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Changbin Lim,Sahong Lee,Seung-Min Park,Jung Lyul Lee 한국해양공학회 2020 韓國海洋工學會誌 Vol.34 No.6
Wave field changes resulting from artificial coastal structures constructed in coastal zones have emerged as a major cause of beach erosion, among other factors. The rates of erosion along the eastern coast of Korea have varied mainly owing to the construction of various ports and coastal structures; however, impact assessments of these structures on beach erosion have not been appropriately conducted. Thus, in this study, a methodology to assess the impact of erosion owing to the construction of artificial structures has been proposed, for which a parabolic bay shape equation is used in determining the shoreline angle deformation caused by the structures. Assuming that the conditions of sediment or waves have similar values in most coastal areas, a primary variable impacting coastal sediment transport is the deformation of an equilibrium shoreline relative to the existing beach. Therefore, the angle rotation deforming the equilibrium of a shoreline can be the criterion for evaluating beach erosion incurred through the construction of artificial structures. The evaluation criteria are classified into three levels: safety, caution, and danger. If the angle rotation of the equilibrium shoreline is 0.1° or less, the beach distance was considered to be safe in the present study; however, if this angle is 0.35° or higher, the beach distance is considered to be in a state of danger. Furthermore, in this study, the distance affected by beach erosion is calculated in areas of the eastern coast where artificial structures, mainly including ports and power plants, were constructed; thereafter, an impact assessment of the beach erosion around these areas was conducted. Using a proposed methodology, Gungchon Port was evaluated with caution, whereas Donghae Port, Sokcho Port, and Samcheok LNG were evaluated as being in a state of danger.
Boram Lee,Sang Il Youn,Kanghaeng Lee,Yongjoon Won,Sahong Min,Yoon Taek Lee,Young Suk Park,Sang-Hoon Ahn,Do Joong Park,Hyung-Ho Kim 대한외과학회 2021 Annals of Surgical Treatment and Research(ASRT) Vol.100 No.2
Purpose: Single-incision laparoscopic distal gastrectomy (SIDG) requires experienced camera operators for a stable image. Since it is difficult for skilled camera operators to participate in all SIDG, we began performing solo surgery using mechanical camera holders. We aimed to compare the short-term outcomes and cost between solo SIDG and conventional multiport laparoscopic distal gastrectomy (MLDG) for early gastric cancer (EGC). Methods: From January 2014 to December 2016, a total of 938 consecutive patients underwent laparoscopic gastrectomy for EGC. Solo SIDG (n = 99) and MLDG patients (n = 198) were selected and 1:2 propensity score matching was done to compare the quality of operation and cost-effectiveness. All solo SIDG was performed by a surgeon using a camera holder, without any assistant. Results: Mean operation time (120 ± 35.3 vs. 178 ± 53.4 minutes, P = 0.001) and estimated blood loss (24.6 ± 47.4 vs. 46.7 ± 66.5 mL, P = 0.001) were significantly lower in the solo SIDG group. Hospital stay, use of analgesics, and postoperative inflammatory markers (WBC, CRP) were similar between the 2 groups. The early (<30 days) complication rate in solo SIDG and MLDG groups was 21.2% and 23.7%, respectively (P = 0.240); the late (≥30 days) complication rate was 7.1% and 11.1%, respectively (P = 0.672). The manpower cost of solo SIDG was significantly lower than that of MLDG (P = 0.001). Conclusion: This study demonstrated that solo SIDG performed by experienced laparoscopic surgeons is safe and feasible for EGC. Solo SIDG is expected to be a promising potential treatment for EGC.