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박훤겸,정파종,남영수,백홍규,이홍기,이흥우,조석주,김상우,이광수,Hwon Kyum Park,M,D,Pa Jong Jung,M,D,Young Soo Nam,M,D,Hong Kyu Baik,M,D,Hong Gee Lee,M,D,Heung Woo Lee,M,D,Seog Ju Cho,M,D,Sang Woo Kim,M,D,and Kwang Soo Lee,M,D 대한갑상선-내분비외과학회 2003 The Koreran journal of Endocrine Surgery Vol.3 No.2
Purpose: The laparoscopic adrenalectomy (LA) has become the preferred procedure for adrenal tumors due to many advantages; a more rapid and comfortable recovery, shortened hospitalization period, and fewer complications. This study reports on an initial 4 year period of experience with LA and describes various unusual findings encountered during the treatment. Methods: From February 1997 to November 2000, a total of 20 LA were performed. Of the several LA techniques previously described we prefer the transabdominal approach in the lateral decubitus position utilizing 3 or 4 trocars, and this method was employed in all the cases presented here. Results: All 20 patients had a unilateral tumor. The pathological findings consisted of 11 aldosteronomas, 6 Cushing adenomas, 2 pheochromocytomas and 1 cortical carcinoma. Of the 20 patients, 18 were successfully operated with the laparoscopic procedure and the remaining 2 cases were converted to open adrenalectomy. The reasons for conversion were sudden cardiac arrest of unknown origin in one and intraoperative bleeding due to periadrenal massive fat in the other. During LA, 2 patients with non-catecholamine- secreting cortical adenomas pathologies displayed abnormal EKG findings, which reverted to normal after the operation. The average complete LA operation times was 186 minutes in the first 9 cases and 132 minutes in the next 9 cases. The first oral intake was started within 24 hours in all cases. There were no postoperative complications, operative morbidity or mortality. The average hospital stay was 6.2 days in the first 9 cases and 4.2 days in the next 9 cases. Conclusion: LA is a relatively fast and safe method and has become is accepted as the preferred procedure for adrenal tumors but it requires good perioperative preparation. Surgeons and anesthesiologists need to be aware of the possible cardiovascular complications and of the problems inherent in the manipulation of the adrenal gland during LA. (Korean J Endocrine Surg 2003;3:161-165)
초음파 진단 시 혼란을 초래할 수 있는 연부 조직 종양 - 1례 보고 -
박태수,김성준,박훤겸,박용욱,서승표,Park, Tae-Soo,Kim, Sungjun,Park, Hwon-Kyum,Park, Yong-Wook,Seo, Seung-Pyo 대한정형외과초음파학회 2009 대한정형외과 초음파학회지 Vol.2 No.2
초음파의 다양한 장점에도 불구하고 초음파의 질감(echotexture)과 균질성(homogenecity)의 문제로 악성 종양과 양성종양을 감별하는데 한계가 있을 수 있으므로, 초음파를 이용한 고형의 연부조직 종괴를 진단할 때는 주의가 필요하다. In spite of many advantages of the ultrasonography (USG), sometimes its features such as echotexture and homogenecity do not reliably distinguish between malignant tumors and benign ones, so caution is needed in making a diagnosis of solid masses of the soft tissue with USG.
이종인(Jong In Lee),박훤겸(Hwon Kyum Park),권성준(Sung Joon Kwon),홍은경(Eun Kyoung Hong) 대한소화기학회 1994 대한소화기학회지 Vol.26 No.5
Even though Crohns disease is a rare one in oriental area, it is important to recognize this entity because of its high rate of recurrence, the absence of a absolute curative treatment, its severity and the complications that occur in some patients. Crohns disease has been a chal- lenging problem to most surgeons for its diagnostic difficulty, frequent cases of surgical indica- tions, poor surgical output and recurrent tendency. We experienced a case of a young woman who manifested panperitonitis due to small bowel perforation who underwent emergency oper- ation without suspicion of Crohns disease. We report this case with brief review of literatures. (Korean J Gastroenterol 1994; 26: 869 873)