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최소 절개술과 방사선 투시 장치(Fluoroscopy)를 이용한 지속성 외래 복막투석도관 삽입술
김기한(Ki-Han Kim),박시영(Si-Young Park),오상민(Sang-Min Oh),이미리(Mi-Ri Lee),김성흔(Sung-Heun Kim),박기재(Ki-Jae Park),김민찬(Min-Chan Kim),김영훈(Young-Hoon Kim),정갑중(Ghap-Joong Jung),박창민(Chang-Min Park),안원석(Won-Suk An),김성 대한외과학회 2006 Annals of Surgical Treatment and Research(ASRT) Vol.70 No.3
복강경보조하 위절제술 창상에 주입된 Ketorolac과 Bupivac aine 혼합 약제의 술 후 진통효과
김민찬(Min-Chan Kim),강태영(Tae-Young Kang),박기재(Ki-Jae Park),김성흔(Sung-Heun Kim),정갑중(Ghap-Joong Jung),이승철(Seung-Cheol Lee),김희영(Heui-Yeoung Kim) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.72 No.1
Purpose: The method of locally administered ketorolac and bupivacaine with epinephrine in LAG patients was examined for the control of postoperative pain. Methods: Fifty-one patients who had undergone LAG for gastric cancer from Jan. 2005 and Aug. 2005 were enrolled in this study. All the patients were administered a fentanyl patch (25㎍/hr) on the upper back 2 hours before the entry into the OR. Upon the completion of LAG, the patients were randomly selected for a local injection of Ketolorac and bupivacaine. Ketolorac (30 ㎎, 1 ㏄) plus 0.5% bupivacaine with 1:100,000 epinephrine (9 ㏄) was injected in the peritoneum and subcutaneous tissue of the mini-laparotomy wound in the study group, and normal saline (10 ㏄) was injected into the control group. The postoperative pain scores were assessed at 6 hr, day 1, day 2 and day 5 using a Verbal Numerical Rating Scale by a Wound Ostomy Continence Nurse. Meperidine (25 ㎎ iv.) was used for additional analgesia. Results: The frequency of additional analgesic requirement was significantly lower in the study group and the pain score was significantly lower at 6 hr postoperatively than in the control group. Conclusion: Locally administered ketorolac and bupivacaine with epinephrine is a simple and cost-effective technique for alleviating postoperative pain in LAG patients with gastric cancer.
단일기관에서 시행한 2,000예 이상의 복강경 담낭 절제술에 대한 임상적 분석
안영주(Young Joo An),김영훈(Young Hoon Kim),정갑중(Ghap Joong Jung),김성흔(Sung Heun Kim),노영훈(Young Hoon Roh) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.76 No.6
Purpose: Laparoscopic cholecystectomy has become the standard modality of acute and chronic gallbladder disease. This study was performed to evaluate a change in the indication for laparoscopic cholecystectomy according to period by analyzing our experiences. Methods: We retrospectively analyzed 2,096 cases of laparoscopic cholecystectomy that were treated at the Department of Surgery, Dong-A University. They were divided into 3 groups from October 1992 to December 1996 (Group 1), from January 1997 to December 2001 (Group 2) and from January 2002 to March 2007 (Group 3). Results: The mean age was 50.14±13.89 years and the male-to-female ratio was 1:1.23. Previous abdominal surgery was noted in 12.24% from Group 1, 14.96% from Group 2 and 21.48% from Group 3. Chronic cholecystitis was the most common pathologic diagnosis in all cases. However, while the incidence of acute cholecystitis and gallbladder empyema in Group 1 was 3.36% and 0%, that of Group 2 was 12.52% and 3.88% and that of Group 3 was 31.79% and 7.59%, which was increased. The mean operation time of each group was 101.00±51.00, 69.86±40.55, 78.01±45.55 minutes (P<0.05). The conversion rate of each group was nine cases (6.04%), 21 cases (3.02%), and 51 cases (4.07%). The surgical complication rate was 7.38%, 3.88% and 4.71%, respectively. The length of hospital stay was 6.08±3.65, 3.16±2.99 and 2.91±3.34 days, which was significantly decreased (P<0.05). Conclusion: As surgical experience increased and laparoscopic surgical skills developed, the indication for laparoscopic cholecystectomy changed. The results of this study showed that laparoscopic cholecystectomy was feasible for the treatment of complicated gallbladder lesion.