2004년 전국 복강경 위 수술 현황

김형곤,김곤홍,김동헌,김민찬,김병식,김영우,김용일,김용호,김욱,김원우,김진조,김태봉,류성엽,Kim, H.H.,Kim, K.H.,Kim, D.H.,Kim, M.C.,Kim, B.S.,Kim, Y.W.,Kim, Y.I.,Kim, Y.H.,Kim, W.,Kim, W.W.,Kim, J.J.,Kim, T.B.,Ryu, S.Y. 대한위암학회 2005 대한위암학회지 Vol.5 No.4

대한복강경위장관연구회가 2004년 전국에서 시행된 복강경 위 수술의 현황을 조사하였다. 모두 36개의 기관으로부터 38명의 외과의가 설문에 응답하였다. 2004년 한 해 동안 시행된 복강경 위 수술은 총 1,089예였고 1995년부터 2004년까지 시행된 복강경 위 수술을 누적하면 모두 2,386예였다. 2004년에 위선암 환자에서 시행된 복강경 위 수술은 2003년보다 약 2배 많은 754예였다. 위선암에 대한 근치적 위절제술인 복강경보조위아전절제술 및 복강경보조위전절제술은 2001년도를 전환점으로 급속히 증가하였다(2001년 55예, 2002년 150예, 2003년 364예, 2004년 738예). 특히 복강경보조위전절제술은 작년에 폭발적 인 증가를 보였다. (2003년 20예, 2004년 112예). 그러나 복강경보조유문부보존위절제술 및 복강경보조근위부위절제술과 같은 복강경보조기능보존위절제술은 작년 각각 1예씩 시행되어 아직 보편화되지 않았다. 위 점막하종양에 시행된 복강경위쐐기절제술은 142예였다. Hand-assisted laparoscopic surgery는 2001년 39예, 2002년 55예, 2003년 49예가 시행되었으나 2004년에는 단 5예만 시행되어 급격한 감소를 보였다. 고도비만수술은 2003년도에 시작되어 2004년에는 49예로 증가하였다. 위선 암에서 복강경위수술의 적응증에 대한 견해로서 19명이 조기위암에서 시행한다고 하였고 7명은 적응증을 T2N0까지 넓히고 있었다. 앞으로 보험문제가 해결이 되고 장기 성적이 나온다면 위선암에 대한 복강경 위 수술은 널리 보편화될 것이다. The Korean laparoscopic Gastrointestinal Surgery Study Group made a survey of laparoscopic gastric surgeries which were performed in Korea during 2004. Thirty-eight surgeons from 36 Institutions responded to the questionnaires. One thousand eighty-nine laparoscopic gastric operations were performed during 2004. The cumulative number from 1995 to 2004 was about 2,386. Seven hundred fifty-four operations for a gastric adenocarcinoma were performed during 2004 which is almost two times the number performed during 2003. Laparoscopic radical procedures, such as a laparoscopy-assisted distal gastrectomy or total gastrectomy (LADG and LATG) have increased rapidly since 2001 (55 cases in 2001, 150 cases in 2002, 364 cases in 2003 and 738 cases in 2004). Especially, laparoscopic total gastrectomies were explosively adopted last year (20 cases in 2003 and 112 cases in 2004). However, laparoscopic function-preserving gastrectomies, which included one laparoscopy-assisted pylorus-preserving gastrectomy and laparoscopy-assisted proximal gastrectomy, are rarely performed at this time. One hundred forty-two wedge resections for a gastric submucosal tumor were performed during 2004. Hand-assisted laparoscopic surgery (HALS) was performed in 39 cases in 2001, 55 in 2002, and 49 in 2003; however, only 5 such surgeries were performed during 2004. In 2003, laparoscopic bariatric surgery began, and during 2004, 49 operations were performed. In terms of indications of laparoscopic gastric surgery for adenocarcinoma, 19 surgeons performed a LADG only for a T1 lesion, and 7 surgeons extended their indications to T2N0 lesions. In the near future, laparoscopic procedures for gastric cancer will be widely adopted in Korea if the medical-insurance obstacle is overcome, and the long-term survival results are verified.

