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조기위암에서 림프절 전이 및 재발에 영향을 주는 위험인자 분석
신종근,신영도,윤충,주흥재,Shin Jong Keun,Shin Young Do,Yoon Choong,Joo Hoong Zae 대한위암학회 2001 대한위암학회지 Vol.1 No.2
Purpose: The prognosis of operated early gastric cancer is quite excellent and the 5-year survival rate shows to be over $90\%$. The less extensive treatment has been considered to be attractive. However, lymph node metastasis remains a main risk factor for recurrence of early gastric cancer. The author performed this study in order to determine which clinicopathologic factors of early gastric cancer influence lymph node metastasis and recurrence. Materials and Methods: A retrospective study was conducted on 222 patients with early gastric cancer who had been treated by gastrectomy combined with D2 or more extended lymph node dissection between January 1991 and December 1997 at the Department of Surgery, Kyunghee University Hospital. Results: Lymph node metastasis was observed in 26 patients ($11.7\%$), and the depth of tumor invasion and tumor size among clinicopathologic factors affected lymph node metastasis. The 5-year recurrence rate was $4.4\%$, and it was revealed that lymph node metastasis and depth of tumor invasion had a greater effect on recurrence than other clinicopathologic factors. Conclusion: The high risk factors of early gastric cancer in recurrence were submucosal tumor invasion, tumor size more than 2 cm, and lymph node metastasis. Patients of early gastric cancer with such high risk factors should undergo radical gastric resection than limited surgery. (J Korean Gastric Cancer Assoc 2001;1:119-123)
윤여규 ( Yeo Kyu Yoon ),홍성국 ( Song Cook Hong ),주흥재 ( Hoong Zae Joo ),김진복 ( Jin Pok Kim ) 대한외상학회 1988 大韓外傷學會誌 Vol.1 No.1
During the two years from 1st. Jan. 1984 to 31th. Dec. 1985, we evaluated the 1,685 traffic accident victims who visited the emergency room of Kyung Hee Medical Center and Seoul National University Hospital. The results were as follows: 1.The highest incidence was in the ages of twenties to thirities and the sex ratio was 64:36, predomi-nant in male. 2.The highest month and seasonal incidence were October and during Autumn. The real accident time was more frequent during the evening, from 18 o``clock to 20 o``clock. 3.The pedestrian injury was more prevalent than passenger injury. 4.The 28.5% of accident victims was arrived at the E.R. within 30 minutes after injury. 5.The kinds of injury of the accident victims were abrasion, contusion and cerebral concusion in orders. 6.The abdominal injury following traffic accident.was 4.9% of all injury and the small bowel injury was most frequently involved by the ratio of 28.5%.