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( San Hui Lee ),( Eui Hyeok Kim ),( Sang Won Han ),( Sang Wun Kim ),( Young Tae Kim ) 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-
목적: The purpose of this study was to evaluate the effect of scheduled ramosetron injection during hospitalized period in patients undergoing single port access total laparoscopic hysterectomy (SPA-TLH). 방법: In this prospective, randomized, double-blinded, placebo-controlled study, 131 patients who were undergoing SPA ?TLH in National Health Insurance Service Ilsan Hospital from March 2013 to May 2014 were enrolled. Patients were divided into two groups: the ramosetron group (0.3 mg i.v.; n=65), and the placebo group (normal saline i.v.; n= 66). Both groups received their respective injection on post-operative day 1 and day 2. The incidence of postoperative nausea and vomiting (PONV), the severity of PONV (numerical rating scale 0-10), and the use of rescue antiemetic requirements during the first 24 h after surgery were evaluated. 결과: Demographic and perioperative differences were not observed between the two groups. The incidence of postoperative nausea and vomiting in the ramosetron group and the placebo group were 40.1% and 42.7%, respectively (p=0.213). However, there was a significant difference between the groups in the scale of PONV during 24 hours and 48 hours after surgery (p=0.042, p=0.034, respectively). The use of rescue antiemetics was significantly lower in the roamsetron group (p=0.021). 결론: After general anesthesia in the same fashion, the scheduled injection of ramosetron reduced the intensity of PONV and the use of rescue antiemetics. Administration of ramosetron can be considered not only immediately after the SPA-TLH but also during the recovery period.
김경산(Kyung-San Kim),김성운(Sung-Wun Kim) 대한전자공학회 2007 대한전자공학회 학술대회 Vol.2007 No.7
This paper present a Frame-Per-Processor (FPP) scheme. The proposed method allocates dedicated processors to each image frame for real time processing. Compared to the conventional methods, it requires less overhead to supply paralell computing platform and it does not require frequent modification of the code during the porting. Under the proposed scheme, unique processing mechanisms for image processing is implemented.
Lee, Maria,Kim, Sang Wun,Paek, Jiheum,Lee, San Hui,Yim, Ga Won,Kim, Jae Hoon,Kim, Jae Wook,Kim, Young Tae,Nam, Eun Ji BMJ 2011 International journal of gynecological cancer Vol.21 No.2
<B>Objectives:</B><P>The purpose of this study was to compare the surgical outcomes, complications, and costs between laparoscopic staging and laparotomic staging for early-stage ovarian cancer.</P><B>Methods:</B><P>We evaluated 113 patients who underwent laparoscopy (n = 26) or laparotomy (n = 87) for staging. We retrospectively analyzed patients' demographics and operative variables, including operative time, estimated blood loss, lymph node count, hospital stay, complications, postoperative pain, and return to normal activity. In addition, costs for laparoscopy and laparotomy groups were also compared.</P><B>Results:</B><P>The mean operation time was longer in laparoscopy group compared to laparotomy group (227.6 minutes vs 184.6 minutes, <I>P</I> = 0.016). The laparoscopy group had less intraoperative blood loss, less transfusion requirement, shorter postoperative hospital stay, earlier general diet intake, shorter time to adjuvant chemotherapy, and lower postoperative pain score after 6, 24, and 48 hours compared with the laparotomy group. The mean number of lymph node retrievals was comparable between the groups. The incidence of operative complications was lower in the laparoscopy group (7.7%) relative to the laparotomy group (23.0%). The total average cost for staging completed via laparotomy was $1237 and that via laparoscopy was $1998, with significant difference.</P><B>Conclusions:</B><P>Complete surgical staging by laparoscopy was achieved in all cases with comparable operative time and less operative complications compared with laparotomy for selected patients with early-stage ovarian cancer. However, the operation costs for laparoscopy were significantly higher than the operation costs for laparotomic staging surgery.</P>
Case Reports : Robot-assisted Laparoscopic radical trachelectomy using three robotic arms
( Soo Rim Kim ),( Ji Heum Paek ),( San Hui Lee ),( Eun Ji Nam ),( Young Tae Kim ),( Sang Wun Kim ) 대한산부인과학회 2010 Journal of Womens Medicine Vol.3 No.3
Radical trachelectomy is an alternative method to preserve the fertility of young women with early stage cervical cancer. Abdominal radical trachelectomy has been replaced with laparoscopic radical trachelectomy in selected patients due to several advantages of laparoscopic surgery compared to laparotomy. Recently, as surgical technology has significantly advanced, robot-assisted procedures have been performed. However, there are only four case reports of robot-assisted radical trachelectomy where four robotic arms were used. This report may be the first to describe robot-assisted laparoscopic radical trachelectomy which uses only 2 robotic instruments ports and 1 assistant port while preserving the ascending branches of both uterine arteries.
Robotic single-port transumbilical total hysterectomy: a pilot study
Nam, Eun Ji,Kim, Sang Wun,Lee, Maria,Yim, Ga Won,Paek, Ji Heum,Lee, San Hui,Kim, Sunghoon,Kim, Jae Hoon,Kim, Jae Wook,Kim, Young Tae Korean Society of Gynecologic Oncology and Colposc 2011 Journal of Gynecologic Oncology Vol.22 No.2
<P><B>Objective</B></P><P>To evaluate the feasibility of robotic single-port transumbilical total hysterectomy using a home-made surgical glove port system.</P><P><B>Methods</B></P><P>We retrospectively reviewed the medical records of patients who underwent robotic single-port transumbilical total hysterectomy between January 2010 and July 2010. All surgical procedures were performed through a single 3-4-cm umbilical incision, with a multi-channel system consisting of a wound retractor, a surgical glove, and two 10/12-mm and two 8 mm trocars.</P><P><B>Results</B></P><P>Seven patients were treated with robotic single-port transumbilical total hysterectomy. Procedures included total hysterectomy due to benign gynecological disease (n=5), extra-fascial hysterectomy due to carcinoma <I>in situ</I> of the cervix (n=1), and radical hysterectomy due to cervical cancer IB1 (n=1). The median total operative time was 109 minutes (range, 105 to 311 minutes), the median blood loss was 100 mL (range, 10 to 750 mL), and the median weight of the resected uteri was 200 g (range, 40 to 310 g). One benign case was converted to 3-port robotic surgery due to severe pelvic adhesions, and no post-operative complications occurred.</P><P><B>Conclusion</B></P><P>Robotic single-port transumbilical total hysterectomy is technically feasible in selected patients with gynecological disease. Robotics may enhance surgical skills during single-port transumbilical hysterectomy, especially in patients with gynecologic cancers.</P>