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ICGR15가 10% 이상인 간세포암 환자에서 대량 간절제술에 따른 술후 간부전의 예측인자
이채윤(Chae Yoon Lee),황윤진(Yoon Jin Hwang),천재민(Jae Min Chun),권형준(Hyung Joon Kwon),손준호(Joon Ho Son),김상걸(Sang Gul Kim),윤영국(Yung Kook Yun) 한국간담췌외과학회 2011 한국간담췌외과학회지 Vol.15 No.1
Purpose: Major hepatic resection is sometimes inevitable in patients with impaired liver function. We evaluated risk factors that cause postoperative liver failure after major hepatic resection in patients with over a 10% Indocyanine Green Retention rate at 15 minutes (ICGR15). Methods: From Apr. 2002 to Aug. 2009, 32 patients who had over a 10% rate of ICGR15 underwent major hepatic resection (≥4 Couinaud segments). Among the 32, 9 patients showed postoperative liver failure (less than 50% prothrombine time and/or 5 mg/dl or higher of total bilirubin). This high-risk group was compared to the rest who constituted a low-risk group. Results: Patients with esophageal varix were more common in the high risk group (4 versus 2, p=0.043). Other clinicopathologic features showed no difference between the two groups. We had 2 in-hospital deaths in the high risk group. Conclusion: Great care is needed in patients with esophageal varix and limited liver function during major hepatic resection.
김영욱,김상걸,정한준 대한혈관외과학회 1996 Vascular Specialist International Vol.12 No.2
Popliteal artery entrapment syndrome refers to a congenital anomaly causing compression or occlusion of the popliteal artery by the musculotendinous structure as it traverses the popliteal fossa. Iatrogenic vein graft entrapment has been rarely reported after infrainguinal bypass grafting, which can occur as a result of improperly placed tunnel for the vein graft. We report 2 cases of vein graft entrapment with their clinical presentations, typical angiographic findings and outcomes after surgical treatment.