성인에서 발견된 폐기관지 전장기형[bronchopulmonary foregut malformation]의 수술요법

홍종면,김주현,Hong, Jong-Myeon,Kim, Ju-Hyeon 대한흉부심장혈관외과학회 1992 Journal of Chest Surgery (J Chest Surg) Vol.25 No.7

Abnormalities of ventral foregut budding have been classified as "Bronchopulmonary Foregut Malformation[BPFM]". Two cases of this unusual malformation are presented. The first case was that of a 48-year-old male with a history of hemoptysis and fever. He had intralobar sequestration, located in the right lower lobe and the posterior segment of the right upper lobe, communicated with the lower esophageal fistula. The sequestrated lobe received its blood supply from anormalous feeding artery from the descending thoracic aorta. The second case was that of a 42-year-old woman with intralobar sequestration that communicated with the lower esophagus. The intralobar sequestration was located in the superior segment of the right lower lobe, and in this case, the abnormal feeding artery could not be found. In both cases, there were no other combined congenital anomalies. They were managed with surgical resection successfully and followed up without any significant complications.lications.

다발성 대칭성 지방종증 -1례 보고-

이조한,홍종면,안재호,Lee, Jo-Han,Hong, Jong-Myeon,An, Jae-Ho 대한흉부심장혈관외과학회 1996 Journal of Chest Surgery (J Chest Surg) Vol.29 No.2

다발성 대칭성 지방종증은 경부, 견갑부, 흉부, 복부 및 서혜부에 대칭적으로 피하지방종을 형성하는 드문 질환으로 최근에는 지각 및 자율신경계의 이상동반이 보고되 기도 하나, 현재까지는 원인이 화실하게 밝혀지지 않고 있다. 본 증례는 기관압박을 동반하는 종격동을 침범한 다발성 대칭성 지방종에 대한 증례이다. 환자는 55세 남자로 호흡곤란과 약 10년전부터 서서히 성장하는 경부, 견갑부, 흉부, 복부 및 서혜부의 종괴를 주소로 내원하였으며, 수십년의 심한 음주력이 있었다. 경부와 기관주위를 포함하는 종격동의 지방종괴는 transverse cervical incision을 통해 제거하였다. 그러나 기관주위의 불완전한 지방종괴의 제거로 인한 기관압박의 완화를 위해 술후 15일만에 재수술을 시행하였다. 술후 환자는 종격동기흥 및 피하기종이 심하여 2일 후 응급기관절개술을 시행받은 후, 영구기관절개술후 퇴원하였다. Multiple symmetric lipomatosis is a rare disease characterized by progressive growth of subcutaneous fat masses which are located symmetrically at neck, shoulders, chest, abdomen and groin. Recent surveys revealed a high incidence of combined somatic and autonomic neuropathy. The exact cause of the disease is not known. We have experienced one case of multiple symmetric lipomatosis with mediastinal involvement with symptomatic compression of trachea. The patient was a 55-year-male, complaining of dyspnea and slowly enlarging multiple symmetric masses at the neck, shoulders, chest, abdomen, flank and groin over a period of 10 years. He had a habit of excessive alcohol intake for many years. The fatty masses in the neck and the upper mediastinum including peritracheal region were excised through transverse cervical incision. But, because of the incomplete excision of peritracheal fatty tissue, we performed reoperation for the relief of residual tracheal compression at the 15th postoperative day. Two days later emergent tracheostomy was performed due to postoperative pneumomediastinum and subcutaneous emphysema. He could discharge with permanant tracheostomy.

외상성 기관지 파열 -3례 보고-

이조한,홍종면,안재호,Lee, Jo-Han,Hong, Jong-Myeon,An, Jae-Ho 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.5

The injuries to the bronchi have been reported with increasing frequencies. The most common cause of such injuries is compression or crushing chest trauma. Early diagnosis and emergent repair should be done for the good prognosis. We report 3 cases who had bronchial injuries after traffic accident. Our operative procedures were a primary bronchial repair for 17 months old boy, a pneumonectomy for delayed recognition and a bronchoplasty procedure 63 days after trauma. All these bronchial ruptures were successfully treated and discharged.

