상부 요상피암에 대한 변형된 앙와위 손을 이용한 복강경 신요관적출술

백성현(Sung Hyun Paick),박형근(Hyoung Keun Park),노용수(Yong Soo Lho),추관엽(Gwoan Youb Choo),김형곤(Hyeong Gon Kim) 대한비뇨기종양학회 2011 대한비뇨기종양학회지 Vol.9 No.3

Purpose: We developed modified supine position hand-assisted laparoscopic nephroureterectomy (MS-HALNU) without position change during the operation in patients with upper urinary tract urothelial cell carcinoma. So, we report these results. Materials and Methods: Twenty two patients (including three with metastatic cancer) with upper urinary tract urothelial cell carcinoma underwent a unilateral MS-HALNU. Patient’s position was supine but operation side was elevated 30 degree with soft pad. An 8cm Gibson incision on the operation side was performed for a distal ureterectomy and bladder cuff excision, which were carried out as open surgery. The nephroureterectomy was followed without position change using hand-assisted technique via the same incision and two additional 10mm ports. Results: All 22 MS-HALNUs were successfully completed without open conversion; there were no major complications. The average operation time was 257 minutes and the average estimated blood loss was 173ml. The average interval to resuming oral intake was 2.6 days and the average hospital stay was 8.6 days. The average follow-up period was 30.1 months. In 15 localized cases (below T2), no recurrence occurred. However, in four T3 cases, 3 recurrences (2 bladder) occurred even with adjuvant chemotherapy. In 3 palliative cases, all patients died due to disease progression. Conclusions: MS-HALNU is easy, safe and effective treatment for patients with upper urinary tract urothelial cell carcinoma.

손가락 끝 박리법을 이용한 손을 이용한 복강경 부분신절제술의 초기 경험

이영익(Young Ik Lee),김대현(Dae Hyun Kim),김지원(Ji Won Kim),함동엽(Dong Yeub Ham),배상락(Sang Rak Bae),박형근(Hyoung Keun Park),김형곤(Hyeong Gon Kim),노용수(Yong Soo Lho),백성현(Sung Hyun Paick) 대한비뇨기종양학회 2013 대한비뇨기종양학회지 Vol.11 No.2

Purpose: We reported the initial experience of hand-assisted laparoscopic partial nephrectomy (HALPN) for kidney neoplasm using finger-tip dissection technique. Materials and Methods: A total 11 patients with exophytic renal mass who had undergone HALPN for kidney neoplasms. After mobilizing the entire hilum thoroughly, the renal artery was hung with a rubber catheter. When massive bleeding occurred, it was clamped. Surgeon’s index finger-tip was used for the mass dissection. After making the incision line 5-10mm from the mass using scissors, the resection plane was gradually deepened bluntly by the finger-tip, which was directed centrally along the grain of the renal pyramids. If large vessels and calyxes were felt by the finger-tip during dissection, they were secured by clipping. The mass was completely removed by pinching off using the fingers. Results: Mean patient age was 51.4 years (37-72 years), mean tumor size was 2.1cm (1.0-3.0cm), the mean operation time was 163.4min (120-310min). In only five patients, renal artery was clamped. In these cases, mean ischemic time was 24min (15-30min). All patients had negative resection margins. Mean estimated blood loss was 304.8ml (63-900ml) and two patients required a post-operative blood transfusion. No serious complications occurred. Conclusions: The finger-tip dissection technique of renal mass in HALPN is feasible. This technique can allow the easy and safe dissection by the maximizing the tactile sense.

요석 환자에 있어서 혈중 및 요중 칼슘과 요산치 변동에 관한 연구

노용수,김홍섭,양상국,안성수 건국대학교 의과학연구소 2002 건국의과학학술지 Vol.12 No.-

Background: Urinary stone is a world-wide disease and it's prevalence is 1-12%. During the past decade, there has been an expanding research activities in the neglected problem of urolithiasis, and there has been considerable progress in physicochemical and physiologic basis for stone formation, development of improved diagnostic criteria, and formation of new regimen for treatment. Urinary stones are mainly composed of calcium and the most common metabolic abnormalities in calcium stone patients are known to be hypercalciuria and uric acid disorder, especially including hyperuricosuria, which is thought to be important factors in the formation of idiopathic calcium urolithiasis. Method: We evaluated the difference of urinary and serum calcium, uric acid levels between 54 patients with urinary stone and 35 patients of control group as 24 hr urinary metabolic study. Results: Serum and urine calcium levels and uric acid levels of stone former patients were significantly higher than those of controls. The prevalence of hypercalciuria was significantly high in stone former patients. Conclusion: We found that the serum and 24-hour urinary levels of calcium and uric acid were clearly influential factor of the stone formation.

