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Retrocrural lymph node removal in the surgical management of ovarian cancer
송용중,홍지은,김정태,구윤희,김휘곤,이동형,나용진,최욱환 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.98 No.-
Background: Maximal cytoreduction is one of most important prognostic factor in the management of advanced ovarian cancer. Similarly, secondary cytoreductive surgeries are also beneficial for the selective patients with recurrent epithelial ovarian cancer. Retrocrural lymph node dissection is one of the challenging surgical procedures in the surgical management of patients with ovarian cancer Description of procedure: Adequate intraoperative exposure is imperative. To achieve sufficient space for dissection of retrocrural nodes, the Kocher maneuver was performed. The Kocher maneuver involves dissection of the lateral peritoneal attachments of the duodenum to allow mobilization of the duodenum, head of the pancreas, and other retroperitoneal structures around the great vessels. After the Kocher maneuver, dissection was advanced toward the medial border of the inferior vena cava (IVC) to secure sufficient space. As the layer between the IVC and posterior aspect of the pancreas / duodenum is an avascular plane, we can enter the dissection plane without manipulating any vessels of importance. Tumor involving suprarenal lymph nodes was removed by careful dissection. Key words: Ovarian cancer, Retrocrural lymph node removal
Non-puerperal Uterine Inversion Presented with Hypovolemic Shock
송용중,양주석,윤현실,이선경,김휘곤,이동형,최욱환,나용진 대한폐경학회 2016 대한폐경학회지 Vol.22 No.3
We report a non-puerperal uterine inversion with nulliparous women caused by huge pedunculated submucosal fibroid. Massive bleeding from protruding mass through vagina brought the heart to stop in 42-year-old nulliparous woman. She became cardiopulmonary resuscitation survivor in emergency room and then underwent laparotomy which ended in successful myomectomy rather than hysterectomy considering her demand for future fertility. Meticulous and adequate fluid therapy and transfusion was also administered to recover from hypovolemic status. Pathologic report confirmed benign submucosal fibroid with degeneration, necrosis and abscess formation. Thus, clinician should be aware of uterine inversion when encountered with huge protruding vaginal mass and consider uterus-preserving management as surgical option when the future fertility is concerned. (J Menopausal Med 2016;22:184-187)
송용중(Yong Jung Song),윤병선(Byoung Sun Yoon),김현희(Hyun Hee Kim),안준태(Joon Tae Ahn),최석철(Suck Chul Choi),유상영(Sang Young Ryu),김종훈(Jong Hoon Kim),김병기(Byoung Gie Kim),박상윤(Sang Yoon Park),이경희(Kyung Hee Lee) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.12
N/A Objectives : This study is to investigate clinicopathologic characteristics, survival and prognostic factors in patients with Krukenberg tumor of the ovary. Material & Methods : From Jan. 1991 to Dec. 2000, 42 patients with Krukenberg tumor of the ovary were investigated with clinical profiles, such as age, stage, primary sites, clinical symptoms, and survival, retrospectively. Results : A mean age of 42 patients was 44.8 years (range 27-77). Stomach was the most frequent primary site (30/42, 71.4%), followed by colon (7/42, 16.7%) and gallbladder (1/42, 2.4%). In 38 patients, primary sites diagnosed before or after 1 month of diagnosis of Krukenberg tumor of ovary (36/38 cases, 94.7%). The most common feature of patients with Krukenberg tumor of ovary was bilateral abdominal mass. 5-year survival rate of patients with Krukenberg tumor of ovary was 8.94% (95% CI=3.33-14.55) and median survival time was 11 months. Age, bilaterality of tumor, time of diagnosis, presence of ascites and the primary site did not affect the survival. The patients who received post-operative adjuvant chemotherapy had better 3-year survival than those who did not (17.28% vs 10% p=0.03). Conclusion : Krukenberg tumor of the ovary is an aggressive tumor with poor prognosis. Post-operative adjuvant chemotherapy may increase the survival of patients with Krukenberg tumor of the ovary. Further prospective studies for the role of surgery and chemotherapy are needed.
A prospective study of examination under anesthesia(EUA) for patients with cervical cancer (초)
송용중 ( Yong Jung Song ),( Jong Ha Hwang ),( Sae Hyun Park ),( Myong Cheol Lim ),( Dae Cheol Jung ),( Sang Soo Seo ),( Sok Bom Kang ),( Joo Young Kim ),( Sang Yoon Park ) 대한산부인과학회 2010 대한산부인과학회 학술대회 Vol.96 No.-