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흉곽 내시경을 사용한 척추 기형 수술시 학습 곡선

Other Titles
 Learning Curve for the Thoracoscopic Correction of Spinal Deformities 
Authors
 김학선  ;  최윤락  ;  하중원  ;  박진오  ;  김경희  ;  문성환  ;  이환모 
Citation
 Journal of Korean Society of Spine Surgery (대한척추외과학회지), Vol.10(3) : 261-268, 2003 
Journal Title
 Journal of Korean Society of Spine Surgery (대한척추외과학회지) 
ISSN
 2093-4378 
Issue Date
2003
MeSH
Scoliosis ; Thoracoscopy ; Learning curve
Keywords
Scoliosis ; Thoracoscopy ; Learning curve
Abstract
Study design : Twenty-six consecutive cases were prospectively studied by chart review and radiography. Objectives : The aim of this study was to find the learning curve of spinal thoracoscopy in spinal deformity surgery. Sumriary of Literature Review : Although the efficacy and learning curve of thoracoscopic deformity spinal surgery are well docur tented in many countries, there is no report in Korea. Meth xds : Twenty-six consecutive patients who were underwent VATS were studied. Idiopathic scoliosis was diagnosed in 23 patients (King type II in 15, type III in 5, type IV in 3), neuromuscular scoliosis in 2 and kyphotic deformity in one. In 14 cases of idi )pathic scoliosis VATS for anterior release, bonegraft and instrumentation were performed. In the remaining 12 cases of antes or release, bone graft by VATS was done without instrumentation. Results : The average number of discs excised was 520.97. The average time of surgery for the 14 cases was 7.31.3 hours, which represented 1.37025 hours per disc. Excluding the time of instrumentation in the 26 cases, the average time for anterior release and bone grafting was 3.870.87 hours, which represented 0.760.18 hours per disc. The average operation time dimit7ished as the series continued. Average blood loss was 748.9254 mL, which represented 152.665.6 mL per disc. The Cobb´ s angle was corrected by 62% on average. Complications were found in 11 cases: screw cap breakage in 3, atelectasis in 4, and it ttercostal nerve injury in 4. There was no serious complication. Concl isions : VAST for spinal deformity is a safe and effective alternative to thoracotomy, however, the learning curve for this proce,lure is quite difficult.
Files in This Item:
T200305629.pdf Download
DOI
10.4184/jkss.2003.10.3.261
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hak Sun(김학선) ORCID logo https://orcid.org/0000-0002-8330-4688
Moon, Seong Hwan(문성환)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/114160
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