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      • KCI등재

        Pure Laparoscopic Radical Cystectomy with Ileal Conduit: A Single Surgeon’s Mid-Term Outcomes

        박범수,정병창,전성수,이현무,최한용,서성일 연세대학교의과대학 2013 Yonsei medical journal Vol.54 No.4

        Purpose: The use of laparoscopic radical cystectomy (LRC) for muscle-invasive bladder cancer is not yet widespread because of the technical difficulties of the procedure and the lengthy operating time. In this study, we report a single surgeon’s experience with LRC. Materials and Methods: Thirty patients (25 men and 5 women) with bladder cancer underwent LRC and ileal conduit by a single surgeon between November 2007 and May 2011. An extracorporeal urinary diversion was performed through 5-6 cm midline incision for specimen extraction. Results:The median operating time and estimated blood loss were 527.5 minutes and 275 mL, respectively. There was no conversion to open surgery. The median time to oral intake and postoperative hospital stay were 5 days and 12 days, respectively. The rates of immediate, early postoperative and late postoperative complication were 3.3%, 20% and 20%, respectively. With 16 months of median follow-up, the overall and recurrence-free survival rates were 70% and 56.7%, respectively. Conclusion: LRC is feasible for the management of invasive bladder cancer and, with appropriate patient selection, can be a good alternative to open or robot-assisted radical cystectomy in the era of robot-assisted surgery.

      • KCI우수등재

        한옥의 면진기법 적용 방안에 대한 개념적 고찰

        박범수,김영민,허무원,이상현 대한건축학회 2020 大韓建築學會論文集 : 構造系 Vol.36 No.1

        In this study, various application schemes of seismic isolation system which can be applied to Hanok have been studied by analyzing itsstructural characteristics under seismic load. Structural stability of Hanok is more required against seismic load as Hanok becomeslong-spanned and multi-storied. To meet this goal, it becomes necessary to study more advanced technology such as seismic isolation designas well as seismic control design and seismic resistant design suitable to Hanok. Seismic isolation systems have been successfully applied toRC and steel structures to improve structural performance during earthquakes. Based on these previous study, we proposed four applicationschemes of seismic isolation design suitable for Hanok and analyzed their structural characteristics and applicability to Hanok in conceptuallevel based on its structural characteristics. The proposed four schemes are base isolation method, ground isolation method, roof isolationmethod and intermediate-story isolation method. The applicability of the proposed method was evaluated by performing boundary nonlineardynamic analysis to the typical Hanok for the two types of isolation method, that is, ground isolation method and roof isolation method, andthe results showed that the proposed methods produced good performance enough to be applied to Hanok. 본 연구에서는 한옥에 적용 가능한 면진기법을 제안하고 각 방안의 구조적 특성을 고찰하였다. 한옥이 장경간화 및 다층화 될수록 구조적 안정성에 대한 요구는 더 커지고, 이를 위해 내진 및 제진설계 뿐만 아니라 면진설계와 같은 보다 앞선 기술이 요구되고 있다. 한옥에 적용 가능한 네 가지 면진기법인 기초면진, 지상층면진, 지붕층면진, 중간층면진 방안을 제안하고, 각 방안들의 구조적 특성 및 적용성을 분석하였다. 사례 한옥에 지상층면진과 지붕층면진을 적용하여 경계비선형동적해석을 수행하여 한옥에의 적용성을 확인하였다.

      • KCI등재후보

        Endovascular Mechanical Thrombectomy in Basilar Artery Occlusion: Initial Experience

        박범수,강창우,권현조,최승원,김선환,고현송,염진영,송시헌 대한뇌혈관외과학회 2013 Journal of Cerebrovascular and Endovascular Neuros Vol.15 No.3

        Objective:This study was conducted to assess the efficacy and safety of endovascular mechanical thrombectomy (EMT) for patients diagnosed with basilar artery (BA) occlusion. Materials and Methods : We retrospectively analyzed clinical and imaging data of 16 patients diagnosed with BA occlusion who were treated with endovascular intervention from July 2012 to February 2013. Direct suction using the Penumbra system and thrombus retrieval by the Solitaire stent were the main endovascular techniques used to restore BA flow. The outcomes were evaluated based on rate of angiographic recanalization, rate of improvement of National Institutes of Health Stroke Scale (NIHSS) score, rate of modified Rankin Scale (mRS) at discharge and after 3 months, and rate of cerebral hemorrhagic complications. Successful recanalization was defined as achieving Thrombolysis In Cerebral Infarction (TICI) of II or III. Results : Sixteen patients received thrombectomy. The mean age was 67.8 ± 11 years and the mean NIHSS score was 12.3 ± 8.2. Eight patients treated within 6 hours of symptom onset were grouped as A and the other 8 patients treated beyond 6 hours (range, 6-120) were grouped as B. Successful recanalization was met in six patients (75%) for group A and 7 (87.5%) for group B. Favorable outcome occurred in 4 patients (50%) for group A and 5 (62.5%) for group B. Conclusion : Our study supports the effectiveness and safety of endovascular mechanical thrombectomy in treating BA occlusion even 6 hours after symptom onset.

