식도암환자 케이스 / 간호대학원 케이스 스터디 / 상급종양간호 실습 발표 (문제목록 4개 포함)

문서 내 토픽

1. Esphagectomy & Reconstruction

환자는 식도암 진단을 받고 Robotic 3-field operation(R_RACN)을 받았습니다. 수술 내용은 Transthoracic esophagectomy, robotic surgery, Cervical esophagogastrostomy (Posterior mediastinal), Pyloromyotomy, 3-field lymph node dissection (Robotic mediastinal LN dissection), Feeding jejunostomy 등입니다.
2. bilateral vocal cord palsy

수술 후 환자에게 bilateral vocal cord palsy가 발생했습니다. 환자는 목소리 변화(hoarsness)와 운동 시 stridor 증상을 보였으며, ENT 검진 결과 우측 성대 중간 고정, 좌측 성대 측방 고정 소견이 관찰되었습니다.

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1. Esphagectomy & Reconstruction

Esophagectomy and reconstruction is a complex surgical procedure performed to remove a portion or the entire esophagus, typically due to esophageal cancer or other esophageal disorders. This procedure aims to remove the diseased or damaged section of the esophagus and reconstruct a new passage for food to travel from the throat to the stomach. The reconstruction is often done by using a portion of the stomach, intestine, or other tissue to create a new esophagus. The decision to undergo esophagectomy and reconstruction is a significant one, as it carries substantial risks and potential complications. Patients must carefully weigh the potential benefits, such as improved quality of life and increased survival, against the risks, which can include bleeding, infection, leaks, and respiratory complications. The procedure is technically challenging and requires a highly skilled surgical team, as well as extensive postoperative care and rehabilitation. Overall, esophagectomy and reconstruction can be a life-saving intervention for patients with esophageal cancer or other severe esophageal conditions. However, it is a complex and high-risk procedure that requires careful consideration and a thorough understanding of the potential outcomes and risks. Patients should work closely with their healthcare team to determine if this procedure is the best course of action for their individual circumstances.
2. bilateral vocal cord palsy

Bilateral vocal cord palsy is a condition in which both vocal cords are paralyzed or weakened, leading to significant breathing and phonation difficulties. This condition can have a variety of underlying causes, including neurological disorders, trauma, or surgical complications. Patients with bilateral vocal cord palsy often experience symptoms such as stridor (a high-pitched, harsh breathing sound), difficulty breathing, hoarseness, and an inability to speak or swallow effectively. In severe cases, the airway can become severely compromised, requiring immediate medical intervention to prevent respiratory distress or failure. Treatment for bilateral vocal cord palsy typically involves a multidisciplinary approach, including speech therapy, respiratory therapy, and potentially surgical interventions. Surgical options may include tracheostomy, vocal cord lateralization, or arytenoid abduction procedures, which aim to improve airway patency and phonation. The prognosis for patients with bilateral vocal cord palsy can vary greatly depending on the underlying cause and the severity of the condition. In some cases, the paralysis may be temporary and resolve with time or treatment. In other cases, the condition may be permanent, requiring ongoing management and adaptations to the patient's lifestyle and communication methods. Overall, bilateral vocal cord palsy is a complex and challenging condition that requires prompt diagnosis and comprehensive, individualized treatment. Patients and their healthcare providers must work closely together to develop a treatment plan that addresses the specific needs and goals of the patient, with the ultimate aim of improving quality of life and respiratory function.