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- 저자 : 전춘식 ( Chun Sik Jeon ) (검색결과 4 건)
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복강경하 전자궁적출술과 질식 전자궁적출술의 임상적 비교
전춘식 ( Chun Sik Jeon ),원재연 ( Jae Yeon Won ),김진홍 ( Jin Hong Kim ),이춘희 ( Chun Hee Lee ),방준배 ( Jun Bae Bang ),이윤순 ( Yoon Soon Lee ),박일수 ( Il Sooo Park ) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.12
By rapid development of laparoscopec technique and equipment, laparoscopic hysterectromy(LH), even to total laparoscopic hysterectomy and laparoscopic radical hysterectomy has been possible. The objective of this study was to review the indications, outcomes, complications of laparoscopic hysterectomy in comparison with total vaginal hysterectomy(TVH) and to evaluate the value of laparoscopic hysterectomy. Initial 50 cases of laparoscopic hysterectomy were performed from September 1994 to July 1995 and 50 cases of vaginal hysterectomy were randomly chosen from March 1993 to July 1994. The mean age of LH and TVH was 45.0±6.5 and 44.6±7.15(p=0.758). The mean parity of LH and TVH was 1.78±0.76 and 3.00±1.34(p=0.0001). The most common surgical indication for LH and TVH was myoma including adenomyosis (88 % and 54 %). The most common combined procedure with LH and TVH was adnexectomy(98% and 28%). The mean operation time for LH was significantly longer than TVH(125 min vs 68 min). There were no significant differences in hospital stay(4.6 days vs 4.1 days) and estimated blood loss(134 ml vs 182 ml) between LH and TVH. The mean uterine weight of LH was significantly heavier than TVH(323 gm vs 197.6 gm). The complication rate of LH and TVH was 26 % and 12 %. Our study strongly suggest that main prerequisute for laparoscopic hysteretomy are 1) nullipara with narrow vagina and elderly women with vaginal atropy 2) the need to guarantee removal of the ovaries 3) suspected adnexal pathology, e.g. PID, endometriosis. Moderately to severely enalrged uterus certainly is not itself indication for laparosopic hysterectomy but rather make an easy to perform vaginal hysterectomy. Laparosopic pelvic surgeons make an effort to reduce operation time and complication rate by repetition of education, video sessions, and animal model training. Most consider laparosopic hysterectomy to be a substitute for total abdominal hysterectomy, not for vaginal hysterectomy. It is clear that not all patients requiring hysterectomy will benefit from the laparoscopic approach. Proper selection for laparoscopic hysterectomy will decrease the need of laparotomy and the risk of physical and mental trauma according to laparotomy will be reduced and quality of women`s life will be raised.
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김경열 ( Geong Yeol Kim ),이동영 ( Dong Young Lee ),김삼식 ( Sam Sik Kim ),김세진 ( Se Jin Kim ),전춘식 ( Chun Sik Jeon ),박일수 ( Il Soo Park ) 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.12
Primary transitional cell carcinma of the ovary is one of histologic type of high grade lesion of ovarian tumor. they constitute 1% of primary ovarian carcinoma. An important finding is that those ovarian carcinomas are more sensitive to chemotherapy and more favorable prognosis than other poor differentiated ovarian carcinoma of comparable stage. We experienced two cases of primary ovarian transitional cell carcinoma, and report these cases with a brief review of the concerned literatures.
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김진홍,박일수,이윤순,유봉재,원재연,전춘식 대한부인종양 콜포스코피학회 1996 Journal of Gynecologic Oncology Vol.7 No.1
For cervical cancer, the combination chemotherapy could increase the trial of radical hysterectomy due to reduction in tumor volume even in advanced stage and help to decrease corrected dose of radiotherapy. It also reduces postoperative radiotherapy to avoid the side effect and therefore make the quality of life better. Cisplatin chemotherapy alone was known to result in objective response rates of 20%. Todays animal experiment studies stated that Ifosfamide could accelerate the efficacy of Cisplatin. Thus in this study, neoadjuvant chemotherapy was applied to those cervical cancer patients in the use of the combination chemotherapy including Ifosfamide, PI(Cisplatin+ Ifosfamide) and PAIB(Cisplatin+ Ifosfamide+ Adriamycin+ Bleomycin). A total of 43 patients were entered in this trial, 23(53%) achieved at least a 50% reduction in tumor volume, 20(47%) showed no change. After completion of combination chemotherapy, 30(70%) of the 43 were done radical hysterectomy, 13(30%) given to radiotherapy. 9(30%) of the 30 patients were applied postoperative radiation therapy. Nausea and vomiting occurred in 35 of the 43 patients(81%) and alopecia 15(34%) for toxicity. Severe CNS toxicity(Grade 4) was detected in one patient. This study suggest that Ifosfamide combination chemotherapy is effective in tumor reduction and minimal toxity and can performed radical operation in cases of large tumor volume.
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