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Robotic hysterectomy as a new trendy surgical procedure for benign uterine disease
( Ryeobin Lee ),( Inji Yeo ),( Soobin Yim ),( Pong Rheem Jang ),( Jeong Bae Kang ),( Hye-yon Cho ),( Min Sun Kyung ) 대한산부인과학회 2018 대한산부인과학회 학술대회 Vol.104 No.-
Objective: This study was aimed to evaluate the safety and feasibility of robotic hysterectomy (RH) for large uterus by comparing surgical outcomes of conventional laparoscopic hysterectomy (LH) to those of RH. Methods: We retrospectively reviewed medical records of 52 patients who underwent RH (N=26) and LH (N=26) from June 2015 to September 2016. Clinical characteristics, surgical outcomes and postoperative NRS scores were compared between the two groups. Results: Mean uterine weight was 374.5 g in RH group and 319.8 g in LH group (P= 0.319). Clinical characteristics, including parity, BMI, prior abdominal surgery, and co-morbidities were not different between the two groups. However, the mean age of women in RH group was significantly younger than those in LH group (P = 0.007). Operative time was significantly longer in RH group than LH group (144.2 25.87 min vs. 104.4 32.56 min, P < 0.0001). Mean estimated blood loss was significantly heavier in LH group than RH group (157.3 39.04 mL vs. 108.1 56.42 mL, P= 0.001). Mean NRS score at postoperative 6 hrs was significantly lower in RH group than LH group (2.7 1.74 vs. 4.5 1.86, P= 0.001). In addition, postoperative return of bowel activity was significantly faster in RH group than LH group (36.0 13.39 hrs vs. 48.9 15.88 hrs, P= 0.003). Conclusion: Our data suggested that RH was correlated with a less blood loss, less postoperative pain, and faster recovery of bowel activity. RH is a safe, feasible, and less painful approach even for large uterus.
유비쿼터스 시스템의 서비스 운영을 위한 UBI 플랫폼 설계
한려빈(Ryeobin Han),최우정(Woojeong Choi),최재현(Jaehyun Choi),장서영(Seoyeong Jang),이남용(Namyoung Lee) 한국정보과학회 2009 한국정보과학회 학술발표논문집 Vol.36 No.1
현대사회는 점차 유비쿼터스의 시대로 나아가고 있다. 하지만 이러한 유비쿼터스의 시스템은 각 회사마다 서로의 시스템에서만 작동할 수 있는 서비스를 갖고 있다. 따라서 본 논문에서는 각 시스템에 작동하는 서비스들을 아우를 수 있는 통합된 미들웨어인 OSGi를 이용하여 UBI 플랫폼을 설계하고자 한다. 이는 디바이스들의 종류에 따라서 각기 다른 서비스들의 제공을 해줄 수 있으며, 사용자가 필요한 부분만을 설치 할 수 있게 한다. 이를 통하여 유비쿼터스 환경에서 사용되는 이기종의 서비스들을 사용할 수 있는 기반을 제공하게 될 것이다.
( Hye-yon Cho ),( Ryeobin Lee ),( Ye Hyon Park ),( Tae-yeem Lee ),( Sung-taek Park ),( Sung-ho Park ),( Jeong Bae Kang ),( Pong Rheem Jang ),( Min Sun Kyung ) 대한산부인과학회 2016 대한산부인과학회 학술대회 Vol.102 No.-
목적: To investigate the impact of laparoscopic hysterectomy (LH) on ovarian reserve by comparing changes of serum anti-Mullerian hormone (AMH) levels following LH (study group) and laparoscopic myomectomy (LM; control group). 방법: Serum AMH levels were measured pre-operatively (AMH0), 7 days (AMH1), 2 months (AMH2), and 6 months (AMH3) after LH and LM in 40 premenopausal women (LOC=20; LM=20). Changes of AMH were compared between two groups. 결과: Total 40 women included in this study (LOC=20; LM=20). At postoperative 6 months, 35 women checked AMH3. On the baseline data analysis, mean age was younger in LM group compared to LH group (p= 0.031). Parity and BMI was similar in both groups. AMH0 was similar in both groups (2.4 ± 2.72 in LM vs. 1.5 ± 3.52 in LH, p= 0.370). Also, AMH1, AMH2, and AMH3 were not different between the two groups. A rate of a significant decrease of AMH (more than 50% decrease compared to AMH0) at postoperative 6 months was not different between the two groups. 결론: Serum AMH levels were not significantly decreased after LH compared to LM, which suggests that LH may have no adverse effects on ovarian reserve comparing to LM. A long-term study of AMH levels is required.