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박성강,이석기,임진수,최형호 朝鮮大學校 附設 醫學硏究所 2004 The Medical Journal of Chosun University Vol.29 No.1
Background : This study aims to assess the efficacy of VATS pleurodesis in the treatment of spontaneous pneumothroax. Method and material : 131 consecutive patients who underwent videoUassisted thoracoscopy (VATS) bullectomy and pleurodcsis procedure in Chosun Uniservity Hospital between May 1999 and June 2003 were included in the study. Theses patients were performed the VATS with Talc pleurodesis (Group A, n=72), VATS with Doxycycline pleurodesis (Group B, n=36), and VATS with reinforcement by absorbable mesh (Surgicel_(R)) and fibrin glue (Group C, n=23). The follow-up period was from 4 months to 30 years. Result: The patient's population consisted of 117 men and 14 women, and the mean age of the patients was 25.6 years. Recurrence rate was 1.4% ( 1 of 72 patients) in group A, 5.6% (2 of 36 patients) in groug B and 0% (0 of 23 patients) in group C. The median removal period of drainage chest tube was 3.3 days. Conclusion : Careful surgical technique is fundamental in reducing early air leakage and recurrence. Moreover, the covering of the suture area with an absorbable mesh and the fibrin glue is safe and effective method with an acceptable recurrence rate.
최영호,서홍주,임영혁,김정중,박성강,이석기,임진수,김은규 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2
Pulmonary blastoma is a very rare primary neoplasm of the lung. We experienced a case of pulmonary blastoma in a 40 years old man. The mediobasal segmentectomy of the right lower lobe was performed. The patient was discharge on the postoperative days 6. There is no evidence of recurrence or metastasis on followup study during 7 months period after operation.