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박찬흔(Chan Heun Park),배수동(Soo Tong Pai),임동현(Dong Hyeon Lim),조지웅(Ji Woong Jo) 대한소화기학회 1993 대한소화기학회지 Vol.25 No.2
N/A The clinical study on 31 cases of acute pancreatitis were carried out during the period between October 1986 and December 1991. The male patient outnumbered female by the ratio of 2:1. The most cornmon etiology was alcoholism followed by biliary tract disease and trauma. The majority of the cases presented with chief complaints of abdominal pain, and less common symptoms were nausea, vomiting, fever and jaundice. Among 27 cases who had elevated serum amylase on admission, it turned to normal in 19 cases within 3-6 days of hospitalization. Bacterial cultures from peritoneal fiuid were done on 7 ceases during the laparotomy: Two case yielded positive culture. Assessment of the cases were made according the Ranson's criteria and it was found that the mortality rate was generally parallel to the number of signs each patient developed. Complications developed in 12 patients (40%), and the commonly seen were pleural effusion, pulmonary and renal insufficiency. Of the 10 cases who were operated because of aggravating condition, 4 cases died postoperatively. All mortality cases developed respiratory and renal insufficiency followed by multiple organ failure.
박찬흔(Chan Heun Park),배수동(Soo Tong Pai),윤대성(Dae Sung Yoon) 대한소화기학회 1991 대한소화기학회지 Vol.23 No.4
Fourier's disease is an uncommon form of gangrene involving the scrotum and perineum with synergistic necrotizing fascitis. It was described first by Fournier, a French venerealogist and there are 3 findings characterizing the syndrome: 1) abrupt onset in a healthy male patient, 2) rapid progression to gangrene and 3) absence of a specific causative agent. Today, Fourniers gasngrene is recognized as a form of synergistic necrotizing fascitis secondary to a focus of perianal infection or urinary tract infection or local trauma as possible causal factors. Despite aggressive surgical and medical management Fourniers gangrene has a significatn mortality rate (7 to 50 percent in previous studies). Recently we have experienced 1 case of Fourniers gangrene in a 72 years old male patient who presented us with severe abdominal pain and dyspnea of several days duration. The patients abdominal condition was aggravated progressively, so we have explored the abdomen in emergency with the impression of panperitonitis of unknown origin and found severe inflammation in retroperitoneum, especially in pelvic cavity. Bacterial culture of the paritoneal fluid revealed as E. coli. The patients general condition was not improved significantly even after the operation, and the perianal fluctuation bacame definite. We drained the perianal abscess 12 days after the operation, then the patients condition was improved. The patient was discharged with healing stage of perianal abscess, but the anal sphincter function was still poor.
이경원,박찬흔,박용래,현기훈,윤지섭,Kyung-Won Lee,Chan-Heun Park,Yong-Lai Park,Ki-Hun Hyun,Ji-Sup Yoon 대한갑상선-내분비외과학회 2013 The Koreran journal of Endocrine Surgery Vol.13 No.4
Purpose: Gasless transaxillary approach to endoscopic thyroidectomy is a widely performed procedure for benign or malignant thyroid neoplasms. However, it requires wide dissection for approaching the target area. The intravenous patient-controlled analgesia (IV PCA) is an effective method for postoperative pain control and patients can use it according to their requirement. However, patients suffer from nausea, vomiting, sleep disturbance, etc. due to opioids. Pain pump ON-Q<sup>Ⓡ</sup> PainBuster<sup>Ⓡ</sup> (pain buster) has been used widely in various surgeries for control of postoperative localizing and wide area pain without side effects of opioid analgesia because it consists of Ropivacaine. Methods: From Aug. 2008 to Jan. 2013, Gasless transaxillary endoscopic thyroidectomy was performed in 90 patients in a single institution, who were divided into three groups, including the IV PCA, pain buster, and null groups. We compared postoperative outcomes, pain severity between groups. We recorded scores immediately, 6, 12, 24, and 48 hours after surgery following visual analog pain score (VAS), and investigated hospital stay and occurrence of events of nausea, vomiting, and complications. Results: In the IV PCA group, it was discontinued due to nausea in 36.7% of patients. No significant difference in pain severity following VAS score was observed among the three groups. However, smaller numbers of analgesia injections were required in the Pain buster group than in the other groups, and fewer patients suffered from constipation, compared with the PCA group. Conclusion: Pain buster showed even effects compared to IV PCA, with few side effects and less discomfort of patients, compared with the other groups. Therefore, pain buster was thought to be the proper method for pain control after dissection of the anterior chest wall, cervical area in order to secure an operative view for transaxillary endoscopic thyroi-dectomy.
액와접근법을 이용한 무기하 내시경적 갑상선절제술 30예
박준호,윤종호,박찬흔,Jun Ho Park,M.D.,Jong Ho Yoon,M.D. and Chan Heun Park,M.D. 대한갑상선-내분비외과학회 2005 The Koreran journal of Endocrine Surgery Vol.5 No.2
Purpose: Surgery for thyroid disease requires a skin incision that can result in postsurgical problems such as prominent scars, adhesions, hypesthesia, and paresthesia in the neck. To overcome these problems, we performed a gasless endoscopic thyroidectomy via an axillary approach. Methods: Between May 2004 and April 2005, 30 female patients underwent gasless endoscopic thyroidectomy via an axillary approach. Surgical outcomes were evaluated in terms of operating time, length of hospital stay, and the incidence of perioperative complications. Patient opinion was assessed using a verbal response scale at two and four months after surgery. Results: The mean operating time was 126.8⁑32.4 minutes, and the mean length of hospital stay was 4.3⁑1.1 days. No cases required conversion to open surgery and none involved significant intraoperative complications. Three patients (10.0%) complained slight hypesthesia or paresthesia in the anterior chest wall, and only 2 patients (6.7%) complained the discomfort while they were swallowing for 4 months after surgery. All patients were satisfied with the cosmetic results. Conclusion: Gasless endoscopic thyroidectomy via an axillary approach is feasible and safe and provides excellent cosmetic results with a minimal degree of postoperative complaints. This procedure provides another surgical option for the treatment of benign thyroid disease in selected patients. (Korean J Endocrine Surg 2005;5:81-86)
이승락(Seung Rak Lee),박찬흔(Chan Heun Park),박철재(Chul Jae Park),배수동(Soo Tong Pai),강구(Gu Kang) 대한소화기학회 1990 대한소화기학회지 Vol.22 No.4
Solitary rectal ulcer syndrome shows characteristic features that the obliteration of the lamina propia of the mucous membrane m the ulcerative region by the fibroblasts and muscle fibers, which is derived from the muscularis mucosa. The etialogy is unknown but the role of the physical trauma is often mentioned in the literature, We have experienced three cases of the solitary rectal ulcer syndrome during the period from June, 1988 to May, 1990, Other symptoms were massive anal bleeditg in one patient and psyehiatric problems in two patients. The transanal repair was performed in two patients and one refused the operation.