수술실 실습-케이스 스터디

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1. Nissen's fundoplication-laparoscopic

Nissen's fundoplication은 식도 열공 탈장 치료를 위한 수술 방법으로, 복강경을 이용하여 최소 침습적으로 수술을 진행합니다. 수술 과정에서 trocar 삽입, 식도와 위저부 박리, 횡격막 봉합, 위저부 360도 회전 봉합 등의 단계를 거치며, 수술 중 환자 상태 모니터링과 안전 확인을 위한 타임아웃 등의 절차가 포함됩니다.
2. BCS (Breast conserving surgery)

유방 보존 수술(BCS)은 유방암 치료를 위한 수술 방법으로, 유방 조직의 일부만을 제거하는 방식입니다. 수술 과정에서는 수술 부위 확인, 타임아웃, 환자 상태 모니터링, 절개 및 조직 제거, 지혈, 배액관 삽입, 봉합 등의 단계를 거치며, 수술 중 병리 검사를 통해 추가 조직 제거 여부를 결정합니다.

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1. Nissen's fundoplication-laparoscopic

Nissen's fundoplication-laparoscopic is a surgical procedure used to treat gastroesophageal reflux disease (GERD). It involves wrapping the upper part of the stomach around the lower esophageal sphincter to strengthen the barrier between the stomach and esophagus, preventing acid reflux. The laparoscopic approach is a minimally invasive technique that uses small incisions and a camera to guide the surgery, resulting in faster recovery times and reduced postoperative pain compared to open surgery. This procedure is generally considered safe and effective, with high patient satisfaction rates. However, it does carry some risks, such as difficulty swallowing, gas bloat syndrome, and the potential need for reoperation in a small percentage of cases. Overall, Nissen's fundoplication-laparoscopic is a well-established and widely-used treatment option for GERD that can significantly improve a patient's quality of life.
2. BCS (Breast conserving surgery)

Breast-conserving surgery (BCS), also known as lumpectomy or partial mastectomy, is a surgical procedure used to treat early-stage breast cancer. It involves removing the cancerous tumor and a small amount of surrounding healthy tissue, while preserving the majority of the breast. BCS is often combined with radiation therapy to further reduce the risk of local recurrence. This approach has become the standard of care for many patients with early-stage breast cancer, as it offers comparable long-term survival rates to mastectomy while allowing for better cosmetic outcomes and preserving the breast. However, BCS is not suitable for all patients, and factors such as tumor size, location, and the presence of multiple lesions must be carefully considered. Additionally, some patients may still require a mastectomy if the tumor is too large or if there are concerns about the ability to achieve clear surgical margins. Overall, BCS is a valuable treatment option that allows for breast conservation and can have a positive impact on a patient's physical and emotional well-being.

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