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송혜원,신영희,Justin Sangwook Ko,곽미숙,김갑수 대한마취통증의학회 2012 Korean Journal of Anesthesiology Vol.62 No.1
Porphyrias are a group of diseases characterized by an enzyme deficiency in the heme biosynthesis pathway,resulting in accumulation of precursor molecules in the tissue. Some porphyric patients develop progressive liver disease that requires liver transplantation. This case report describes special anesthetic challenges, including careful selection of drugs and the use of special filters that can exclude harmful wavelengths of ultraviolet, in a patient with porphyria who underwent living donor liver transplantation. Understanding the patient’s status and disease process,and avoiding triggering factors of porphyria attacks, are important for successful liver transplantation anesthesia in patients with porphyria.
( Ga Hyun Kim ),( Justin Sangwook Ko ),( Duck Hwan Choi ) 대한마취과학회 2011 Korean Journal of Anesthesiology Vol.60 No.3
Pregnancy is considered a period of high risk for cardiovascular complications in patients with Marfan syndrome. Therefore the choice of anesthetic technique for delivery should be focused on minimizing hemodynamic fluctuations, and preferably provide adequate post-operative pain control. For this purpose, neuraxial blocks, such as spinal or epidural anesthesia, may be deemed a safe option. However, dural ectasia is present in 63-92% of patients with Marfan syndrome, and the increased amount of cerebrospinal fluid volume is thought to be one of main reasons for spinal anesthesia failure. We report herein the peri-operative management of a patient with Marfan syndrome and dural ectasia for cesarean section using epidural anesthesia. (Korean J Anesthesiol 2011; 60: 214-216)
우측 대동맥 활을 동반한 팔로씨 사징 환아에서 경식도 심초음파 소식자 삽입 후 발생한 환기 장애 -증례보고
윤세정 ( Se Jeong Yoon ),고저스틴상욱 ( Justin SangWook Ko ),김정수 ( Chung Su Kim ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.1
Right aortic arch, a congenital malformation of the great vessels, can cause compression of trachea and/or esophagus. We experienced a case of ventilatory compromise in an infant with tetralogy of Fallot and right aortic arch immediately after insertion of transesophageal echocardiography probe during cardiac surgery. Although intraoperative transesophageal echocardiography can be safely performed in infants with congenital heart disease, it should be done with caution in patient with similar vascular malformation. (Korean J Anesthesiol 2009; 57: 104~7)
In Hoo Kim,Gaab Soo Kim,Justin Sangwook Ko,Sang Min Maria Lee 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.1
We report a case of combined off-pump coronary artery bypass grafting (OPCAB) and living-donor liver transplantation (LDLT). Patient was admitted to undergo liver transplantation due to Child C cirrhosis secondary to hepatitis B infection, and incidentally, his preoperative cardiac evaluation revealed silent ischemia due to the two-vessel coronary artery disease (CAD). Patient underwent OPCAB followed by LDLT. There was no perioperative cardiovascular event during the days of hospitalization. From the successful anesthetic experience of a combined OPCAB and LDLT, we cautiously suggest that a combined OPCAB and LDLT could be a surgical treatment for the patients with end-stage liver disease (ESLD) and advanced CAD. (Korean J Anesthesiol 2009; 57: 108~12)
Yu Jeong Bang,Joo Hyun Jun,Mi Sook Gwak,Justin Sangwook Ko,Jong Man Kim,Gyu Seong Choi,Jae Won Joh,Gaab Soo Kim 대한외과학회 2021 Annals of Surgical Treatment and Research(ASRT) Vol.100 No.4
Purpose: To lessen the physical, cosmetic, and psychological burden of donors, purely laparoscopic donor hepatectomy (PLDH) has been proposed as an ideal method for living donors. Our study aimed to prospectively compare the effect of PLDH and 2 other types of open living donor hepatectomy (OLDH) on postoperative pain and recovery. Methods: Sixty donors scheduled to undergo donor hepatectomy between March 2015 and November 2017 were included. Donors were divided into 3 groups by surgical technique: OLDH with a subcostal incision (n = 20), group S; OLDH with an upper midline incision (n = 20), group M; and PLDH (n = 20), group L. The primary outcomes were postoperative pain and analgesic requirement during postoperative day (POD) 3. Other variables regarding postoperative recovery were also analyzed. Results: Although pain relief during POD 3, assessed by visual analog scale (VAS) score and analgesic requirement, was similar among the 3 groups, group L showed lower VAS scores and opioid requirements than group M. Moreover, group L was associated with a rapid postoperative recovery evidenced by the shorter hospital length of stay and more frequent return to normal activity on POD 30. Conclusion: This pilot study failed to verify the hypothesis that PLDH reduces postoperative pain. PLDH did not reduce postoperative pain but showed faster recovery than OLDH.
Intraoperative abortion of adult living donor liver transplantation
Jungchan Park,Gyu-Seong Choi,Mi Sook Gwak,Justin Sangwook Ko,Sangbin Han,Bobae Han,Jae Won Joh,Sung Joo Kim,Suk-Koo Lee,Choonhyuck David Kwon,Jongman Kim,Chan Woo Cho,Gaab Soo Kim 대한외과학회 2018 Annals of Surgical Treatment and Research(ASRT) Vol.95 No.4
Purpose: This study aimed to report intraoperative abortion of adult living donor liver transplantation (LDLT). Methods: From June 1997 to December 2016, 1,179 adult LDLT cases were performed. 15 cases (1.3%) of intraoperative abortions in LDLT were described. Results: Among 15 cases, 5 intraoperative abortions were donor-related, and remaining 10 cases were recipient-related. All donor-related abortions were due to unexpected steatohepatitis. Among remaining 10 recipient-related intraoperative abortions, unexpected extension of hepatocellular carcinoma was related in 5 cases. Two cases of intraoperative abortions were related to bowel inflammation, and 2 cases were associated with severe adhesion related to previous treatment. One recipient with severe pulmonary hypertension was also aborted. Conclusion: Complete prevention of aborted LDLT is still not feasible. In this regard, further efforts to minimize intraoperative abortion are required.