강직성 고관절에 시행한 고관절 전치환술(자연 및 수술적 유합 그리고 강직성 척추염에서 시행한 고관절 전치환술의 비교)

김인 ( In Kim ),이승구 ( Seung Koo Rhee ),김성수 ( Yong Koo Kang ),권순용 ( In Sul Chung ),강용구 ( Sung Soo Kim ),정인설 ( Soon Yong Kwon ),최문구 ( Moon Gu Choi ),안동헌 ( Dong Hyun Ahn ) 대한고관절학회 1992 Hip and Pelvis Vol.4 No.1

Since 1982, twenty-three ankylosed hips in nineteen patients were converted to total hip replacement, and followed them for more than 17/12 year, 2 5/12 on an average. Four patients underwent conversion arthroplasty of bilateral ankylosed hips; ankylosing spondylitis in 3 cases and tuberculous infection sequale in one case. The patients age ranged from 33 to 62 years, an average of 49 years, There were six men and thirteen women. The duration of hip fusion to conversion to THR ranged from two to forty-two years, an average of 21 years. The causes of hip fusion were various; nine hips with tuberculosis, 3 hips with pyogenic arthritis and 2 hips with severe rheumatoid involvement were spontaneously ankylosed in malposition before. Another two hips with active tuberoulosis and one hip with pyogenic arthritis had previously undergone surgical hip fusion, and the remained six hips in 3 patients were ankylosed by ankylosing spondylitis. The gait impairment due to painful malposition and leg length discrepancy, disabling pain on back or ipsilateral knee, and the patients earnest desire to mobile hip were the predominant surgical indications. Lateral Watson-Jones approach with or without trochanteric osteotomy in ten hips and modified Gibson approach in thirteen hips were used. Twenty cementless THR were used.

갑상선 암의 임상적 고찰

김동헌(Dong Heon Kim),이형진(Hyung Jin Lee) 대한외과학회 1985 Annals of Surgical Treatment and Research Vol.29 No.1

사회적 책임을 지는 다운사이징

김동헌(Dong-Heon Kim),원창희(Chang-Hee Won) 한국고용노사관계학회 1997 産業關係硏究 Vol.8 No.1

이동로봇의 동적장애물 회피를 위한 가변 포텐셜장 설계

김동헌(Dong Hun Kim) 제어로봇시스템학회 2021 제어·로봇·시스템학회 논문지 Vol.27 No.3

This paper presents the design of a variable potential field for dynamic obstacle avoidance by mobile robots. In this scheme, the RPF (Repulsive Potential Field) for obstacle avoidance has a different magnitude in each direction based on the angle between a goal and an obstacle, unlike a conventional RPF in which the magnitude is the same in each direction. Conventional potential field designs for path planning use scaling parameters of the potential field as fixed values. Therefore, the local minimum problem occurs because of which the robot cannot reach its destination. This is because of the obstacle in the approach to the destination due to repulsive forces in all directions around the potential field. Similarly, studies on existing potential field designs for avoiding dynamic obstacles have used methods such as fixed obstacles by designing only the location of the dynamic obstacles in the current step. Therefore, a collision is inevitable when the dynamic obstacle moves faster than the robot. Thus, in this study, the scaling parameters of the RPF were designed using variable values depending on the locations of the obstacle and destination. In addition, a new field design was developed for obstacle avoidance considering the speeds of dynamic obstacles. The experimental results proved that a potential field could be effectively designed for avoiding dynamic obstacles and those near the destination.

진주시 수돗물 불소농도조정사업의 11년간 비용편익 분석

김만경 ( Man Kyong Kim ),정지인 ( Ji In Jung ),김민지 ( Min Ji Kim ),전은주 ( Eun Joo Jun ),김한나 ( Han Na Kim ),김세연 ( Se Yeon Kim ),한동헌 ( Dong Hun Han ),정승화 ( Seung Hwa Jeong ),김진범 ( Jin Bom Kim ) 대한예방치과·구강보건학회 2014 大韓口腔保健學會誌 Vol.38 No.2

Objectives: The aim of this study was to estimate the economic costs and benefits of a water fluoridation program in the city of Jinju, Korea. Methods: In 2009, dental surveys were conducted on 2,315 children aged 6-12 years in Jinju, which had been fluoridated for 11 years. The decayed/missing/filled teeth (DMFT) scores of children in Jinju were compared to the DMFT scores of same-aged children in non-fluoridated small- and mediumsized cities in the fourth Korean National Health and Nutrition Examination Survey conducted from 2007 to 2009 by the Korea Centers for Disease Control and Prevention. The reduced number of decayed permanent teeth by the water fluoridation program was estimated as the difference between the DMFT scores of children in Jinju and those in non-fluoridated small- and medium-sized cities. The economic benefits were estimated by the savings from reduced dental treatment costs by using the reduced number of decayed permanent teeth from the water fluoridation program. All annual costs and benefits were calculated from 1998 to 2009. The social rate and untreated rate of decayed teeth were applied as 3% and 20%, respectively. The annual benefit-cost ratio was estimated by using the annual benefits and cumulative program costs. Results: The economic benefit in 2009 from a water fluoridation program was estimated as 57,496,000,000 Korean Won (KRW), and the cumulative cost in 2009 was estimated as 1,387,000,000 KRW. The net present value in 2009 from a water fluoridation program was 56,109,000,000 KRW. The benefit-cost ratio in 2009 was estimated as 41.4. Conclusions: The economic benefit of a water fluoridation program in Jinju city was evaluated as excellent.

