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대장암 수술환자에 있어서 경요도 도관삽입술과 치골상부 도관삽입술을 비교한 전향적 연구
주영태 대한대장항문학회 2004 Annals of Coloproctolgy Vol.20 No.5
Purpose: Bladder drainage allows monitoring of urine output, intraoperative decompression of the bladder, and prevention of postoperative urinary retention. Commonly, bladder drainage is by transurethral cathterization, which is associated with a high incidence of bacteriuria, pain, discomfort, urethritis, abscess, and stricture. Suprapubic bladder drainage has been frequently reported to be superior to urethral drainage because of less urinary infections, less pain and discomfort, no urethritis, and easier care. We have prospectively compared the outcomes following suprapubic catheterization (SPC) with those following transurethral catheterization (TUC) in patients undergoing colorectal surgery. Methods: A prospective randomized trial of SPC versus TUC was undertaken in 40 patients (M:F=26:14) undergoing colorectal surgery from April 2003 to December 2003. Twenty patients were catheterized through the urethra using a 16F Foley catheter. In the other twenty patients, an identical catheter was placed in the bladder through the suprapubic abdominal wall. Significant bacteriuria was defined as ≥105 organisms/ml. The pain and discomfort of patients were obtained by using a questionnaire. Results: There were no difference in the incidence of complications between the SPC and the TUC. The number of patients with pain and discomfort was significantly greater and more severer for TUC, especially in males. According to operation type, abdominoperineal resection had the longest duration of catheterization. Conclusions: This study suggests that the use of SPC rather than TUC significantly reduces pain and discomfort of patients undergoing colorectal surgery.
Laparoscopic resection of a appendiceal mucocele
주영태,박순태,하우송,홍순찬,이영준,정은정,정치영,정상호,최상경 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.80 No.6
Laparoscopic resection of appendiceal mucoceles has recently been described, but the safety and efficacy are controversial. We present two cases of laparoscopic mucocelectomies involving 14 and 15 cm cystic masses originating from the appendix. The laparoscopic mucocelectomies were performed using four ports. From the beginning of the procedure, a laparoscopic bag was used to safely contain the mucocele, prevent rupture of the mucocele, and retract the mucocele. An endoscopic stapling device was used to transect the base of the cecum. Minimal handling was achieved by gravity and with the use of laparoscopic instruments. Laparoscopic appendectomies are widely performed for acute appendicitis, but laparoscopic resection is not routinely performed for an appendiceal mucocele because of the risk of perforation and subsequent pseudomyxoma peritonei. We report two cases of laparoscopic appendiceal mucocelectomies, which were performed safely with laparoscopic instruments and minimal manipulation.
고부가가치 특용작물 재배를 위한 보급형 스마트팜 시스템 개발
주영태,김성초,김응곤 한국전자통신학회 2021 한국전자통신학회 논문지 Vol.16 No.4
전 세계적인 인구증가와 기후변화로 인해 식량부족 문제가 대두되는 가운데 우리나라에서는 농·축산업 인구 감소 등 지속가능성 위기를 해결하기 위해 농업과 ICT를 융합한 첨단 스마트팜 기술이 활발히 연구되고 있다. 기존 스마트팜은 개별 가격경쟁력이 낮은 작물 위주로 재배하고 있다. 식품 소비구조가 고급화, 다양화되고 있으며 농산물 소비패턴의 변화에 따라 스마트팜 시스템 또한 고부가가치 특용작물 재배를 위한 최적화가 필요하다. 이를 위해 새싹인삼(새싹삼) 재배에 특화된 컨테이너형 스마트팜 환경설비를 구축하고 ICT 융합 통합관리시스템을 설계하고 구현하였다. 이를 통해 ICT와 농업, 최신 기술과 농사의 융합으로 첨단농업생산 구현 및 미래융합 신산업 선도가 가능하다.