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김가정,송유정,문형곤,정상호,정치영,주영태,정은정,이영준,최상경,하우송,박순태,홍순찬,Ka-Jeong Kim,M,D,Yu-Jeong Song,M,D,Hyung-Gon Moon,M,D,Sang-Ho Jeong,M,D,Chi-Young Jeong,M,D,Young-Tae Ju,M,D,Eun-Jung Jung,M,D,Young-Joon Lee,M,D,Sang-K 대한갑상선-내분비외과학회 2009 The Koreran journal of Endocrine Surgery Vol.9 No.1
Adrenal cysts are a relatively uncommon disorder and most such cases are discovered at autopsy. According to the overseas cases, the reported incidence is 0.06∼0.18% and the incidence is increasing due to the widespread use of ultrasonography and computed tomography scanning. Adrenal cysts are usually asymptomatic and they need to be differentiated from other cystic lesions including liver, pancreas and kidney cystic lesions. We report here on a case of a 39-year-old female with an adrenal pseudocyst that was misdiagnosed preoperatively as a pancreas mucinous cystic neoplasm. (Korean J Endocrine Surg 2009;9: 30-32)
김주연(Ju-Yeon Kim),문형곤(Hyung-Gon Moon),정치영(Chi-Young Jeong),주영태(Young-Tae Ju),정은정(Eun-Jung Jung),이영준(Young-Joon Lee),홍순찬(Soon-Chan Hong),최상경(Sang-Kyung Choi),하우송(Woo-Song Ha),박순태(Soon-Tae Park),정상호(Sang 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.5
Peutz-Jeghers syndrome (PJS) is a rare disease of autosomal dominant inheritance, which is characterized by multiple hamartomatous polyps and mucocutaneous pigmentations. Multiple hamartomatous polyps in the gastrointestinal tract are the hallmarks of PJS, and occur most commonly in the small intestine. Complications induced by polyps include colicky abdominal pain, bleeding, bowel obstruction; rectal prolapse of polyps, and intussusceptions. A male patient visited our emergency room with colicky abdominal pain. The patient was diagnosed small intestine intussusceptions with multiple polyps. We report this case with a review of the literature.
복강경 담낭절제술 중 발생한 담관 손상 치료의 임상적 경험
김주연(Ju-Yeun Kim),김가정(Ka-Jeong Kim),문형곤(Hyung-Gon Moon),정상호(Sang-Ho Jeong),정치영(Chi-Young Jeong),주영태(Young-Tae Ju),정은정(Eun-Jung Jung),이영준(Young-Joon Lee),최상경(Sang-Kyung Choi),하우송(Woo-Song Ha),박순태(Soon-T 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.5
Purpose: Laparoscopic cholecystectomy (LC) has become the gold standard of management of gallstone disease. LC is associated with a two-to-four times higher incidence of bile duct injury, which is a rare but more serious complication than open cholecystectomy. We reviewed our experiences with the management of bile duct injury during laparoscopic cholecystectomy. Methods: From January 1999 to April 2009, 13 patients with bile duct injuries following LC were managed in our hospital. Patients’ charts were retrospectively reviewed to analyze perioperative management. Results: Among the 13 patients, 7 patients sustained their bile duct injuries at our hospital. Six patients were referred to our hospital to manage their bile duct injuries. Five patients’ injuries were identified during LC. According to the Strasberg classification, there are 5 cases of type A, 2 cases of type C, 1 case of type D and 5 cases of type E injuries. Four type A bile duct injuries were treated by direct ductal ligation during LC and 1 type A bile duct injury and 1 type C bile duct injury were managed by non-surgical treatment. Type D and type E injuries were managed by Roux-en-Y hepaticojejunostomy. Conclusion: Bile duct injuries are a rare but serious complications that occur during laparoscopic cholecystectomy. Most minor bile duct injuries are well treatable with non-surgical management, whereas major bile duct injuries require surgical management. The combination of non-surgical management and surgical treatment results in successful outcomes in bile duct injuries.
송유정(Yu-jeong Song),김가정(Ka-Jeong Kim),문형곤(Hyung-Gon Moon),정상호(Sang-Ho Jeong),주영태(Young-Tae Ju),정은정(Eun-Jung Jung),이영준(Young-Joon Lee),홍순찬(Soon-Chan Hong),최상경(Sang-Kyung Choi),하우송(Woo-Song Ha),박순태(Soon- 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.78 No.1
Purpose: Recently, there have been several studies on the early results of hepatectomy for various intrahepatic lesions. We report the early experience of our hospital after total laparoscopic left hepatectomy in patients with intrahepatic stones in the left hemi-liver. Methods: We retrospectively analyzed the medical records of patients who were diagnosed with left intrahepatic stones and underwent hepatectomy between January 2007 and June 2009. The patients were grouped according to operative procedure into open hepatectomy, laparoscopy-assisted hepatectomy, and total laparoscopic hepatectomy. Results: There were 31 patients who underwent Lt hemihepatectomy and Lt lateral sectionectomy during this period. Hepatectomy with open method, laparoscopy-assisted method, and total laparoscopy method were performed in 10, 14, and 7 cases. There were no significant differences between the three methods for operating time and postoperative complications. But the number of fasting times and hospital days was shorter with total laparoscopic hepatectomy than with others. Conclusion: Total laparoscopic liver resection is a safe and useful method for treating patients with intrahepatic stones and offers the advantage of quick patient recovery. Careful selection of appropriate patients and further development in the laparoscopic surgical technique resulting from accumulated experiences will help enable the laparoscopic hepatectomy to be performed more easily and safely in patients with intrahepatic stones.