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전강웅(Kang-Woong Jun),원대연(Dae-Yeon Won),배자성(Ja-Sung Bae),성기영(Ki Young Sung),김정수(Jung-Soo Kim),전해명(Hae-Myoung Chun),정상설(Sang-Seol Chung),박우찬(Woo-Chan Park) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.6
A nonrecurrent laryngeal nerve has a reported incidence of 0.3 to 1.6%, and they mainly occur on the right side of neck during thyroidectomy. We experienced a case of nonrecurrent laryngeal nerve during surgery for papillary thyroid cancer. Total thyroidectomy with central and right lateral node dissection was performed in a 53-year-old female patient for her papillary thyroid cancer. During right central node dissection at the 4th tracheal ring level, the recurrent laryngeal nerve was found as a direct branch from the vagus nerve across the common carotid artery at the posterior aspect and no any other vascular abnormality was found on the operative field. During thyroid surgery, a surgeon should be careful not to damage a nonrecurrrent laryngeal nerve that"s found incidentally.
서혜부 탈장에서 전복막외 복강경 탈장교정술과 개방적 탈장교정술의 비교 분석
전강웅(Kang-Woong Jun),정헌(Hun Jung),김성집(Sung-Jeep Kim),전경화(Kyong-Hwa Jun),진형민(Hyung-Min Chin),김준기(Jun-Gi Kim),박우배(Woo-Bae Park) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.4
Purpose: Laparoscopic herniorrhaphy has been recognized as one of the treatment options for inguinal hernia. This study compared the short-term results of two methods of repair: totally extraperitoneal (TEP) repair and open tissue based repair. Methods: A retrospective review was conducted on all patients who underwent laparoscopic TEP repair (LH, 105 cases) and open repair (OH, 57 cases) at our hospital between September 2007 and December 2008. Posterior wall repairs in open technique follow as McVay (25 cases) and Bassini (32 cases). Demographic data, operation time, perioperative complications, consumption of analgesics, and hospital stay were compared. Results: There was no significant difference in relation to patient characteristics; age, gender, BMI, medical and surgical history and hernia type. Also, there was no difference of operation time for both groups. Patients in the LH group consumed fewer analgesics (P=0.002). Intraoperative complications occurred more frequently in the LH group (P=0.036) but postoperative complications were similar. Hospital stay was shorter in LH (P<0.001). There was no difference of recurrence between LH group and OH group for 16 months. Conclusion: Laparoscopic TEP repair shows similar postoperative complications and recurrences and with less postoperative pain and hospital stay, compared with open tissue based hernia repair. However, further study with longer follow up data is necessary.