      • KCI등재

        Interval from Prostate Biopsy to Radical Prostatectomy Does Not Affect Immediate Operative Outcomes for Open or Minimally Invasive Approach

        박범수,추설호,전황균,정병창,서성일,전성수,이현무,최한용 대한의학회 2014 Journal of Korean medical science Vol.12 No.12

        Traditionally, urologists recommend an interval of at least 4 weeks after prostate biopsybefore radical prostatectomy. The aim of our study was to evaluate whether the intervalfrom prostate biopsy to radical prostatectomy affects immediate operative outcomes, witha focus on differences in surgical approach. The study population of 1,848 radicalprostatectomy patients was divided into two groups according to the surgical approach:open or minimally invasive. Open group included perineal and retropubic approach, andminimally invasive group included laparoscopic and robotic approach. The cut-off of thebiopsy-to-surgery interval was 4 weeks. Positive surgical margin status, operative time andestimated blood loss were evaluated as endpoint parameters. In the open group, therewere significant differences in operative time and estimated blood loss between the< 4-week and ≥ 4-week interval subgroups, but there was no difference in positivemargin rate. In the minimally invasive group, there were no differences in the threeoutcome parameters between the two subgroups. Multivariate analysis revealed that thebiopsy-to-surgery interval was not a significant factor affecting immediate operativeoutcomes in both open and minimally invasive groups, with the exception of the interval< 4 weeks as a significant factor decreasing operative time in the minimally invasive group. In conclusion, performing open or minimally invasive radical prostatectomy within 4 weeksof prostate biopsy is feasible for both approaches, and is even beneficial for minimallyinvasive radical prostatectomy to reduce operative time.

      • KCI등재

        프랙탈 수학을 이용한 옥외용 설비의 정량적 평가법 제안

        박범수,임장섭,소순열,이진,송일근,이재봉,Park, Beom-Su,Lim, Jang-Seob,So, Soon-Youl,Lee, Jin,Song, Il-Keun,Lee, Jae-Bong 한국전기전자재료학회 2007 전기전자재료학회논문지 Vol.20 No.2

        Fractal mathematics is being highlighted as a research method for classification of image. But the application of Fractal dimension(FD) has been requited the complicated calculation method because of its complex repetition progressing. In this paper, it has been developed the new approach method to express the Fractal Dimension(FD) for aging level calculation and estimation system of outside insulator using special image processing algorithm. As a result after FD testing, the recognized aging estimation of FD has a very characteristics compared to the conventional visual inspection.

      • 대상포진에 의한 배뇨장애에서 치료 방법에 따른 회복기간의 비교

        박범수,김진일,이선주 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2007 東西醫學硏究所 論文集 Vol.2007 No.-

        Purpose: We compared the recovery periods in zoster-associated voiding dysfunction according to the treatment modality to establish the best treatment policy. Materials and Methods: From January 2004 to August 2006, medical records of 250 patients admitted for zoster infection were reviewed. Of 250 patients, patients complaining of lower urinary tract symptoms (LUTS) were selected. The clinical and urodynamic features, and treatment outcomes were analyzed. Results: Thirty eight (15.2%) of 250 patients had zoster-associated LUTS. Urinary retention was the most common symptom. Urodynamically, detrusor underactivity was the most common finding (71.8%). Twenty were followed, of which 5 received oral medication, 10 received clean intermittent catheterization (CIC), 4 received indwelling catheterization (IC) and remained 1 was observed without treatment. All patients regained normal voiding function. Mean recovery period was 12 days. According to the treatment modality, mean recovery period was 21 days in medication group, 10 days in CIC group, and 6 days in IC group. The mean recovery period was significantly shorter in CIC or Ie group than medication group (p=0.013, 0.005). Conclusion: Zoster-associated voiding dysfunction is a reversible condition. Thus, patients with mild symptoms can be observed. However, if symptoms are severe or retention develops, catheterization is recommended rather than medication alone.

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