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( Soyi Lim ),( Chae Min Lee ),( Jong Min Park ),( Sun Young Jung ),( Kwang Beom Lee ) 대한산부인과학회 2014 Obstetrics & Gynecology Science Vol.57 No.6
ObjectiveTo evaluate correlation of preoperative anemia with clinical outcomes in patients with early stage cervical cancer who were treated with radical hysterectomy and lymph node dissection. MethodsPatients who underwent radical hysterectomy and lymph node dissection for cervical cancer from January 2001 to February 2012 were included in this study. Clinicopatholgoical factors included in univariate and multivariate analysis were age, tumor histology, FIGO (International Federation of Gyneocology and Obstetrics) stage, preoperative hemoglobin, depth of invasion, tumor size, parametrial involvement, resection margin, and lymph node status. ResultsA total of 387 patients were retrospectively analyzed in this study; 141 patients (36.4%) had preoperative anemia (hemoglobin <12 g/dL) and 16 out of 141 patients (11.3%) received blood transfusion for correction of preoperative anemia. Patients with preoperative anemia showed significant association with age <50 years, more advanced stage, non-squamous cell carcinoma histology, larger tumor size, deeper stromal invasion, and lymph node metastasis (P<0.05). Both relapse-free survival and overall survival were worse in patients with preoperative anemia in univariate analysis. In multivariate analysis, overall survival was worse in patients with preoperative anemia, but relapse-free survival was not associated with preoperative anemia. In the intergroup analysis of anemic patients for the effect of preoperative blood transfusion, preoperative anemia correction did not affect survival. ConclusionPreoperative anemia was not an independent prognostic factor for survival in patients with early cervical cancer. However, it was associated with poor prognostic factors. Further study in large population is needed.
( Soyi Lim ),( Han Jung ),( Ryoon-seon Lee ),( Yoon-jin Cho ),( Kwang-beom Lee ) 대한산부인과학회 2018 대한산부인과학회 학술대회 Vol.104 No.-
Objective: To evaluate the feasibility and safety of the laparoscopic corrective surgery for patient with ureter injury after gynecologic surgery. Methods: We retrospectively evaluated thirteen patients who underwent laparoscopic corrective surgery for distal ureter injury after gynecologic surgery. We reviewed the electronic medical records of clinical variables and perioperative outcomes. Results: All patients showed distal ureteral injury after gynecologic surgery and underwent laparoscopic corrective surgery. All corrective surgery was performed gynecologists with assistance of an urologist. Median age was 48 years. Laparoscopic hysterectomy (10/13, 76.9%) was most common gynecologic procedure before ureter injury. Seven out of thirteen patients (53.8%) showed right distal ureter injury and the remaining 6 (46.2%) patient had left distal ureter injury. They had corrective surgery at an average 10 days after gynecologic surgery. Four out of thirteen patients (30.8%) underwent laparoscopic psoas hitch, 4 (30.8%) underwent laparoscopic ureter end to end anastomosis, 3 (23.1%) underwent laparoscopic ureteroneocystostomy, 1 (7.7%) underwent laparoscopic ureter end to end anastomosis and bladder repair, and one patient (7.7%) underwent laparoscopic double J stent insertion and ureter closure for ureteral laceration. Mean operation time was 183.5 minutes and estimated blood loss was 193 mL. Mean hospital stay was 10.3 days and mean time to remove Foley catheter was 10.6 days. Men time to remove ureteral stent was 57.4 days. Noe of patient showed major or minor complication during postoperative and follow-up period. Conclusion: It is safe and feasible to perform laparoscopic corrective surgery by gynecologist for ureter injury.
