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최종욱(Jong-Ouck Choi),전병선(Byung-Sun Jun),이장우(Jang-Woo Lee),이동진(Dong-Jin Lee),손항수(Hang-Soo Sohn) 대한두경부종양학회 2007 대한두경부 종양학회지 Vol.23 No.1
Background and Objective :A post-operative hypertrophic scar of the anterior neck is the leading complaint of the patients who underwent conventional thyroid surgery. In order to minimize the post-operative scar of the anterior neck, we performed thyroidectomy via axillary approach using operating microscope and a specialized retractor to determine technical feasibility. Patients and Methods :From January 2005 to December 2006, we performed thyroidectomy via axillary approach under operating microscope(f=400mm, ×2.5;OPMI pico ?? ;Zeiss, Germany) for benign unilateral nodule in 25 cases(all female, average age 34.5yrs). Under general anesthesia less than 7cm of skin incision was made in the axilla of ipsilateral side. A subcutaneous tunnel went over the pectoralis major muscle and the clavicle, and then through the sternocleidomastoid muscle and sternothyroid muscle was excised. The area around the thyroid was sufficiently dissected, and then a retractor designed for exposure via axillary approach was placed within the tunnel and under operating microscope thyroidectomy was performed. Results :There were 17 cases of thyroid nodulectomy and 8 cases of subtotal lobectomy. The mean average operative time was 102.64minutes. Postoperative complications included one case of postoperative bleeding, one case of temporary vocal cord paralysis, two cases of delayed wound healing, two cases of paresthesia of shoulder and arm, and two cases of hypertrophic scar of the axilla. Postoperative histopathology includes 17 cases of adenomatous hyperplasia, six cases of cyst, and two cases of follicular adenoma. For all cases hospita-lization period was two days. Conclusion :Thyroidectomy via axillary approach under operating microscope has a good cosmetic advantage without a post-operative scar of the anterior neck. The procedure is simple due to direct vision using operating microscope, easy to identify important structures by magnifying them, and therefore surgical time can be reduced.
손항수,김성열,황청자,임주택 대한마취과학회 1971 Korean Journal of Anesthesiology Vol.4 No.1
The authors have experienced a case of acute hyperpyrexia with convulsion during diethyl ether anesthesia, which is rare and its etiology not well known.
재왕절개술을 위한 Fluothane 마취의 임상적 고찰
손항수,김성열,황청자,임주택 대한마취과학회 1971 Korean Journal of Anesthesiology Vol.4 No.1
In 97 cases of uncomplicated Cesarean section proceeding under 0.5% fluothane anesthesia with N₂O and O₂, 2.5% Pentothal sedium(clinical induction doses) was enough until umbilical cord clamp without any supplemental doses but muscle relaxation from succinylcholine might not be potentiated with 0.5% fluothane. On the other hand, Apgar score and postpartum uterine contractility was depending upon duration of anethesia but it was not so serious problem. Also, anesthesia inductien and recovery was rapid, and post operative pulmonary and other complication, even vomiting, did not occur. Conclusively, it is interesting that low concentration of fluothane with nitrous oxide are probably ideal anesthesia metbod for Cesarean section.
김인현,손항수,임경님 대한마취과학회 1980 Korean Journal of Anesthesiology Vol.13 No.3
Our hospital has been experienced pulmonary edema during general anesthesia for cesarean section of pre-eclampsia. But, the patient recovered rapidly without complication. Therefore, we think that before anesthesia, accurate laboratory data and careful attension are needed for general anesthesia of pre-eclamsia.
Ludwig`s Angina 환자의 마취후 발생한 저산소증 뇌질환 1예 보고
최경희,안동애,손항수,차석희,임경림 대한마취과학회 1988 Korean Journal of Anesthesiology Vol.21 No.5
Ludwig's Angina is the term given to the symptoms resulting from infection of the submandibular space and is characterized especially by extreme edema of the floor of the mouth. Airway obstruction and respiratory difficulty is common due to edema of the mouth, tongue, and the glottis, from mediastinitis due to spread, or from septicemia or pneumonia. Thus, it is necessary for the anesthetist to attend to specific management of airway maintenance. A 49-year-old male had an operation for incision and drainage under balanced anesthesia. After the operation, posthypoxic myoclonus due to anoxia for three minutes appeared while in the recovery room. The patient, controlled by oxygen supply anad diazepam and antiepileptics, has recovered from the seizures, but has not recovered from intention myoclonus and speech disturbance, which are slowly improving. This report describes this case of posthypoxic myoclonus following anesthesia and reviews the literature.
전신마취하에 복강경 담낭절제술시 분시 환기량의 증가가 심혈관계 및 폐환기에 미치는 영향
김병기,안동애,손항수,임경임,박학주,김석홍 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.30 No.6
Background: The pneumoperitoneum created by CO₂ insufflation during laparoscopic cholecystectomy has several potential hemodynamic and respiratory consequences. The purpose of this study is to investigate the effects of augmented minute ventilation on cardiovascular and ventilatory changes and to prevent hypercarbia due to CO₂ insufflation during laparoscopic cholecystectomy. Methods: Thirty-six patients were divided into three groups according to the level of minute ventilation. The three groups were: control group C (minute ventilation $lt;MV$gt; 100 ml/kg, respiratory rate $lt;RR$gt; 12 per minute), group R (MV 150 ml/kg, RR is 18 per minute) and group V (MV 150 ml/kg, tidal volume is 1.5 times as much as group C). We repeatedly measured mean arterial pressure $lt;MAP$gt;, pulse rate $lt;PR$gt;, arterial blood gas analysis and end tidal carbon dioxide $lt;P_(ET)CO₂$gt; and peak inspiratory airway pressure $lt;PIP$gt; before CO₂ insufflation, 15 and 30 minutes after CO₂ insufflation and 15 minutes after CO₂ deflation. Results: During CO₂ ation, MAP significantly increased but PR showed little changes in all three groups. PaCO₂ and P_(ET)CO₂ increased in group C, whereas in group R and V, they remained unchanged during CO₂ insufflation. But the level of PaCO₂ in group V decreased more than in the other two groups after CO₂ deflation,. PIP in group V increased 3 times as much as the control value. Conclusions: These results suggest that augmented minute ventilation in group R and V, prevented hypercarbia during CO₂ insufflation and increasing the tidal volume in controlled ventilation was more effective than increasing respiratory rate after CO₂ deflation.