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Completion pneumonectomy의 임상적 고찰;11례 임상보고
허용,박재홍,문준호,차경태,안욱수,김병열,이정호,유회성,Hur, Yong,Park, Jae-Hong,Moon, Joon-Ho,Cha, Kyong-Tae,Ahn, Wook-Soo,Kim, Byung-Yul,Lee, Jung-Ho,Yu, Hoe-Sung 대한흉부심장혈관외과학회 1993 Journal of Chest Surgery (J Chest Surg) Vol.26 No.11
Among elevn consecutive cases having undergone Completion Pueumonectomy[CP]between 1958 and Aug. 1993 at the Dep. of Thoracic & Cardiovascular Surgery in National Medical Center. The patient`s mean age was 43 years[range 28 yrs, to 68yrs.],& they consisted with 10 males and 1 female. The indications for CP were benign diseases in 9 cases & 2 cases of lung cancer. The mean interval between the first operation & CP was 62.3 months[from 17 days to 288 months]. The several special intraoperative procedures such as intrapericardial pulmonary vesselsdivision & suture ligation, reinforcement of bronchial stumpmargin, & applied the Fibrin glue & hemostatics. The mean intra operative bleeding was 3582ml.[1500ml. to 6500ml.] The post orerative complication were developed in 5 cases[45.5%] they were empyema with BPF in 2 cases, empyema in 2 cases, & 1 case of repiratoy insufficiency which leading to death. We concluded that the C P noted high morbidity & mortality compared with ordinary first pulmonary resectional surgery. But, it will be a challenge to improved the morbidity because of increasing trend of completion pneumonectomy in a furture time.
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권오춘,안욱수 대구효성가톨릭 대학교 1997 연구논문집 Vol.54 No.2
Primary spontaneous pneumothorax has an annual incidence of 9 cases per 100,000 populations, especially high incidence in young adults. Thoracoscopic surgery is not new, but its applications to chest surgery have been more increasing with advanced video technology and instrumentation. We performed 15 cases of bullectomy using video-assisted thoracoscopy(VATS) for patients of pneumothorax. The mean age of patients was 25.1±7.6 years old, 105.5±40.1 minutes of mean operation times, and 3.2±1.9 days of postoperative tube indwelling time. Postoperative complications were persistent air leakage in one case, which was converted to open thoracotomy later, and recurrence of pneumothotax in one case. Video-assisted thoracoscopic bullectomy is effective alternative to thoracotomy for treatment of pneumothorax in terms of short hospital stay, less morbidity, low rate of recurrence, less pain, and good cosmetic results. But objective comparison with mini-thoracotomy will be needed in many aspects.
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