{"id":30997,"date":"2026-02-09T09:01:52","date_gmt":"2026-02-09T00:01:52","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/02\/09\/30997\/"},"modified":"2026-02-09T09:01:52","modified_gmt":"2026-02-09T00:01:52","slug":"%ec%88%98%ec%88%a0%ec%8b%a4or-%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-%ec%bc%80%ec%9d%b4%ec%8a%a4-%eb%b9%84%eb%94%94%ec%98%a4-%ed%9d%89%ea%b0%95%ea%b2%bd-%ec%88%98%ec%88%a0vats-video-assis","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2026\/02\/09\/30997\/","title":{"rendered":"\uc218\uc220\uc2e4(OR)- \uc131\uc778\uac04\ud638\ud559 \ucf00\uc774\uc2a4, \ube44\ub514\uc624 \ud749\uac15\uacbd \uc218\uc220(VATs, Video Assisted Thoracoscopic Surgery)"},"content":{"rendered":"

<\/p>\n

\ubaa9\ucc28<\/strong><\/p>\n

1. \ud658\uc790\uc758 \uac04\ud638\uc815\ubcf4
\n2. \ubb38\ud5cc\uace0\ucc30 (\uc9c8\ud658 \ubc0f \uce58\ub8cc\uc5d0 \ub300\ud55c \uc870\uc0ac)
\n3. \uc218\uc220\uc804 \ub300\uc0c1\uc790 \uc0ac\uc815
\n4. \uc218\uc220\uc911 \uac04\ud638\uae30\ub85d
\n5. \uc218\uc220 \uc21c\uc11c
\n6. \uc57d\ubb3c\uc870\uc0ac (\uc218\uc220\uc911 \ub610\ub294 PACU\uc5d0\uc11c \uc0ac\uc6a9\ud55c \uc57d\ubb3c)
\n7. \ucc38\uace0\ubb38\ud5cc
\n8. \uc2e4\uc2b5\uc131\ucc30<\/p>\n

\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n

* \ud3d0\uc554 [ lung cancer]
\n\ud3d0\uc554\uc774\ub780 \ud3d0\uc5d0 \uc0dd\uae34 \uc545\uc131 \uc885\uc591\uc744 \ub9d0\ud558\uba70, \ud3d0 \uc790\uccb4\uc5d0\uc11c \ubc1c\uc0dd\ud558\uac70\ub098(\uc6d0\ubc1c\uc131 \ud3d0\uc554) \ub2e4\ub978 \uc7a5\uae30\uc5d0\uc11c \uc0dd\uae34 \uc554\uc774 \ud3d0\ub85c \uc804\uc774\ub418\uc5b4 \ubc1c\uc0dd\ud558\uae30\ub3c4 \ud569\ub2c8\ub2e4. \uc6d0\ubc1c\uc131 \ud3d0\uc554\uc758 \uc885\ub958\ub294 \uc554\uc138\ud3ec\uc758 \ud06c\uae30\uc640 \ud615\ud0dc\ub97c \uae30\uc900\uc73c\ub85c \ube44\uc18c\uc138\ud3ec \ud3d0\uc554\uacfc \uc18c\uc138\ud3ec \ud3d0\uc554\uc73c\ub85c \uad6c\ubd84\ud569\ub2c8\ub2e4. \ud3d0\uc554 \uac00\uc6b4\ub370 80~85%\ub294 \ube44\uc18c\uc138\ud3ec\ud3d0\uc554\uc778\ub370, \uc774\uac83\uc740 \ub2e4\uc2dc \uc120\uc554, \ud3b8\ud3c9\uc0c1\ud53c\uc138\ud3ec\uc554, \ub300\uc138\ud3ec\uc554 \ub4f1\uc73c\ub85c \ub098\ub269\ub2c8\ub2e4.<\/p>\n

<\uc911 \ub7b5><\/p>\n

\ube44\ub514\uc624 \ud749\uac15\uacbd \uc218\uc220
\n(video assisted thoracoscopic surgery : VATS)
\n\ucd5c\uadfc \ud749\ubd80 \uc218\uc220\uc758 \uacbd\uc6b0 50%\uc774\uc0c1\uc774 VATS\ub85c \uc2dc\ud589\ub428
\n\uc8fc\ub85c lobectomy\ub97c \uc2dc\ud589\ud558\uba70, Thoracotomy \ubfd0 \uc544\ub2c8\ub77c VATS\ub85c \ud560 \uacbd\uc6b0\uc5d0\ub3c4 mediastinum lymph node\ub97c \uac19\uc774 \uc81c\uac70\ud558\uace0 metastasis \uc5ec\ubd80\ub97c \uac80\uc0ac\ud574\uc11c \ud3d0\uc554\uc758 \uc9c4\ud589 \uc815\ub3c4\ub97c \ud30c\uc545\ud55c\ub2e4.
\nscope\uc640 \uc218\uc220 \uae30\uad6c\uac00 \ub4e4\uc5b4\uac08 incision\uc744 2~4\uad70\ub370 \uc815\ub3c4 \ub6ab\uc5b4\uc11c video\ub97c \ubcf4\uba74\uc11c \uc218\uc220\uc9c4\ud589
\nThoracotomy \ubcf4\ub2e4\ub294 \ub178\ucd9c\ub418\ub294 \ubd80\uc704\uac00 \uc801\uc5b4\uc11c infection source\uac00 \uc801\ub2e4\ub294 \uc7a5\uc810\uc774 \uc788\ub2e4.<\/p>\n