편광방식 입체영상 디스플레이 시스템의 의료분야 응용기술 구현

권기철,김남,홍종면,Gwon, Gi-Cheol,Kim, Nam,Hong, Jong-Myeon 한국정보디스플레이학회 2005 인포메이션 디스플레이 Vol.6 No.6

기도내 발생한 원발성 신경초종

박영훈,노윤우,홍종면,Park, Yeong-Hun,No, Yun-U,Hong, Jong-Myeon 대한흉부심장혈관외과학회 1996 Journal of Chest Surgery (J Chest Surg) Vol.29 No.10

신경초종은 아주 희귀한 질환으로 기관 하방 113 부분에서 호발하며 수술로 치료가 가능하다는 면에서 상당히 의미가 있는 질환이다. 국소증상이 늦게 발현하므로 기도 폐쇄가 심하게 진행되기 전까지는 진단되기 어렵고 호발증상으로는 지속적인 마른 기침과 호흡곤란이다. 신경초종의 궁극적 치료방법은 외과적 절제술이다. 최근 저자들은 기관내 신경초종을 외과적 절제술로 특별한 합병증 없이 완치하였기에 문헌고찰과 함께 보고하는 바이다. Neurllemomas of the tracheobroncheal tree are extremely rare. Most are located in the lower trachea, and cause chronic cough and wheezing. They usually have a very long natural history, causing symptoms only after they have attained a considerable size. Current treatment of primary intratracheal tumor is sugical removal. Recently, we experienced a case of primary intratracheal neurilemoma which was successfully treated by tracheal resection and anastomosis. We report this case with a brief review of literature.

체외순환과 초저체온 순환정지술을 이용한 내경동맥의 거대 뇌동맥류 수술 - 증 례 보 고 -

정유남,민경수,이무섭,김동호,홍종면,김상태,Chung, You Nam,Min, Kyung Soo,Lee, Mou Seop,Kim, Dong Ho,Hong, Jong Myeon,Kim, Sang Tai 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.12

The authors report a case of a 72-year-old woman who presented with intraventricular and subarachnoid hemorrhage of Hunt and Hess grade IV after the rupture of a giant aneurysm arising from the right internal carotid artery. The aneurysm was clipped successfully with the aid of cardiopulmonary bypass(closed chest method), deep hypothermic circulatory arrest, and cerebral protection with barbiturate resulting in moderate disability. We discuss the usefulness and problems related to technique of circulatory arrest and cardiopulmonary bypass using closed chest method, and suggest the possible benefits of open chest method in elderly people and the importance of preoperative plan to coordinate anesthesia and operation.

증례보고 : 우측 개흉술 중에 긴장성 기흉으로 인해 발생한 심정지

유승문 ( Seung Moon Ryu ),나효석 ( Hyo Seok Na ),배진호 ( Jin Ho Bae ),홍종면 ( Jong Myeon Hong ),임승운 ( Seung Woon Lim ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.6

Tension pneumothorax during one-lung ventilation is an insidious, life threatening emergency. Even though early diagnosis and rapid intervention are necessary to prevent mortality, treatment may be difficult because of the clinical diagnosis-mediastinal shift, hypoxemia, hypotension and increased airway pressure may be confusing in the operative setting. We present here the case of a patient who underwent right thoracotomy with one-lung ventilation and the patient developed left tension pneumothorax with resulting cardiac arrest. (Korean J Anesthesiol 2006; 51: 756~9)

잡견에서 Rapid Atrial Pacing에 의한 심방의 전기적 재현성과 이의 회복

남기병,김동운,차성일,이석재,홍종면,임승운,나기정,조명찬 대한순환기학회 1998 Korean Circulation Journal Vol.28 No.6

