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정진용,연성모,박건,곽문섭,곽승수,Jeong, Jin-Yong,Yeon, Seong-Mo,Park, Kuhn,Kwack, Moon-Sub,Kwak, Seung-Soo 대한흉부심장혈관외과학회 1998 Journal of Chest Surgery (J Chest Surg) Vol.31 No.4
흉강경수술은 최근 기구 및 술기의 급속한 발전으로 인하여 흉부의 간단한 수술 뿐만 아니라 비교적 복잡한 수술까지 적용될 정도로 그 활용이 광범위하게 되었다. 식도암에서의 흉강경을 이용한 식도적출술은 개흉술 및 개복술을 통한 식도적출술 후에 발생할 수 있는 합병증이 적다는 장점이 있으나, 이의 시술에는 많은 어려움이 뒤따르고 있으며 고도의 술기를 요한다. 최근 저자들은 하부식도에 발생한 편평상피세포암에 대해 흉강경을 이용한 식도적출술 및 식도위문합술을 시행하였다. 환자는 59세 남자로 연하곤란을 주소로 내원하였으며 식도조영술과 식도경검사에서 하부식도에 궤양성 종양을 보였으며 전산화단층촬영에서 주위장기으로의 침범이나 림프절종대는 없었다. 수술은 흉강경을 이용하여 흉부식도를 박리하고 개복술로 위관을 형성한 후 경부에서 식도위문합술을 시행하였다. 수술후 애성과 문합부위의 누출이 있었으나, 보존적 치료후 문합부위의 누출은 치유되어 양호한 상태로 퇴원하였으며 애성은 수술후 약 2개월후에 소실되었다. Thoracoscopic esophagectomy can be performed in esophageal diseases to reduce the postoperative complications. Recently, We encountered a case of esophageal cancer and successfully treated it by thoracoscopic esophagectomy with gastric pull-up. A 59-year-old male was presented with swallowing difficulty and an esophagogram, esophagoscopy, and chest CT showed an ulcerating tumor on the lower esophagus. The operation was performed in three stages: mobilization of the esophagus by thoracoscopic surgery, construction of a gastric tube through a laparotomy, and cervical anastomosis between the esophagus and the gastric pull-through. Hoarseness developed postoperatively, and the postoperative esophagogram showed leakage at the esophagogastric anastomotic site. The anastomotic leakage was healed following surgical drainage and the patient was discharged in good health. Hoarseness subsided spontaneously two months after surgery.
급성 부동 스트레스 후 척수 회색질에서 Peroxiredoxin 1 및 3의 발현 변화
백남현 ( Nam Hyun Paek ),곽승수 ( Seung Soo Kwak ),이동석 ( Dong Seok Lee ),이영호 ( Young Ho Lee ) 대한외상학회 2006 大韓外傷學會誌 Vol.19 No.2
Purpose: Many stresses produce reactive oxygen species and bring about mechanism of antioxidant reaction. Cytokine and a neurotransmitter through the cell membrane, as well as signal transduction through the cell membrane, are used for various pathological condition of the brain, such as neurodegenerative disease. There are several antioxidant enzymes in cells (superoxcide dismutase, glutathion peroxidasae, peroxiredoxin catalase, etc.) Methods: This study used single- or double-label immunohistochemical techniques to analyze mouse spinal neuron cells expressing Prx I and Prx III after acute mobilization stress. Results: Prx I was observed in dendritic cell of the gray matter of the spinal cord, and Prx III was observed in the cytoplasm of the GM of the spinal cord. Conclusion: The results of this study will help to explain differences of expression in the distributions of the peroxiredoxin enzymes of the spinal cord. (J Korean Soc Traumatol 2006;19:105-112)
오경섭,하성일,이현성,이종수,곽승수,윤석훈,Oh, Kyung Seup,Ha, Sung Il,Lee, Hyun Sung,Lee, Jong Soo,Kwak, Seung Su,Yun, Suk Hoon 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.4
Sacral schwannoma is a rare lesion with a tendency to reach large proportions. The benign schwannoma rarely involves the vertebral bodies extensively. The authors report a case of giant intrasacral schwannoma in 30-year-old woman who had intermittent lower back pain during 3 years period. CT and MRI showed a destructive mass lesion within the upper part of sacrum with a large mass extending into the presacral space. The patient underwent combined surgery consisted of anterior transabdominal approach and posterior sacral laminectomy and total removal of tumor. The characteristics of the lesion were discussed with a review of literatures.