불확실성 적응기법을 이용한 비선형 시스템의 강인 백스테핑 설계

김동헌(Dong-Hun Kim),김응석(Eung-Seok Kim),양해원(Hai-Won Yang) 제어로봇시스템학회 2001 제어·로봇·시스템학회 논문지 Vol.7 No.7

조직설계 측면에서 본 비서직의 편제에 관한 연구

김동헌(Dong-Hun Kim) 한국비서학회 2002 비서·사무경영연구 Vol.11 No.1

The primary purpose of this study is to research the table of organization of secretaries in an organization, on the side of organizational design and to suggest alternatives. Secretarial services as a job has some special characteristics of its own. The demand of secretarial manpower for an enterprise is comparatively small and sporadic in comparison to that of others. Even though there is no exclusive secretarial services firm or industry, there are secretarial job positions in many firms and organizations. The above mentioned are special features of secretarial services. However, due to the reasons mentioned above, organizational structure is comparatively underdeveloped. In the view point. of organizational design and structure, secretarial functions are neither horizontally differentiated nor vertically differentiated. The degree of formalization of secretarial functions is comparatively low. There are few organization that put the secretarial department as an independent unit in its organization chart, even though the organization employs secretarial functions. The. secretarial organization structure can be considered as a sort of hardware and the ability, skill and knowledge of a secretary is considered as a sort of software. Secretarial services has been well developed as software and as a result of that, many managers in organizations became more aware of the necessity of secretarial functions than ever before. In order to maintain the stability of secretarial functions in organizations, both the hardware and software have to be developed at the same time. In this study as an organization design tool, the concept of organization set, and role set have been incorporated.

울산광역시 장애인 구강건강증진을 위한 자원봉사 중심의 지속적 치과진료사업의 사례

김진범(Jin-Bom Kim),김병재(Byung-Jae Kim),한동헌(Dong-Hun Han),전은주(Eun-Joo Jun),김한나(Han-Na Kim),김민지(Min-Ji Kim) 대한치과의사협회 2015 대한치과의사협회지 Vol.53 No.11

The purpose of this study was to evaluate the oral health promotion of the disabled persons by voluntary dental services in Ulsan Metropolitan City. Two dentists taken a calibration training for national oral health survey examined the oral health status of 473 disabled persons from two special schools for the disabled children and adolescents, a residential facility and a gymnasium for the disabled persons in 2009-2010. The surveyed disabled persons in the age range was from 7 to 74 years old. Voluntary dentists, oral hygienists and other civilian volunteers had supplied with the oral health care services to the disabled persons at dental clinics of special schools for the disabled children and adolescents, and a dental clinic supported from Nam-Gu Public Health Center in Ulsan Metropolitan City since 1997. The obtained data from these surveys were analyzed with the SPSS statistical package. Among subjects aged 12-14 years, subjects with decayed, missing and filled teeth (DMFT) in permanent dentition was 46.9%; subjects with untreated decayed teeth, 17.2%. The number of decayed, missing and filled teeth in permanent dentition was 1.36. The proportion of decayed components of DMFT score was 28.00%; proportion of missing components of DMFT score, 1.43%; proportion of filled components of DMFT score, 70.57%. The proportion of filled components of DMFT score among disabled persons of all age group in Ulsan were evaluated to be a similar level to non-disabled citizens in Ulsan from 2010 Korean National Survey. The oral health care programs for disabled persons by voluntary services of dental professionals and other civilians are evaluated to be effective for the oral health promotion of disabled persons in Ulsan.

백서에서 비재생성 간이식 모델을 이용한 간재생 기전에 대한 연구

김동헌(Dong Heon Kim),신진용(Jin Yong Sin),조태용(Tae Yong Cho),전태용(Tae Yong Jeon),심문섭(Mun Sup Sim),박도윤(Do Youn Park) 한국간담췌외과학회 2004 한국간담췌외과학회지 Vol.8 No.1