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- 저자 : 고수종(Soo Jong Ko) (검색결과 2 건)
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Prolene Hernia System을 이용한 무긴장 서혜부 탈장교정술의 임상 경험
이영택(Young Taek Lee),양윤수(Yun Soo Yang),이용직(Yong Jik Lee),고수종(Soo Jong Ko) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.74 No.5
Purpose: The aim of this study was to detail clinical experiences with a new type of tension-free herniorrhaphy using the Prolene Hernia System (PHS) and analyze the system’s usefulness. Methods: We reviewed 48 cases of herniorrhaphy using PHS and 45 cases of conventional herniorrhaphy retrospectively by reviewing the medical records of patients undergoing either procedure between January 2000 and February 2005. Results: There was no significant difference in the operation time (P=0.054) or the length of hospital stay (P=0.138) between the groups. However, the need for analgesic therapy in the PHS group was less than in the control group (P=0.008). There were no serious postoperative complications, but wound complications occurred more often in the PHS group (6 seromas and 2 hematomas), and urinary retention occurred more frequently in the control group. The recurrence rate in the control group was 2.2% (1/45), but there were no recurrences in the PHS group for 46 months. Conclusion: Herniorrhaphy using the PHS is safe and effective as conventional surgery. It can be carried out under local anesthesia more easily, and it is less painful than the conventional surgery. We suggest that the PHS be widely adopted as a method of tension-free herniorrhaphy.
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이영택,박용기,김성수,최창록,고수종 대한소화기학회 1999 대한소화기학회지 Vol.33 No.5
Background/Aims: Choledochal cyst is frequently associated with many complications and malignant changes. The aims of this study were to analyze its clinical characteristics and to confirm whethe the excision of cyst is appropriate treatment. Methods: We reviewed the medical records of 28 patients with choledochal cyst who were treated surgically at St. Benedict hospital from January 1988 through December, 1997. Results: This disease was more common in female patients than in male patients. The symptoms and signs were abdominal pain, jaundice, indigestion, fever and mass Endoscopic retrograde cholangiopancreatography has been the most accurate diagnostic method for choledochal cyst. When the patients were classified into 4 groups according to the Todani' s classifi cation, type I cyst was the most common (71.4%) and followed by type IV (14.3%), type III (10.7%) and type II (3.6%) in order. Increased amylase level in the bile juice was found in 10 cases. The associated disorders such as biliary stones, cholangitis and pancreatitis were observed. Gallbladder cancer was found in one patient. Twenty-two cysts were excised completely and Roux-en-Y hepati cojejunostomy was performed in 21 of them. The operative mortality was 7.1%. Conclusions: The choledochal cyst should be excised as completely as possible to minimize its associated complications such as recurrent cholangitis, pancreatitis and malignant change.
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