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박도중 대한의사협회 2021 대한의사협회지 Vol.64 No.12
Background: To facilitate early postoperative recovery of surgical patients, various efforts have been made to develop effective treatment methods since 1990; moreover, these efforts have not been limited to surgical techniques and include multiple aspects of the entire treatment process. Enhanced recovery after surgery (ERAS) is a surgical quality improvement project that has advanced substantially since it was first introduced in 1995 and has now been firmly established in the field of perioperative care. Current Concepts: ERAS consists of many components that cover each stage before, during, and after surgery, and its clinical application changes according to the results of evidence-based research for each item. To date, more than 20 ERAS guidelines have been created for each disease, and more guidelines are expected in the future. Many studies have reported that ERAS is associated with meaningful improvements in clinical outcomes and reductions of medical costs in many surgical fields. Discussion and Conclusion: ERAS remains a work in progress, and continuous research and improvement is needed in relation to the components, areas of application, audit of compliance and results, education, and a multidisciplinary approach.
2008 ASCO Review: 위암 및 위 위장관기질종양
박도중 대한임상종양학회 2008 Korean Journal of Clinical Oncology Vol.4 No.2
Thousands of cancer studies were presented at the 44th annual meeting of the American Society of Clinical Oncology (ASCO) in Chicago, IL, from May 30 to June 3, 2008. The Oral Abstract Session on Gastrointestinal (Noncolorectal) Cancers featured nine presentations. Two of the talks discussed the results of phase III trials of adjuvant and first-line treatments for gastric cancer. The presentations at the Sarcoma Session reviewed issues related to the roles of chemotherapy and the clinical prognostic features, the optimal use of targeted agents and the challenges in assessing their benefit for patients suffering with gastrointestinal stromal tumors (GISTs).
고도비만환자에게 시행한 로봇 루와이 위우회술 1예 및 로봇 위소매절제술 1예 보고
박도중,안상훈,이주희,김형호 대한내시경복강경외과학회 2011 Journal of Minimally Invasive Surgery Vol.14 No.2
Obesity is associated with high mortality. Bariatric surgery is considered the only evidence-based approach to sustainable weight loss. The most popular bariatric surgeries are Roux- en-Y gastric bypass, gastric banding and sleeve gastrectomy. The laparoscopic approach is favored over the open method for its good recovery. Recently, the robotic system was applied to bariatric surgery, and was reported to have strengths during suturing and anastomosis. On the other hand, there is no report of robotic bariatric surgery in Korea. In the present study, robotic Roux-en Y gastric bypass and robotic sleeve gastrectomy was performed successfully on morbidly obese patients.
위암의 복강경 위 전 절제술 후 식도-공장의 단-측 문합과 측-측 문합의 합병증 비교
박도중,이주희,이문수,이혁준,김형호,양한광 대한내시경복강경외과학회 2010 Journal of Minimally Invasive Surgery Vol.13 No.1
Purpose: The aim of this study was to compare end-to-side with side-to-side esophagojejunostomy after laparoscopyassisted total gastrectomy (LATG) for gastric cancer in terms of complications. Methods: One hundred and fourteen patients who underwent laparoscopy-assisted total gastrectomy for gastric cancer with curative intent from June 2003 to February 2010 at Seoul National University Bundang Hospital were retrospectively reviewed. Comparative analysis of short term outcomes including complications was performed to compare the end-to-side esophagojejunostomy (EJ) and side-to-side EJ groups. Results: Overall morbidity and mortality rates after LATG were 17.5% (20 patients) and 0%, respectively. Comparing the end-to-side EJ group (93 patients) with the side-to-side EJ group (21 patients), there was no significant difference in operating time (242.3 versus 250.7 minutes), estimated blood loss (176.6 versus 133.3 ml), time to first flatus (3.8versus 4.0 days), time to first soft diet (5.3 versus 5.7 days),postoperative morbidity (15.1% versus 28.6%), and mortality. However, there was a difference in postoperative hospital stay (9.0 versus 12.9 days, p=0.045). Also, the EJ leakage rate of the side-to side EJ group was higher than that of end-to-side EJ group (14.3%, 3 patients, versus 2.2%, 2 patients; p=0.043). Conclusion: End-to-side EJ can be recommended after LATG because the EJ leakage rate after end-to-side EJ was lower than that after side-to-side EJ.