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윤광수(Kwang Soo Yoon),노병선(Byung Seon Rhoe),임경수(Kyoung Soo Lim) 대한소화기학회 1989 대한소화기학회지 Vol.21 No.3
Most lipomas less than 2 cm in diameter of small bowel are clinically asymptomatic. Complications like bleeding, intussusception and perforation are rarely seen. The present case report describes a small intestinal lipoma with 2 cm in diameter formed intussus- ception, perforation and abscess. The preoperative diagnosis was small bowel cancer with central necrosis by abdominal CT scan and small bowel series. At surgery, a large abscess cavity with perforation and intussusception was identified in proximal ileum and after manual reduction of intussuseception, small lipoma was found and ileal resection was performed.
윤광수(Kwang Soo Yoon),김수용(soo Yong Kim),노병선(Byung Seon Rhoe),박덕훈(Duk Hoon Park),유수영(Soo Young Too) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.2
N/A In contrast to ordinary cholelithiasis, intrahepatic stones present serious many problems in treat- ment. The management of primary intrahepatic stones is complex and unsatisfactory at times. The clinical analysis of intrahepatic stones are important for understanding of cause and treatment. We studied 55 cases of intrahepatic stones from 321 patients with hepatobiliary stones and the the results as follows. 1) Among the 321 patients with hepatobiliary stones, intrahepatic stones were 55 cases (17.1%) 2) The most common age group was 2nd decade and male to female ratio was 1:3 3) The chief symptoms and signs were RUQ pain (78.1%) and tenderness (63.6%), epigastric discomfort and pain (50.9%) 4) At laboratory findings, serum bilirubin (72.7%) and alkaline phosphatase (56.3%) were increased. Among diagnostic radiologic studies, ultrasonogram, PTC and ERCP were most dffective and reliable than other radiologic studies. 6) Operative procedures were as follows. (1) CBD exploration and T-tube choledochostomy, (2) Choledochoduodenostomy, (3) Roux-en - Y- hepaticojejunostomy (Lt. duct aproach) was considered to be more effective than other procedures. I) Post-operative complications were 11 cases (20%) and residual stones were 22 cases (10%).
김태승,김명순,노병선,권상옥,김원중,이재순,윤금석 대한내과학회 1986 대한내과학회지 Vol.31 No.2
Despite of the anatomic proximity of the pancreatic tail to the splenic hilum, intrasplenic pancreatic pseudocyst is one of the least common complications of the pancreatic pseudocyst with about 20 cases reported previously in the world literature. Clinical manifestations and laboratory findings of splenic involvement are not distinguishable from pancreatic pseudocyst itself except the frequency of the left quadrant abdominal pain or mass. Abdominal ultrasonography, computerized tomography, or selective arteriography is needed to diagnose splenic involvement. Early diagnosis and proper surgical intervention are advocated because of its high vulnerability of life-threatening complications such as splenic rupture, hemorrhage from eroded splenic vessels, splenic infarction or necrosis. Here we are reporting a case of pancreatic pseudocyst complicated by a splenic pseudocyst. A brief review of the literature was attempted.
김명수,조남천,최승옥,노병선,원달연 대한혈관외과학회 1999 Vascular Specialist International Vol.15 No.2
Purpose: We designed this study to find out the risk factors affecting the patency rate after creation of arteriovenous fistula (AVF) for maintenance hemodialysis. Methods: From March 1997 to April 1999, a total of 206 AVF creation operations [126 of radiocephalic fistula (RCF), 59 of brachiocephalic fistula (BCF), and 21 of grafted fistula] in 165 patients were undertaken by single surgeon under the same surgical teclmique and principles. In 128 cases (62.1%), operation was performed for the first time and in 42 cases (20.4%), the trial was second time. However in remaining 36 cases (17.5%), the operation was tbree or more than three times. Results: After a mean follow-up of 9 months, 27 patient death and 53 fistula failure were identified. The overall patency rate at 1- and 2-year were 72.6% and 61.1%. The success patency rate, excluding the early failure cases, at 1-and 2-year were 78.4% and 65.9%. In multivariate analysis, the presence of 2 or more than 2 times failed AVF episodes was the significant risk factor forecasting the poor fistula patency (p$lt;0.05, odd ratio= 2.72). Although the odd ratio in patients with grafted fistula or in diabetic patients was 1.39 or 1.48 in multivariate analysis, these factors did not reach the statistical significance in multivariate analysis (p$gt;0.05). In univariate analysis, the 1- and 2 year patency rate of more than third AVF trial group were 53.2% and 25.3%, which showed significant poor patency rate comparing with the ones of first or second AVF trial group (76.73% in 1- and 67.9% in 2-year) (p= 0.0197). Conclusion: In conclusion, repeated trial of AVF creation (= or $gt;3) in itself was the most powerful significant risk factor affecting the patency rate after AVF creation. The successful first or second trial is very important to expect a long-term patency. Well designed surgery under delicate surgical technique in early referred patient should promise the long-term patency even in patients with diabetes or patients requiring grafted fistula.