<\uc911 \ub7b5><\/p>\n

2. \ud658\uc790 ROOM IN
\n– \ud658\uc790\ub97c \ub530\ub73b\ud558\uac8c \ub9de\uc544 \uc778\uc0ac\ud558\uace0 \ud655\uc778\ud55c \ud6c4 \uc218\uc220\uce68\ub300\ub85c \uc62e\uae30\uace0 \ub099\uc0c1 \uc8fc\uc758
\n– \ud658\uc790\uc758 \ubd88\ud3b8\uc0ac\ud56d, \uad81\uae08\uc99d, \uc694\uad6c\uc0ac\ud56d \uc54c\uc544\ubcf4\uace0 \ud574\uacb0
\n– \ub530\ub73b\ud55c \uc2dc\ud2b8\ub97c \ub36e\uc5b4 \ud658\uc790\uc758 \uc548\uc704 \ub3c4\ubaa8
\n– \ud658\uc790\uac00 \uac00\uc9c0\uace0 \uc628 \ubb3c\ud488\uc744 \uc218\uc220\uc2e4 \uc785\uad6c\uc5d0\uc11c \uae30\uc785\ud55c \uc548\uc804\uad00\ub9ac\uc2dc\ud2b8\uc640 \uc218\uc220 \uc804 \uac04\ud638\uae30\ub85d\uacfc \ube44\uad50\ud55c \ud6c4 \uac01\uc885 \ub3d9\uc758\uc11c, \uc54c\ubd80\ubbfc \ub4f1 \ub9c8\ucde8\uacfc \uc804\ub2ec
\n– \uc218\uc220\ud658\uc790 \ubaa8\ub2c8\ud130\ub9c1\ud558\uace0 \ubcf4\ud638\uc790\uc5d0\uac8c \uc218\uc220\uc2dc\uc791 \ubb38\uc790 \uc804\uc1a1\ud558\uba70, time out\uc744 \ud558\uace0 EMR \uc548\uc804\uad00\ub9ac\uc2dc\ud2b8\uc5d0 \uc785\ub825<\/p>\n

<\uc911 \ub7b5><\/p>\n

OP procedure
\n1. \ud658\uc790 Supine position\uc5d0\uc11c \uc804\uc2e0\ub9c8\ucde8
\n(Double lumen endotracheal intubation) – \uae30\uad00\uc0bd\uc785
\n– \uc9c0\uc18d\uc801\uc778 CVP\ub97c \ubaa8\ub2c8\ud130\ud558\uae30 \uc704\ud574 Pt. Subclavian vein(\uc1c4\uace8\ud558 \uc815\ub9e5)\uc744 \ud1b5\ud574 Catheter \uc0bd\uc785<\/p>\n

\ucd9c\ucc98 : \ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\ubaa9\ucc28 1. \ud658\uc790\uc758 \uac04\ud638\uc815\ubcf4 2. \ubb38\ud5cc\uace0\ucc30 (\uc9c8\ud658 \ubc0f \uce58\ub8cc\uc5d0 \ub300\ud55c \uc870\uc0ac) 3. \uc218\uc220\uc804 \ub300\uc0c1\uc790 \uc0ac\uc815 4. \uc218\uc220\uc911 \uac04\ud638\uae30\ub85d 5. \uc218\uc220 \uc21c\uc11c 6. \uc57d\ubb3c\uc870\uc0ac (\uc218\uc220\uc911 \ub610\ub294 PACU\uc5d0\uc11c \uc0ac\uc6a9\ud55c \uc57d\ubb3c) 7. \ucc38\uace0\ubb38\ud5cc 8. \uc2e4\uc2b5\uc131\ucc30 \ubcf8\ubb38\ub0b4\uc6a9 * \ud3d0\uc554 [ lung cancer] \ud3d0\uc554\uc774\ub780 \ud3d0\uc5d0 \uc0dd\uae34 \uc545\uc131 \uc885\uc591\uc744 \ub9d0\ud558\uba70, \ud3d0 \uc790\uccb4\uc5d0\uc11c \ubc1c\uc0dd\ud558\uac70\ub098(\uc6d0\ubc1c\uc131 \ud3d0\uc554) \ub2e4\ub978 \uc7a5\uae30\uc5d0\uc11c \uc0dd\uae34 \uc554\uc774 \ud3d0\ub85c \uc804\uc774\ub418\uc5b4 \ubc1c\uc0dd\ud558\uae30\ub3c4 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[6215,38801,3559,18330,38802,38803,14302,8838,38800],"class_list":["post-30997","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-a","tag-vats","tag-3559","tag-18330","tag-38802","tag-38803","tag-14302","tag-8838","tag-38800"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/30997","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/comments?post=30997"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/30997\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=30997"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=30997"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=30997"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}