findings among 172 cases resected lung obtained in P.N.U.H. from 1979 to June, 1985, studied similarities and differences between the pathogenesis of these lesions and the radiologic findings. The author reviewed the 42 cavitary lesions and the following results were obtained. 1. The cavitary lesions were seen in 42 [24.4%] out of 172 cases of resected lung disease. 2. Histopathologically, pulmonary tuberculosis was 47.6% and primary lung cancer was 9.5%. 3. The most common site of the lesion was right upper lobe. 4. The most common size of the cavity was from 3 to 6 cm in diameter. 5. Lobectomy was the most common operated method.

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Pulmonary Sequestration [2례 보고] (Pulmonary Sequestration: report of 2 cases)

  • 남충희
    • Journal of Chest Surgery
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    • 제14권4호
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    • pp.350-353
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    • 1981
  • The pulmonary sequestration is an uncommon congenital anomaly characterized by the presence of a part of lung tissue which is supplied by an aberrant artery from the aorta or its branch and usually has no communication with the normal bronchial tree. It was first presented by Hubber in 1777 and presented in details by Pryce in 1946. We present a case of extralobar pulmonary sequestration experienced recently with a case of intralobar type experienced in 1962. The patient was 11 year old male with the complaint of chronic productive cough. Serial chest films showed a large cyst with or without the air-fluid level on the posterobasal segment area of the left lower lobe. Bronchography showed no definite communication between the cyst and bronchial tree. On operation, the cystic lesion was supplied by an aberrant artery from the descending thoracic aorta 5 cm above the aortic hiatus and was sited at the posterobasal segment area of the left lower lobe. We performed the sequestrectomy and the sequestration was surrounded by its own pleura, 6.8x3.9x3.2 cm in size, contained the pale brown mucoid secretion in a large cyst and showed the primitive alveolar structure of the wall. The aberrant artery was 1 -5 cm long, 0.3 mm in internal diameter and arterio-sclerotic. We also compared 6 cases of collection, 5 intralobar and 1 extralobar type, presented in Korea.

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