흉선암종 1례

홍장수,홍종면,노윤우,이조한,안재호 충북대학교 의과대학 충북대학교 의학연구소 1995 忠北醫大學術誌 Vol.5 No.2

흉선암종은 전상종격등에 드물게 발생하는 예후가 매우 불량한 질환으로 흉선종과는 다른 독특한 병리조직학적 및 임상적 특징을 갖는다. 환자는 31세 여자로 우측흉부불쾌감을 주소로 내원하였다. 흥부전산단층촬영상 전상종격동에 4×4cm정도의 종괴가 있었으며 양측 폐에 경계가 비교적 좋은 결절들이 산재되어 있었다. 비료를 위해 전상종격동의 종괴와 비교적 큰 우상엽의 결절을 제거하였으며, 병리조직학적검사상 흉선암종 중 편평상피암으로 확인되었다. 환자는 술후 cisplatin based combination chemotherapy(cisplatin, cytoxan and adriamycin)를 받고 있으며 현재 내과 외래로 추적관찰중이다. Thymic carcinomas are rare neoplasms of the anterior mediastinum. These tumors have extremely poor prognosis and distinct pathologic and clinical characteristics. We have experienced one case of thymic carcinoma with pulmonary metastasis. The patient was a 31-year-female, complaining of right chest discomfort. Total thymectomy with resection of the pulmonary nodule of the RUL was done. The pathological diagnosis was thymic squamous carcinoma. The patient received the cisplatin based combination chemotherpy with cisplatin, cytoxan, and adriamycin. The patient is now follow- up in IM -OPD.

외상에 의한 횡격막 손상

홍장수,홍종면,이조한,노윤우,안재호 충북대학교 의과대학 충북대학교 의학연구소 1994 忠北醫大學術誌 Vol.4 No.1

외상에 의한 횡격막 파열은 흉복부 외상에 의한 다른 합병증에 비하여 비교적 드문것으로, 발견치 못하거나 진단이 늦어지는 경우가 발생할 수 있다. 본 교실에서는 5례의 외상성 횡격막 탈장의 치험에 대해 보고하는 바이다. 첫번째 예는 62세 남자로 교통사고에 의한 횡격막 탈장으로 수술 시행한 환자로 수술소견은 위, 비장, 횡행결장, 대망이 흉곽내로 탈장되어 있어 정복시켰고, 손상된 횡격막은 이중봉합하였다. 두번째 예는 30세 남자로 교통사고에 의한 횡격막 탈장으로, 흉곽내로 탈장된 위를 정복시키고 횡격막 열상은 연속봉합하였다. 세번째 예는 35세 남자로 자상에 의한 횡격막 탈장으로 흉곽내로 탈장된 위를 정복시키고 열상된 횡격막은 연속봉합하였다. 네번째 예는 32세 남자로 교통사고에 의한 횡격막 열상으로 위, 대망이 흉곽내로 탈장되어 있었고 심외막 열상이 동반되어 있었다. 위와 대망을 정복시키고 횡격막 열상은 연속봉합하였고, 심외막 열상도 연속봉합하였다. 다섯번째 예는 33세 남자로 교통사고에 의한 횡격막 탈장으로, 흉관내로 탈장된 위는 정복시키고 횡격막열상은 이중 연속봉합하였다. 다섯예 모두 술후 특별한 문제 없이 퇴원 하였다. Five cases of traumatic diaphragmatic hernia were repaired during the period from 1992 to 1993. The first case, a 62-year old man, was diagnosed as diaphragmatic hernia caused by traffic accident. Herniated stomach, spleen, transverse colon and omentum were repositioned and lacerated spleen was extracted. The diaphragmatic rupture, on left side, was repaired with two layer continuous suture. The second case, a 30-year old man, was diagnosed immediately after traffic accident at emergency room. Herniated stomach was repositioned and diaphragmatic rupture, about 12 cm on left side, repaired with non-absorbable continuous suture. The third case, a 35-year old man, was diagnosed immediately at emergency room after stab wound. Herniated stomach was repositioned and ruptured diaphragm was repair with non-absorbable continuous suture. The forth case, a 32-year old man, was diagnosed immediately after traffic accident at emergency room. And he was operated urgently. Herniated stomach and omentum were replaced. Diaphragmatic rupture, about 15 cm, was repaired with non-absorbable continuous suture in two layer. And lacerated pericardium was repaired with continuous suture. The fifth case, 33-year old man, was diagnosed after traffic accident at a local clinic and transfered to our hospital. Herniated stomach was replaced and diaphragmatic rupture, about 15 cm, was repaired with non-absorbable continuous stuture. All of the cases were approached transthoracically and recovered uneventfully.