Case Report : Sclerosing Sromal Tumor of the Ovary in Postmenopausal Women: A Report of Two Cases
( Chae Min Lee ),( Soyi Lim ),( Hyun Yi Cho ),( Ji-sung Lee ),( Jin Woo Shin ) 대한폐경학회 2015 대한폐경학회지 Vol.21 No.2
Sclerosing stromal tumor (SST) was first delineated as a distinct ovarian sex cord stromal tumor in 1973 by Chalvardjian and Scully. It is a benign neoplasm, distinguished from other ovarian stromal tumors by the production of collagen and a pseudolobular pattern, and it tends to occur in the second and third decades of life in diagnosed patients. We discovered two rare cases of SST in post-menopausal women which are the topic of this report. These case studies are accompanied by a brief review of the literature. (J Menopausal Med 2015;21:115-119)
Yoo, Heon Jong,Lim, Myong Cheol,Lim, Soyi,Park, Jeong-Yeol,Kang, Sokbom,Park, Sang-Yoon,Seo, Sang-Soo Springer International 2012 Archives of gynecology and obstetrics Vol.286 No.6
<P>To evaluate the efficacy and toxicity of combined paclitaxel and carboplatin treatment for persistent or recurrent uterine sarcoma.</P>
( Soo Hyun Oh ),( Soyi Lim ),( Seung Ho Lee ),( Han Jung ),( Kwang Beom Lee ) 대한산부인과학회 2022 대한산부인과학회 학술대회 Vol.108 No.-
Objective: Ureteral injury is one of the significant complications in gynecologic surgeries, and the incidence is reported to be from less than one to fifteen injuries per 1000 surgeries. Patients with ureteral injuries may often be referred to urologist. However, in this study, we presented our experiences of ureteral injuries managed by gynecologist. Methods: We retrospectively evaluated our experience of management of postoperative ureteral injuries. Patients received laparoscopic ureteroneocystostomy with psoas hitch in gynecologic department immediately after diagnosis of ureteral injuries. Pre-operative demographic data and post-operative findings were reviewed. Results: Between 2013 and 2021, 15 patients underwent laparoscopic psoas hitch reimplantation in gynecologic department. Indication of gynecologic surgeries include myoma or adenomyosis (n = 12), endometriosis (n = 2) and malignancy (n = 1). Total laparoscopic hysterectomy or laparoscopy-assisted vaginal hysterectomy was performed in 8 patients, and others received laparoscopic subtotal hysterectomy (n = 5), open subtotal hysterectomy (n = 1), and laparoscopic unilateral salpingo-oophorectomy (n = 1). Median time between gynecologic surgery and ureteral surgeries was 7 days (range, 0-59) and patients did not receive endoscopic or radiologic intervention before reimplantation. Mean operation time was 127.3mins and estimated blood loss was 99.3ml. After median 3.1 months of follow-up, three patients had sporadic episode of lower urinary tract infection without pyelonephritis, and two had stress urinary incontinence which improved with oral medications. Only one patient received re-operation because postoperative renal imaging detected persistent urinary retention. Conclusion: Continuous management of postoperative complications by gynecologist probably provide effective rapport and improve patient clinical outcomes.
( Eun Seok Seo ),( Seung Ho Lee ),( Seung Joo Chon ),( Sun Young Jung ),( Yoon Jin Cho ),( Soyi Lim ) 대한산부인과학회 2018 Obstetrics & Gynecology Science Vol.61 No.3
Objective To evaluate the potential effects of previous abdominal surgery on post-operative outcome and incidence of complications after total laparoscopic hysterectomy (TLH). Methods Between June 2008 and December 2016, 331 patients who underwent TLH were retrospectively reviewed. Participating patients were divided into 2 groups according to previous abdominal surgery. We compared the 2 groups based on estimated blood loss, operation time, hospital stay, surgery-related complications, and conversion to laparotomy rates. Results Group 1 included patients without a history of abdominal surgery (n=186), group 2 included patients with a history of abdominal surgery (n=145). The complication rate was 3.2% in group 1 and 2.8% in group 2. Other post-operative outcome and complications such as estimated blood loss, hospital stay and conversion to laparotomy rates did not differ significantly between groups. Adhesiolysis was significantly more common in group 2 (P<0.001) and operation time was significantly longer in the group 2 (P=0.004). The rate of conversion to laparotomy was higher in group 2, but this difference was not significant (P=0.115). Group 2 patients were divided into subgroups according to the number of surgery. In subgroups analysis of group 2, there were 70 patients who had one previous abdominal surgery and 75 patients who had 2 or more previous surgeries. Moreover, there were significant differences in adhesiolysis (P=0.004) and conversion to laparotomy (P=0.034). There were no significant differences in other complications observed upon subgroup analysis. Conclusion TLH can be conducted successfully regardless of previous abdominal surgery. Patients with previous abdominal surgery are suitable and feasible candidates for TLH.
( Seung-Ho Lee ),( Kyoung-Joo Cho ),( Mi-Hyang Ko ),( Hyun-Yee Cho ),( Kwang-Beom Lee ),( Soyi Lim ) 대한산부인과학회 2018 Obstetrics & Gynecology Science Vol.61 No.1
Objective To detect the possible clinicopathologic factors associated with parametrial involvement in patients with stage IB1 cervical cancer and to identify a cohort of patients who may benefit from less radical surgery. Methods We retrospectively reviewed 120 patients who underwent radical hysterectomy and pelvic lymphadenectomy as treatment for stage IB1 cervical cancer. Results Overall, 18 (15.0%) patients had parametrial tumor involvement. Tumor size larger than 2 cm, invasion depth greater than 1 cm, presence of lymphovascular space involvement (LVSI), corpus involvement, and positive lymph nodes were statistically associated with parametrial involvement. Multivariate analysis for other factors showed invasion depth >1 cm (P=0.029), and corpus involvement (P=0.022) were significantly associated with parametrial involvement. A subgroup with tumor size smaller than 2 cm showed no parametrial involvement, regardless of invasion depth or presence of LVSI. Conclusion Tumor size smaller than 2 cm showed no parametrial involvement, regardless of invasion depth or presence of LVSI. Invasion depth >1 cm and corpus involvement were significantly associated with parametrial involvement in multivariate analysis. These finding may suggest that tumor size may a strong predictor of parametrial involvement in International Federation of Gynecology and Obstetrics stage IB1 cervical cancer, which can be used to select a subgroup population for less radical surgery.