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국소 진행성 대장암에 대한 병합절제의 안전성에 대한 연구
임대로 ( Dae Ro Lim ),홍영기 ( Young Ki Hong ),허호 ( Ho Huh ),임치영 ( Chi Young Lim ),강중구 ( Jung Gu Kang ),최윤정 ( Yoon Jung Choi ) 대한임상종양학회 2010 Korean Journal of Clinical Oncology Vol.6 No.2
Purpose: About 10% of colorectal cancers are known to have already invaded contiguous organs or had inflammatory adhesion to adjacent structures. Under such circumstances, combined resections of involved structures may be considered. The aims of this study were to investigate true incidence of cancer invasion and surgical outcomes in patients where a multivisceral resection was performed for locally advanced colorectal cancer. Methods: Nine hundreds two patients with colorectal cancer submitted to surgical treatment between March 2000 and December 2007 were reviewed retrospectively, and multivisceral resection was performed in 68 patients. We reviewed the clinicopathologic characteristics of multivisceral resections for locally advanced colorectal cancer Results: The incidence of multivisceral resection was 7.5%. The positive predictive values of cancer invasion were 60.0% in CT and 57.1% in MRI. The rate of true cancer invasion in multivisceral resection was 46.4%. In TMN stage, stage IIIB was the most common (27.9%) and followed by stage IIIC (20.6%). Rectal cancer was 29 cases (42.6%), sigmoid colon cancer was 18 cases (26.4%). In combined resection, female reproductive organ were the most commonly involved organ (27.2%) and followed by small bowel (16.3%) and bladder (9.8%). In number of organs, one organ in the combined resection was 41 cases (60.3%) and there was 1 case in which 6 neighboring structure involved in combined resection. There was no postoperative death and complications in postoperative period occurred in 23.5% including wound infection, intestinal obstruction, and pneumonia. Conclusions: When adhesion to neighboring organ by primary colorectal cancer was found intraoperatively, multivisceral resection would be mandatory regardless of the preoperative assessment. Every effort to reduce postoperative complication may be necessary to justify multivisceral resection.
許昊 水原大學校 2005 論文集 Vol.23 No.-
미시마 유키오는 사소설 작가는 아니지만 비교적 자신에 관해서 많은 것을 얘기했고 또한 자신 및 가족을 모델로 많은 작품을 발표했다. 여기에서 가족이라 함은 유년기 시절에 함께 생활했던 조부모와 부모 그리고 여동생과 남동생을 말한다. 이들 중에서 미시마가 작품의 모델로 많이 등장 시킨 것은 할머니와 어머니 그리고 여동생이다. 미시마는 가족 중에서 여자들에 관해서 많이 언급한 반면 남자들에 관해서는 별로 언급하고 있지 않은데, '미시마 유키오의 작품에 있어서 가족이라는 테마의 일부분으로서 우선 할머니와 관련된 부분을 중점적으로 본 논문에서 고찰해 보았다.