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- 저자 : 라환도 ( Hwan Do Ra ) (검색결과 2 건)
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이태승(Teaseung Lee),라환도(Hwan Do Ra),김형호(Hyung-Ho Kim),한호성(Ho-Seoung Han),하종원(Jongwon Ha),정중기(Jung Kee Chung),김상준(Sang Joon Kim) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.72 No.4
Standard open surgery for aortoiliac occlusive disease has achieved excellent long-term patency, but is accompanied by postoperative morbidity, including ileus, pain and delayed functional recovery. A laparoscopic approach to the aorta may afford several advantages as a less invasive modality. Herein, our two experiences of a total laparoscopic aortobifemoral bypass (LABF) are reported. Two males, 57 and 73-years old, presented with a history of resting pain in both legs (especially right) and progressing severe claudication, respectively. The patients were positioned in right lateral decubitus, with their left side elevated between 70° to 80° using a pillow and tilted table. Five ports under the pneumoperitoneum were used for the procedure (five ports; 10 to 12 ㎜). The laparoscopic techniques consisted of aortic dissection, vascular control and intracorporeal anastomosis. The approach to the aorta in the transperitoneal left retrocolic plane was used for the first case, and in the transperitoneal left retrorenal plane for the second. Laparoscopic anastomosis was performed through two continuous running intracorporeal sutures and multiple interrupted sutures. The aortic clamping times were 178 and 185 minutes, respectively. The operative times were 415 and 530 minutes, with liquid diets initiated on the second and third postoperative days, respectively. Both patients suffered minimal postoperative pain, and were subsequently discharged. Total laparoscopic aortobifemoral bypass is more technically demanding than an open procedure. However, our experiences indicate that total laparoscopic aortic surgery is worthy of further development.
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서윤석 ( Yun Suhk Suh ),김성춘 ( Seong Chun Kim ),라환도 ( Hwan Do Ra ),한호성 ( Ho Seong Han ) 대한외상학회 2006 大韓外傷學會誌 Vol.19 No.2
We report a case of celiac artery dissection after abdominal blunt trauma. A 29-year-old man visited the emergency room for acute left periumbilical pain after abdominal blunt trauma from his child. Computed tomography showed a wedge-shaped splenic infarction with splenic artery thrombus. He was hospitalized for careful observation, and after two days, follow-up computed tomographic angiography showed a progressed celiac artery dissection that involved common hepatic artery and an increased extent of splenic infarction. He underwent conventional angiography, and a self-expandable stent was placed between the celiac axis and the common hepatic artery. After two days, follow-up computed tomographic angiography showed good hepatic arterial blood flow via the stent and no progression of splenic infarction. After ten days, he was discharged without complications. (J Korean Soc Traumatol 2006;19:196-200)
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