자연 배출된 요관결석의 임상적 관찰

노용수 건국대학교 의과학연구소 1999 건국의과학학술지 Vol.9 No.-

Many factors have been concerned about spontaneous passage of ureteral stones. Patients of ureteral stone ask to doctor the day of passage of ureteral stone and then doctors cannot suggest satisfiable answer. I investigated the relation between duration and many factors which concerned about spontaneous passed out ureteral stones. One hundred fifty cases of spontaneous passed out ureteral stones were evaluated during 5 years between October, 1993 and October, 1998. We investigated relation between duration of spontaneous passage and size, position, shape, margin, density, IVP findings of ureteral stones. The size and position influenced the duration of spontaneous passage of ureteral stones and other factors showed no significant difference. Small size in same position and low position in same size of ureteral stones were passed out spontaneously more early. Average duration of spontaneous passed out ureteral stone was 2.9 days in 2mm, 5.1 days in 3mm, 4.3 days in 4mm, 7.2 days in 5mm and 2.7 days in ureterovesical junction(UVJ), 4.1 days in lower ureter, 7.6 days in upper ureteral stones. This investigation suggested average duration of spontaneous passed out ureteral stones for size and position and also suggested that many other factors showed no difference in spontaneous passage of ureteral stones. With this results, we can suggest relatively accurate duration of spontaneous passge of ureteral stone.

원격전이된 전립선암에서 Stereotaxic Transsphenoidal Hypophysectomy를 시행한 2예

노용수,박석산,이무상,이진무,정상섭 최신의학사 1981 最新醫學 Vol.24 No.9

방광이물의 치험 4례

노용수 건국대학교 의과학연구소 1995 건국의과학학술지 Vol.5 No.-

Most foreign bodies in the urinary bladder are self-intorduced through the urethra as a means of masturbation. The author have experienced 4 cases of foreign bodies in the badder which have various purposes of introducting through the urethra. They were 3 in male and 1 in female and they are as follows. Case 1:25-year-old male. A ball pen cap which was tied with two electric wires was introdced into bladder through the urethra by the prostitutes. It was removed out with the foreignbody forcep under the cystoscopy. Case 2:15-year-old girl. A pencil was introduced into the bladder through the urethra by herself from curiosity 3 years before visiting our office and large stone was formed and wrapped the pencil later. It was removed out through the suprapubic cystostomy. Case 3:50-year-old male. 5 magnets were introduced into the bladder by himself for the purpose of forceful penile erection and they were all of a lump and stone was formed between the 5 magnets. They were removed out through the suprapubic cystostomy. Case 4:37-year-old male. 74㎝ in length, 3㎜ in diameter white rubber was introduced into the bladder for the purpose of masterbation. It was removed out with the grasping forcep under the cystoscopy.

잠복 고환의 임상적 고찰

노용수 건국대학교 의과학연구소 1994 건국의과학학술지 Vol.4 No.-

A clinical observation was made on 40 patients of undescended testis(43 cases)who were all treated with surgical method, orchipexy or orchiectomy during the period of January 1989 to December 1993 in Minjung hospital. Results were as follows: On age distribution, average age was 9.7 years old and most frequent age group was 3 to 14 years old. On location of testis, inguinal area was most frequent location(62.8%) and interal ring area was next one(25.6%). On side of undescended testis, right side was 55% and left side was 37.5% and 7.5% of the cases were bilateral. Most common complication was opened tunica vaginalis(58.1%) and next one was inguinal hernia(37.2%)

요도염 진단에 있어 요 침전물검사와 그람염색검사의 재평가

노용수 대한의학협회 1990 대한의학협회지 Vol.33 No.7

Usefulness of Ultrasound in Acute Scrotal Trauma

Lho, Yong Soo,Park, Jeong Hee,Choi, young Chill,Jeon, Hae Jeong 건국대학교 의과학연구소 1993 건국의과학학술지 Vol.3 No.-

In the case of testis rupture, emergent surgical intervention is of great importance to preserve testicular function. We studied retrospectively the sonographic findings of testis rupture. In 15 patients with acute blunt scrotal trauma, scrotal ultrasound studies were used to make a decision whether the operation was needed. Of all 15 cases, ten cases were diagnosed as testis rupture and confirmed by operation. In two cases, there were no abnormalities. One case revealed epididymitis and One case demonstrated pampiniform plexus hematoma. One case was confirmed as spermatic cord hematoma. Ultrasound is valuable for differential diagnosis of testicular and extratesticular lesion such as epididymitis, scrotal fluid collection even if severe scrotal swelling is present. Ultrasound studies are very accurate in the evaluation of testis rupture. The suggestive findings of testis rupture are unequal irregular testicular size, ill defined margination and inhomogeneous testicular parenchymal echo pattern.

음낭에 발생한 Sparganosis 1례

노용수,김홍섭,양상국 大韓泌尿器科學會 2001 Korean Journal of Urology Vol.42 No.2