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다발성 대장암 간전이 환자의 간절제를 위한 새로운 시도
주종우,김형철,임철완,신응진,조규석,유기원,송옥평,홍대식,박성진,조준희,이혜경,김희경,권계원,고은석 순천향의학연구소;Soonchunhyang Medical Research Institute 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Multiple bilobar liver matastases (MBLM) are the main cause of low resectability in the colon cancer liver metastases. The authors experienced one case of initially non-resectable colon cancer liver metastases. He was curatively and safely treated with a two-stage hepatectomy using the new method of future remnant liver volume growing. A 54-year-old man was referred to our department with the sigmoid colon cancer combined with MBLM, which were checked in two small metastatic lesions in the left lobe and five large sized lesions in the right lobe in the computed tomogram (CT). A laparoscopic assisted anterior resection was primarily performed. We performed the 1^(st) stage hepatectomy 3 weeks after the colon resection. Intra-operative Ultrasonogram (US) found 9 small superficial metastatic lesions in the left lobe. All that lesions were completely removed by non-anatomical wedge resection. An occlusion ballon catheter was placed in the right portal vein through a small branch of the inferior mesenteric vein at that time. The future remnant liver volume was sufficiently increased 3 weeks after the 1^(st) hepatectomy. A right hepatectomy was safely performed 22 days after the 1^(st) hepatectomy. The patient received a regional chemotherapy (interleukin2 based immuno-chemotherapy through hepatic artery) for 4 months, then received 9 cycles of systemic chemotherapy (biweekly Oxaliplation, leucovorin, plus 5-fluorouracil) without any recurrence evidence.
상부 조기 위암 환자의 복강경하 상부 위절제술 3례 경험
조규석,김형철,박경규,이문수,송옥평,임철완,신웅진,주종우,유기원 순천향의학연구소;Soonchunhyang Medical Research Institute 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Background : The reported incidence of early gastric cancer located in the upper portion of the stomach has been increasing with the recent advances in its diagnosis and screening. Recently, we have successfully performed laparoscopic assisted proximal gastrectomy and gastric tube reconstruction without pyloroplasty on three patients with early gastric carcinoma localized to the upper third of the stomach. We describe our modification of this procedure in this report. Method : After creating an surgical pneumoperitoneum, the stomach was mobilized using laparoscopic coagulating shears. Upper half of the greater curvature and three-quarters of the lesser curvature were then dissected along with regoinal D2 lymphadenectomy. This was followed by a 5 cm, longitudinal mini-laparotomy in the upper abdomen, and the construction of the exteriorized stomach with a gastric tube measuring 20 cm long and 4 cm wide. Reconstruction with an esophagogastrostomy was performed using a circular stapler. Result : No post-operative morbidity or mortality was observed in this small series of patients. The average operative time was 250 minutes (range 220-300 minutes), and the average blood loss was 150 ml (range 90-180 ml). The mean number of lymph nodes harvested during these laparoscopic proximal gastrectomies was 24 nodes (range 22-25 lymph nodes). The average postoperative hospital stays was 7.5 days (range 7-8 days). Conclusion : Our technique of laparoscopic assisted proximal gastrectomy and gastric tube reconstruction without phloroplasty offers a minimally invasive technique with the potential of impoving the post-operative quality of life patients with an early-stage proximal gastric cancer.
Fuzzy Mappings and Fuzzy Equivalence Relations
Lim, Pyung-Ki,Choi, Ga-Hee,Hur, Kul Korean Institute of Intelligent Systems 2011 INTERNATIONAL JOURNAL of FUZZY LOGIC and INTELLIGE Vol.11 No.3
Equivalence relations and mappings for crisp sets are very well known. This paper attempts an investigation of equivalence relations and mappings for fuzzy sets. We list some concepts and results related to fuzzy relations. We give some examples corresponding to the concept of fuzzy equality and fuzzy mapping introduced by Demirci [1]. In addition, we introduce the notion of preimage and quotient of fuzzy equivalence relations. Finally, we investigate relations between a fuzzy equivalence relation and a fuzzy mapping.
