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      • KCI등재후보

        비뇨기과 영역에서의 복강경 부신절제술

        권종규(Jong Kyou Kwon),오철규(Cheol Kyu Oh) 대한비뇨기종양학회 2015 대한비뇨기종양학회지 Vol.13 No.1

        Laparoscopic adrenalectomy has been the standard method for resecting adrenal gland tumors. Recently, laparoscopic retroperitoneal adrenalectomy (RA) has been more popular than conventional transperitoneal laparoscopic adrenalectomy (TLA) as an alternative method. Studies comparing laparoscopic RA and TLA showed that laparoscopic RA was superior or at least comparable to TLA in operation time, blood loss, pain score, hospital stay, and return to normal activity. Conversion rates and complication rates were similar. At present, laparoscopic RA has been int the limelight procedure for patients with benign adrenal disease. However, surgeons have been reluctant to offer this operation to patients because of the concerns over inadequate working space and overall perceived higher rate of complications, laparoscopic RA is not popular in urologic field up to now. This article summarizes the latest ideas and issues on laparoscopic RA in the expanding field of laparoscopy in urology.

      • KCI등재

        신정맥과 하대정맥의 침범이 있는 상피모양 변화를 동반하지 않은 신혈관근지방종

        박상호(Sang Ho Park),권종규(Jong Kyou Kwon),장인호(In Ho Chang),김정훈(Jung Hoon Kim),임송원(Song Won Lim) 대한비뇨기종양학회 2013 대한비뇨기종양학회지 Vol.11 No.1

        Tumor thrombus in renal vein or inferior vena cava is rare in patients with renal angiomyolipoma, which is a common benign neoplasm of kidney, especially without potential malignant transformation as epithelioid angiomyolipoma. A 58-year-old female who has known to have a fat containing renal mass in the right kidney, incidentally found by abdominopelvic computed tomography at 2004, was referred to the department of urology with a problem of increased size of the renal mass on computed tomography scan. In this case surgical treatment was clinically necessary due to the invasion of the renal vein and inferior vena cava. The mass and thrombi were excised successfully and the pathology results confirmed that both mass and thrombi are benign angiomyolipoma without any variant histologic differentiation. It must be concerned that vascular invasion can arise from conventional, asymptomatic, and small angiomyolipoma when the physicians decide to have conservative management with surveillance.

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