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백용해,Baek, Yong-Hae 한국과학기술단체총연합회 2003 과학과 기술 Vol.36 No.3
갯벌은 다양한 생물이 살아가는 소중한 공간이며 동시에 사람들에게는 오염물질을 정화시켜주는 '자연의 정화조' 역할을 하는 곳이다. 또한 갯벌은 '단백질의 공급창고'로 불릴 만한 영양과 높은 음식재료를 충실히 제공하는 곳이다.
백용해 동국대학교 의학연구소 2009 東國醫學 Vol.16 No.1
위암의 치료의 변화는 조기위암을 중심으로 삶의질을 향상시키기 위한 변화와 진행성위암에서의 근치도 를 높이기 위한 변화로 요약 할 수 있다. 저 침습치료인 내시경 치료와 복강경 수술 및 로봇 수술 둥이 조기 위암에서 새롭게 소개 되고 있고,좋은 결과를 얻고 있으며, 진행성위암의 경우, 생존율을 높이기 위한 전략적 방법으로, 림프절절제 범위의 결정 및,수술 전후 시행 돠는 항암 약물요법의 선택이 중요한 논란 거리로 받아 들여 지고 있다. 최상의 치료 결과를 얻기 위한 전략적 치료 방법으로는, 위암 환자 각개인의 전신 상태와 위암의 병기를 고려한 맞춤형 치료가 그 해답으로 받아들여 지고 있으며,이에 대한 환자와 의사간의 이해는 필수적이라 할 수 있겠다. Treatment modality for the stomach cancer is changing not only minimal invasive, such as endoscopic mucosal resection, laparoscopic assisted gastrectomy, robotic surgery, but also the range of lymph node dissection for standard gastric surgery, the goal of this treatment is to get better satisfactory outcome. Optimal strategic approach is thus needed, and tailored managements which consider patient's stage and body condition are the key approach. Good correlation ship between patient and doctor seems to be important in improving all requests.
백용해,이해경,남석진,양정현,Young Hae Baek,Hae Kyung Lee,Seok Jin Nam and Jung Hyun Yang 대한갑상선-내분비외과학회 2003 The Koreran journal of Endocrine Surgery Vol.3 No.2
Purpose: Adrenal tumor is relatively rare disease. But according to the development of diagnostic tools, their incidence is rising. Therefore, new concept of surgical treatment for adrenal tumor should be established. Methods: We analysed medical records for 41 cases of adrenal tumor patients who was performed adrenalectomy at Samsung Medical Center from Sep. 1994 to Apr. 1997. Results: 39 cases were adenoma and 2 were adenocarcinoma. 24 cases were functioning tumors. Of these, 4 were Cushing's syndrome, 12 were pheochromocytoma and 8 were primary aldosteronism. Mean age for the patients was 45.6 years old. Among various diagnostic tools, abdominal CT scan was particularly helpful for diagnosis and localization. 2 cases of pheochromocytoma were MEN II. So, when we treat pheochromocytoma, a possibility of MEN II should be considered. Conclusion: 2 cases of 12 pheochromocytoma were proven to MEN II. So, when we treat pheochromocytoma, a possibility of MEN II should be considered. Considering improvement of surgical technique, such as laparoscopic adrenalectomy, we could consider more aggressive treatment for adrenal tumors. (Korean J Endocrine Surg 2003;3:147-153)
위암 진단에 있어서의 CT 위장 조영술과 상부위장관 조영술과의 비교
백용해,이순진,이지연,노재형,손태성,김성,김용일,Baik Yong Hae,Lee Soon Jin,Lee Ji Yun,Noh Jae Hyung,Sohn Tae Sung,Kim Sung,Kim Yong Il 대한위암학회 2003 대한위암학회지 Vol.3 No.4
Purpose: Advancement of computed tomography (CT) hardware and software has allowed thin section scanning and reconstruction of fascinating 2-dimentional (2D) and 3- dimentional (3D) images. Especially, the reconstruction of 3D images of gastrointestinal tract has been used in the detection and diagnosis of pre-malignant and malignant diseases. To compare the efficacy of CT gastrography with conventional upper gastrointenstinal series (UGIs) in gastric cancer patients. Materials and Methods: During Nov. 2002 and Mar. 2003, twenty-seven patients who had gastric cancer received both double contrast upper GI series and CT gastrography prior to radical surgery. Among these patients, nineteen had early gastric cancer (EGC) and 8 had advanced gastric cancer (AGC). Fifteen patients were male and 12 were female. The mean age was 54 yrs (range, $27\∼75$ yrs). The patients were placed on NPO and Stomach was distended with gas in fasting state prior to CT scanning. Double contrast upper GI series were performed as routine manual. CT scan was conducted in all patients using 8 or 16-channel multidetector CT in this study. The collimation and reconstruction for CT scanning were set at 2.5 mm and 1.25 mm, respectively. CT scanning was performed in the supine position. For image processing, CT gastrography, in which raysum and surface rendering images were constructed, virtual and 2D image in coronal and sagittal images were performed. The detectability of gastric cancer was assessed between UGIs and CT gastrography. Results: In AGCs, the detection rate of cancer using CT gastrography and virtual gastroscopy was higher than EGC cases. However, CT gastrography and virtual gastroscopy showed less favorable results than UGIs. Even though only a small number of cases had been studied, we might conclude that CT gastrography and virtual gastroscopy could replace UGIs in the detection of AGC cases. Conclusion: The detection rate used with CT gastrography and Virtual gastroscopy is not better than that of UGIs in early gastric cancer, however, in advanced gastric cancer cases, it is nearly equal to that of UGIs.