Intuitionistic Interval-Valued Fuzzy Topological Spaces
Pyung Ki Lim,Sun Ho Kim,Kul Hur 한국지능시스템학회 2012 한국지능시스템학회논문지 Vol.22 No.1
By using the concept of intuitionistic interval-valued fuzzy sets, we introduce the notion of intuitionistic interval-valued fuzzy topology. And we study some fundamental properties or intuitionistic interval-valued fuzzy topological spaces: First, we obtain analogues[see Theorem :3.11 and :3.121 of neighborhood systems in ordinary topological spaces. Second, we obtain the result[see Theorem 4.9] corresponding to “the 14-set Theorem” ill ordinary topological spaces. Finally, we give the initial structure on intuitionistic interval-valued fuzzy topologies[see Theorem 5.9].
Ordinary Smooth Topological Spaces
Pyung Ki Lim,Byeong Guk Ryoo,Kul Hur 한국지능시스템학회 2012 INTERNATIONAL JOURNAL of FUZZY LOGIC and INTELLIGE Vol.12 No.1
In this paper, we introduce the concept of ordinary smooth topology on a set X by considering the gradation of openness of ordinary subsets of X. And we obtain the result [Corollary 2.13] : An ordinary smooth topology is fully determined its decomposition in classical topologies. Also we introduce the notion of ordinary smooth [resp. strong and weak] continuity and study some its properties. Also we introduce the concepts of a base and a subbase in an ordinary smooth topological space and study their properties. Finally, we investigate some properties of an ordinary smooth subspace.
Intuitionistic Interval-Valued Fuzzy Topological Spaces
Lim, Pyung-Ki,Kim, Sun-Ho,Hur, Kul Korean Institute of Intelligent Systems 2012 한국지능시스템학회논문지 Vol.22 No.1
By using the concept of intuitionistic interval-valued fuzzy sets, we introduce the notion of intuitionistic interval-valued fuzzy topology. And we study some fundamental properties of intuitionistic interval-valued fuzzy topological spaces: First, we obtain analogues[see Theorem 3.11 and 3.12] of neighborhood systems in ordinary topological spaces. Second, we obtain the result[see Theorem 4.9] corresponding to "the 14-set Theorem" in ordinary topological spaces. Finally, we give the initial structure on intuitionistic interval-valued fuzzy topologies[see Theorem 5.9].
Ordinary Smooth Topological Spaces
Lim, Pyung-Ki,Ryoo, Byeong-Guk,Hur, Kul Korean Institute of Intelligent Systems 2012 INTERNATIONAL JOURNAL of FUZZY LOGIC and INTELLIGE Vol.12 No.1
In this paper, we introduce the concept of ordinary smooth topology on a set X by considering the gradation of openness of ordinary subsets of X. And we obtain the result [Corollary 2.13] : An ordinary smooth topology is fully determined its decomposition in classical topologies. Also we introduce the notion of ordinary smooth [resp. strong and weak] continuity and study some its properties. Also we introduce the concepts of a base and a subbase in an ordinary smooth topological space and study their properties. Finally, we investigate some properties of an ordinary smooth subspace.
Intuitionistic Smooth Topological Spaces
Pyung Ki Lim(임평기),So Ra Kim(김소라),Kul Hur(허걸) 한국지능시스템학회 2010 한국지능시스템학회논문지 Vol.20 No.6
We introduce the concept of intuitionistic smooth topology in Lowen's sense and we prove that the family IST(X) of all intuitionistic smooth topologies on a set is a meet complete lattice with least element and the greatest element[Proposition 3.6]. Also we introduce the notion of level fuzzy topology on a set X with respect to an intuitionistic smooth topology and we obtain the relation between the intuitionistic smooth topology τ and the intuitionistic smooth topology ŋ generated by level fuzzy topologies with respect to τ [Theorem 3.10].