Our hospital have started laparoscopic cholecystectomy in 1991, and after then many surgeons have been trained in the era of laparoscopic and minimally invasive surgery. Since then numerous procedures have been applied for a laparoscopic surgery, and many patients have been benefited as a result. We have performed the first automated surgery in Korea using Automated Endoscopic System for Optimal Positioning (AESOP) in June, 1996. With the help of Inbae Yoon’s(a 1961 graduate of our medical school) inspiration and donation, our hospital has started “IB Yoon Multi-Specialty Endoscopic Research & Training Center” in 1998. As we started the robotic surgery we have change the name to “Severance Robotic and Minimally Invasive Surgery Center” in March 2005. These infrastructures enables us the expansion of laparoscopic surgery and inspires many surgeons to understand principles and equipments of laparoscopic and robotic surgery. We performed the first robotic surgery using da Vinci system in July, 2005. During 5 and half years after introducing the da Vinci surgical system in 2005 we have performed more than 10000 cases of robotic surgery successfully. With collaboration between medicine and robotic engineering company, we are developing our own version of Korean robotic system. In conventional laparoscopic surgery, limited motion of laparoscopic instruments, 2-D surgical field, and unstable surgical view resulted from unnecessary movement of laparoscope (shaking surgical field) by assist surgeons, magnifying tremor of laparoscopic instrument, and unexpected movement of laparoscopic instrument by another assist-surgeon can accidentally produce inappropriate environment for safe laparoscopic surgery. To the contrary, stable 3-D surgical field provided by robot surgical system, wrist like movement of instrument, stationary holding of fourth arm movement (to replace the role of assistant surgeon in laparoscopic surgery) seems to produce very appropriate surgical environment for safe laparoscopic HBP surgery. Therefore, robot is thought to be very appropriate for function-preserving minimal invasive HBP surgery.

Our hospital have started laparoscopic cholecystectomy in 1991, and after thenmany surgeons have been trained in the era of laparoscopic and minimallyinvasive surgery. Since then numerous procedures have been applied for alaparoscopic surgery, and many patients have been benefited as a result. Wehave performed the first automated surgery in Korea using Automated EndoscopicSystem for Optimal Positioning (AESOP) in June, 1996.With the help of Inbae Yoon’s(a 1961 graduate of our medical school) inspirationand donation, our hospital has started “IB Yoon Multi-Specialty EndoscopicResearch & Training Center” in 1998. As we started the robotic surgery we havechange the name to “Severance Robotic and Minimally Invasive Surgery Center”in March 2005. These infrastructures enables us the expansion of laparoscopicsurgery and inspires many surgeons to understand principles and equipments oflaparoscopic and robotic surgery. We performed the first robotic surgery usingda Vinci system in July, 2005. During 5 and half years after introducing theda Vinci surgical system in 2005 we have performed more than 10000 cases ofrobotic surgery successfully. With collaboration between medicine and roboticengineering company, we are developing our own version of Korean roboticsystem.In conventional laparoscopic surgery, limited motion of laparoscopic instruments,2-D surgical field, and unstable surgical view resulted from unnecessary movementof laparoscope (shaking surgical field) by assist surgeons, magnifying tremor oflaparoscopic instrument, and unexpected movement of laparoscopic instrumentby another assist-surgeon can accidentally produce inappropriate environmentfor safe laparoscopic surgery. To the contrary, stable 3-D surgical field providedby robot surgical system, wrist like movement of instrument, stationary holdingof fourth arm movement (to replace the role of assistant surgeon in laparoscopicsurgery) seems to produce very appropriate surgical environment for safelaparoscopic HBP surgery. Therefore, robot is thought to be very appropriate forfunction-preserving minimal invasive HBP surgery.

No abstract available.
Listeria* ; Meningitis, Listeria* ; Transplantation*

No abstract available.
Biopsy* ; Kidney Diseases* ; Kidney*

Follicular lymphoid hyperplasia is commonly seen when performing pediatric endoscopy. But in adults, these findings can imply an underlying gastrointestinal or systemic illness, besides the normal variant. On the other hand, colonic involvement of chronic lymphocytic leukemia (CLL) is seen in about 5% to 20% of autopsy cases. However, there have been few reports on the colonoscopic appearance that corresponds to colonic involvement by CLL, and the reported colonoscopic appearances have included polyps, ulcers, granularity, submucosal nodules, erythema, the red ring sign etc. We report here on a case of CLL neoplastic lymphocyte involvement of the terminal ileum and colon as a form of lymphoid hyperplasia, and this was seen when performing colonoscopy.
Adult ; Autopsy ; Colon ; Colonoscopy ; Endoscopy ; Erythema ; Hand ; Humans ; Hyperplasia ; Ileum ; Leukemia, Lymphocytic, Chronic, B-Cell ; Lymphocytes ; Polyps ; Ulcer

Background: Dry sauna treatments improve the quality of life for chronic pain, congestive heart failure, and type 2 diabetes patients. This study aimed to determine whether dry sauna therapy improved the quality of life of obese people. Methods: A total of 38 consecutive participants aged over 20 years with a body mass index of ≥25 kg/m2 were recruited for the study. The participants were treated with a 90°C dry sauna for 15 minutes, twice daily for 4 consecutive days. To assess the quality of life, all participants completed the 5 level EQ-5D questionnaires and the EQ-Visual Analog Scale. Study parameters were measured on the same day prior to commencing the sauna sessions in a fasted state and 2 days after the last sauna session. Results: The average age was 62.3±9.5 years; 84.2% of the participants were female. The mean body mass index was 28.5±2.4 kg/m2. Dry sauna significantly improved the mean 5 level EQ-5D index scores from 0.83±0.12 to 0.89±0.11 and increased the mean EQ-Visual Analog Scale from 79.0±15.2 to 91.1±9.7. However, there were no significant changes in body mass index, blood pressure, heart rate, or body composition before and after the 8-session sauna therapy. Conclusion Dry sauna improved the health-related quality of life of obese patients without adverse events. Further clinical studies in larger study populations are needed to verify these findings and provide concrete evidence for obesity treatment.