http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
소아의 천공형 충수염에서 복강경 충수절제술 및 개복 충수절제술의 비교
박재영(Jae-Young Park),최윤미(Yun-Mee Choe),윤민영(Min-Young Yun),최선근(Sun Keun Choi),허윤석(Yoon-Seok Hur),이건영(Keon-Young Lee),김세중(Sei-Joong Kim),조영업(Young Up Cho),안승익(Seung-Ik Ahn),홍기천(Kee-Chun Hong),신석환(Seok-Hw 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.2
Purpose: Appendectomy is the most common emergent surgical operation in children. Laparoscopic appendectomy is currently a popular procedure in children, but pediatric laparoscopic appendectomy is controversial for its efficacy and safety, especially for perforated appendicitis. We compared the efficacy and safety between laparoscopic appendectomy (LA) and open appendectomy (OA) for treating perforated appendicitis of children. Methods: This study involved a total of 69 patients who underwent appendectomy for perforated appendicitis at our institution between March 2005 and September 2007, and these patients were less than 15 years old. There were 41 patients in the LA group and 28 patients in the OA group. The demographic data, operative time, length of the hospital stay, bowel movement, pain control and complications were assessed. Results: There was no significant difference between the LA and OA groups with respect to gender, age, the operation time, the length of the hospital stay, bowel movement and pain control. There was one complication (2.4%) in the LA group and four complications (16.6%) in the OA group, but there was no significant difference (P=0.062). There was no wound infection. Conclusion: Laparoscopic appendectomy for the children with perforated appendicitis is a safe procedure. Yet we need further high quality randomized trials to compare the 2 techniques.
최소영(So Young Choi),김세중(Sei Joong Kim),조영업(Young Up Cho),박재영(Jae Young Park),박정미(Jeong Mi Park),주영채(Young Chae Chu),최윤미(Yun Mee Choe),최선근(Sun Keun Choi),허윤석(Yoon Seok Heo),이건영(Keon Young Lee),안승익(Seung 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.76 No.5
Purpose: Apocrine carcinoma of the breast is rare and there is confusion about the criteria of its histopathologic diagnosis. The purpose of this study is to investigate the clinical and pathologic characteristics of the disease. Methods: 9 patients diagnosed with apocrine carcinoma or apocrine carcinoma in situ and 1,009 patients diagnosed with non-apocrine carcinoma of the breast from April 1999 to March 2008 were retrospectively analyzed. Results: The mean age of the patients with apocrine carcinoma was 52.3 year. 5 patients (55.6%) among 9 patients with apocrine carcinoma were postmenopausal. There were 2,1 and 6 patients with stage 0, Ⅰ and Ⅱ disease, respectively according the TNM stage. These demographic and clinical differences between the patients with apocrine carcinoma and non-apocrine carcinoma were not significant. Only four patients (44.4%) were preoperatively diagnosed with apocrine carcinoma or apocrine carcinoma in situ. By surgical biopsy, additional 5 patients were diagnosed as apocrine carcinoma. In the immunohistochemical study, Bcl-2 was positive in one (12.5%) of 8 patients. p53 was positive in 4 (44.4%) of 9 patients. Expressions of estrogen and progesterone receptor were positive only in two patients (22.2%) with weakly positive staining. Androgen receptor was positively expressed in all cases (100%) of apocrine carcinoma. Overexpression of c-erb-B2 was detected in four patients. Conclusion: Treatment modality and prognosis of apocrine carcinoma are similar as non-apocrine carcinoma. But its preoperative diagnosis is more difficult than that of non-apocrine carcinoma and it shows different expression of hormone receptor. Further study is needed for the development of new hormonal therapy using androgen.
우영민(Young Min Woo),이건영(Keon Young Lee),이건욱(Kuhn Uk Lee) 대한소화기학회 1995 대한소화기학회지 Vol.27 No.1
N/A Background/Aims: Cystic neoplasms of the pancreas are rare tumors and constitute less than 15% of all pancreatic cystic lesions. They are easily mistaken for pseudocysts which are more commonly encountered in clinical practice. Methods: Thirty patients managed surgically for pancreatic cystic neoplasms at our institution were clinically reviewed. Results: There were 11 mucinous cystadenomas, 6 mucinous cystadenocarcinomas, 9 serous cystadenomas including 2 macrocystic variants and 4 papillary cystic neoplasms. Eighty percents of the patients were females. The most prominent symptom was upper abdominal pain. All patients had undergone imaging studies; abdominal ultrasonography and/or computed tomography. The sensitivities of both studies were 41.77 and 58.6%, respectively. In nineteen patients, cystic fluid was obtained either preoperatively or intraoperatively, and was analysed in terms of amylase level and cytologic examinations, and in thirteen patients, CEA levels too. Mucinous cystic neoplasms tended to have higher levels of CEA compared to serous cystadenomas and papillary cystic neoplasms. Operations were performed according to the locations of the lesions and patients conditions. Radical operations had been performed in twenty-one patients. After a mean follow-up period of 23.5 months, twenty-one patients had no evidence of disease or recurrence, sixpatients were stationary, and three patients had expired. Conclusion: Pancreatic cystic neoplasms should be considered as a possible diagnosis in patients with cystic lesions of the pancreas, and resected whenever possible. (Korean J Gastroenterol 1995;27:110-1l9)