http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
식도이완불능증에시 복강경을 이용한 식도근절개술 및 전방위저주름술 - 1예 보고 -
김연수,류지윤,Kim Yeon Soo,Ryoo Ji Yoon 대한흉부심장혈관외과학회 2005 Journal of Chest Surgery (J Chest Surg) Vol.38 No.3
An 18-year old woman had dysphagia and frequent vomiting after meals for 6 years. She lost 15 kg in 6 months recently. After esophageal manometry, she was diagnosed with achalasia. We decided to use laparoscopic surgery because there was no symptomatic improvement after medication. We made small 5 incisions on her abdomen. We performed Heller myotomy and Dor fundoplication. We performed esophagogram one day after the operation. There was no leakage of the contrast media, and it passed well. She started to eat at the 2nd day after the operation and was discharged on the 9th day without other specific problem. 환자는 18세 여자로 6년 전부터 연하곤란 및 식사 후 빈번하게 구토가 발생하였으며, 최근 6개월 동안 15 kg의 체중 감소가 있었다. 식도 계측검사에서 식도이완불능증으로 진단되었다. 약물치료를 하였으나 증상이 호전되지 않아 복강경을 이용한 수술을 결정하였다. 복부에 5개의 트로카용 소절개를 시행하였고, 복강경을 이용하여 근절개술과 전방위저부주름술을 시행하였다. 수술 후 1일째 식도조영술을 시행하였다. 조영제가 누출 없이 원활하게 통과되었다. 수술 후 2일째 식이를 시행하였으며, 술 후 9일째 특별한 문제없이 퇴원하였다.
박경택,류지윤,김연수,김창영,장우익,Park, Kyung-Taek,Ryoo, Ji-Yoon,Kim, Yeon-Soo,Kim, Chang-Young,Chang, Woo-Ik 대한기관식도과학회 2007 大韓氣管食道科學會誌 Vol.13 No.2
Background: The mediastinum is the anatomic space which is restricted and the clinical aspect varies according to location, size and type of neoplasm. Diagnostic and therapeutic approaches to mediastinal neoplasms have changed over and over. We presented our recent therapeutic experiences with these neoplasms. The object and method: The 36 patients were treated in operation from 2000 until 2006. The male patients were 20 and the female patients were 16. Age of the patients ranged from 5 to 70, and the median age was $46.4{\pm}21.9$. The child patients were two. Result: The most prevalent anatomic distribution of the neoplasm was anterosuperior mediastinum. The most common neoplasm was thymoma, followed by thymic cyst, teratoma, ganglioneuroma. The complete excison of neoplasm was accomplished in 96% of patient group except thymoma patient group. One patient underwent total thymectomy, and the other 12 patients underwent extended thymectomy from 13 thymoma patient group. In the malignant neoplasm, 7 patients were received additional treatment after operation. There was short-term death of 1 person and late death of 1 person. Conclusion: Our results except clinical manifestation are compared favorably with other reports. Surgery is the management of choice for patients with mediastinal neoplasm and early curative resection is considered to optimize clinical outcome for patients.
김연수,박경택,류지윤,김창영,장우익,장선희,Kim, Yeon-Soo,Park, Kyoung-Taek,Ryoo, Ji-Yoon,Kim, Chang-Young,Chang, Woo-Ik,Chang, Sun-Hee The Korean Bronchoesophagological Society 2008 大韓氣管食道科學會誌 Vol.14 No.2
Nerogenic tumor of various histologic types may arise in the posterior mediastinum. Mediastinal schwannoma is a frequent paraspinal neurogenic tumor, but malignant mediastinal schwannoma is rare tumor which is derived from Schwann cells. Although there are some reports dealing with approach for screening patients with symptoms suggesting malignancy and the imaging criteria for distinguishing malignant from benign schwannoma but the results are not clearly defined. We present a case of hugh mediastinal schwannoma which was taken for malignancy in imaging studies because of its invasiveness.
홍준영 ( Joon Young Hong ),류지윤 ( Ji Yoon Ryoo ),윤성수 ( Sung Soo Yoon ) 한국회계학회 2006 회계저널 Vol.15 No.특별
본 연구는 외부감사인에 의한 비감사서비스의 병행 제공이 감사품질에 어떤 영향을 미치는 가를 감사의 투입물인 감사시간을 중심으로 분석하였다. 구체적으로, 기존의 연구에서 채택되었던 설문조사 방식 대신 감사인이 실제 감사에 투입한 시간을 집계하여 비감사서비스 보수 총액이나 시간이 감사시간에 어떤 영향을 주는지 조사하였다. 아울러, 현재 공시사항인 총감사시간이 감사인의 숙련도를 어느 정도 반영하는가 평가하기 위하여 비감사서비스와 직급별 감사시간 및 총감사시간 사이의 관계를 분석하였다. 국내 한 대형 회계법인의 1998년도부터 2003년도까지의 내부자료를 이용하여 분석한 결과, 비감사서비스 제공이 감사투입시간을 감소시키지 않는 것으로 나타났다. 오히려 비감사서비스를 제공하는 경우 총감사시간, 특히 중, 상위 감사인의 감사시간이 유의적으로 증가하는 것으로 나타났다. 소규모 표본을 이용한 연구라는 점에서 연구결과의 일반화에 한계가 존재하지만, 실제 감사활동 자료에 기초한 결과라는 점에서 비감사서비스와 감사품질에 관련하여 보다 직접적인 시사점을 제공한다. This study examines whether nonaudit services provided by an auditor compromise audit quality. We extend the prior literature by using actual audit hours by rank, instead of surveys, compiled from the internal data of a Big 4 accounting firm in Korea. Specifically, we investigate whether total audit hours are affected by the nature and level of nonaudit services, controlling for other factors known to influence audit efforts. Nonaudit services are classified into tax filing services and other services. We also examine whether the auditor rank has any significant impact on the relation between nonaudit services and audit hours. We find that auditors spend more hours on audit as nonaudit service fees or hours increase, contradicting the speculation that nonaudit services may lower audit quality. Surprisingly, this trend was more prominent among high rank auditors. These results are consistent with multiple explanations. Firms that purchase more nonaudit services could be more complex to audit. Alternatively, auditors may take more precautionary measures against engagements that have potentially high audit risk of litigation due to the lack of independence-in-appearance. Although this study provides a direct evidence on auditor inputs, its sample size limits the external validity of the results.
