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전립선암 환자에서 치골하 전립선 전적출술을 시행하기 전 호르몬 요법의 의의 : 초기보고 Preliminary Reports
두환우,김영곤,박종관,박영경 의과학연구소 1997 全北醫大論文集 Vol.21 No.1
Objective : Radical prostatectomy is an excellent form of treatment of pathologically organ-confined porstatic carcinoma. There are many complications in radical prostatectomy and need a long time for operation. Most clinically localized prostate cancers also have pathologic evidence of extracapsular spread, limiting the effectiveness of radical surgery in curing this disease. To improve the organ-confined rate of prostate cancer and to decrease the complications, we tried neoadjuvant hormonal deprivation therapy before radical prostatectomy. Materials and Methods : Between June 1995 and July 1996, 7 patients(stage T2:4, stage T3:3) underwent hormonal deprivation therapy by 3-months neoadjuvant combination therapy with the antiandrogen, flutamide and the LHRH superagonist, Leuplin. After 3 months radical retropubic prostatectouy was performed. Serial porstate specific antigen(PSA) levels, prostate volume measured by TRUS, uroflowmetry were performed. Results : The PSA levels decreased in a mean 34.2ng/ml(range 6.19 to 92) to 1.9 ng/ml (range 0.2 to 5.3) in hormonal deprivational therapy and 1.03 ng/ml(range 0.61 to 2.1) in 3 months after radical retropubic prostatectomy. prostate volumes in all patients demonstrated a mean decrease of 39.3% and urinary flow rate increased in a mean of 12.2 ml/sec in hormonal deprivation therapy before radical retropubic prostatectomy and 21.1 ml/sec in 3 months after radical retropubic prostatectomy. by whole-mount sectioning of the radical prostatiectomy specimens, 6 patients had organ-confined. disease(stage T1, T2), 1 had extrecapsular extention with seminal vesicle involvement(stage T3). The reduction in volume facilitated dissection of the prostate form close vulunerable structrues, mean volume of transfusion was 4.2 pint and mean operation time was 308 min. Also, return of urinary continence is more rapid. Conclusion : Our result suggest that neoadjuvant hormonal deprivation therapy has effect of downsizing, downstaging and markedly decreased serum PAS values.
杜歡祐,閔準基,金榮坤,朴泳炅 全北大學校 1996 論文集 Vol.41 No.-
One hundred patients who underwent uninephrectomy for kidney donation between 1989 and 1996 have been checked the changes of renal function before and after donor nephrectomy Follow up periods after uninephrectomy were postoperative 7days, 1year and 4years. Mean blood pressure (systolic/diastolic) before nephrectomy was 115.8±9.2/ 74.3±7.2 mmHg and that of the last reading was 114.9±12.7/ 75.0±9.8 mmHg. The current creatinine clearance of the donors was 78±4 ml/min. The 7days, 1year and 4years after nephrectomy percentage of predonation creatinine clearance were 73±3%, 77±2% and 79±3%, respectively. The 24-hr urine protein excretion in kidney donors was significantly higher after nephrectomy than before nephrectomy (52.1±11.2 mg/day VS. 178±25.6 mg/day). In conclusion, this long-term study of kidney donors shows no adverse effect on blood pressure and renal function after many years of compensatory hyperfiltration.