기관지 내시경으로 초기에 제거할 수 없었던 기도 이물 : 2례 보고
김연수,남승연,곽병곤,장우익,박경택,김창영,류지윤,Kim, Yeon-Soo,Nam, Seung-Yeon,Kwak, Byeong-Gon,Chang, Woo-Ik,Park, Kyung-Taek,Kim, Chang-Young,Ryoo, Ji-Yoon 대한기관식도과학회 2007 大韓氣管食道科學會誌 Vol.13 No.2
Foreign body aspiration is a cause of the accidental death at home. Therefore, early intervention and proper management is important. A bronchoscopy is indicated whenever there is a suggestive history and medical opinion. Occasionally, foreign body removal with bronchoscopy may be fail. But, on the situation, there is no definite recommended standard management. We experienced two cases of bronchial foreign body could not be removed with bronchoscopy at first intervention. The one was diagnosed too late. Endobronchial granulation tissue and edema made it impossible to find the foreign body at first bronchoscopy. After steroid and antibiotic therapy, foreign body could be removed with secondary bronchoscopy. Another was bronchial foreign body jammed tightly bronchus intermedius. Even after medical therapy, patient got aggravated. So foreign body was removed with bronchotomy.
좌측 주기관지 근위부에서 발생한 무기폐를 동반한 횡문근 육종의 수술 치료 -1례 보고-
김연수,장우익,허진원,박시영,장선희,박경택,김창영,류지윤,조성준,Kim, Yeon-Soo,Chang, Woo-Ik,Huh, Jin-Won,Park, See-Young,Chang, Sun-Hee,Park, Kyung-Taek,Kim, Chang-Young,Ryoo, Ji-Yoon,Cho, Seong-Joon 대한기관식도과학회 2007 大韓氣管食道科學會誌 Vol.13 No.2
Treatment choice for primary pulmonary sarcoma is complete surgical resection. A 69 year old man developed dyspnea due to left lung atelectasis. There was endobronchial tumor completely obstructing the left main bronchus. The tumor was resected completely by main bronchial resection via a left thoracotomy incision, and diagnosed as leiomyosarcoma. Bronchoscopy and computed tomography in 6 months after operation, there was no evidence of recurrence.
류지윤,김연수,장우익,김욱성 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3
Objective : According to the changes in the environmental factors, traumatic diaphragmatic injury is increased, especially due to traffic accident. Many reports described the early diagnostic methods and treatment modality. Method : We analyzed the traumatic diaphragmatic injury patients from the opening of our hospital to December 2002. Results : There were 7 patients (Male: Female=4:3). Sites of injury were 4 in left diaphragm and 3 in the right. 5 patients showed diaphragmatic rupture and 2 patient did diaphragmatic eventration. Emergency operation was done in 4 patient. One patients died of postoperative complications (Acute renal failure with sepsis). Conclusion : We concluded that if there is suspicion of diaphragmatic injury after a trauma, careful study and examination is essential and interdepartmental collaboration is very important to accomplish the good results.
류지윤 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.2
42 - year - old male patient was hospitalized with chest pain and dyspnea. He had a past history of right pleural effusion 6years ago and was managed with closed thoracotomy and after then he had been in well, 2day before admission chest pain and dyspnea were developed and aggravated on admission day. He visited our emergency room and closed thoracotomy was done and 1100㏄ pus was drained. After closed thoracomy was done, chest pain and dyspnea were remained. Chest CT showed chronic empyema of right chest. Explorothoracomy with decortication was done(1st Operation) and followed two emergency operations due to massive postoperative bleeding. After final operation dead space was remained and patient was discharged with Heimlich valve pneumobag. During OPD follow-up, MRSA infection of pleural cavity was found. Patient was readmitted and pleural space irrigation was done with povidone mixed saline daily. After pleural space cleaned up, remained pleural space was filled with antibiotics mixed saline solution(Clagett's Operation). After operation, patient condition was much improved and discharged without andy events.