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식도정맥류 출혈의 치료에 대한 비용 대비 효과 - Modified Sugiura Procedure와 내시경적 치료의 비교 -
배병노 ( Byung Noe Bae ),양근호 ( Keun Ho Yang ),김홍용 ( Hong Yong Kim ),김기환 ( Ki Hwan Kim ),한세환 ( Se Hwan Han ),김홍주 ( Hong Joo Kim ),김영덕 ( Young Duck Kim ),신원창 ( Won Chang Shin ) 대한소화기학회 2003 대한소화기학회지 Vol.41 No.4
Background/Aims: According to current studies, the patients treated with modified Sugiura procedure show lower rebleeding rates compared with endoscopic therapy. The aim of this case-control study was to compare modified Sugiura procedure (transabdominal esophageal transection plus esophagogastric devascularization plus splenectomy) with endoscopic therapy for the prevention of recurrent variceal bleeding. Methods: Twenty patients were treated with surgery and 22 patients were treated with endoscopic therapy. We compared their outcomes. Measured main outcomes were mortality, variceal rebleeding, post-interventional changes of liver function, total hospital days, and total hospital charges. Results: Overall mortality in this series was not different. Bleeding related mortality and encephalopathy in the endoscopic therapy group were slightly higher than those in the surgery therapy group. However, these differences were not statistically significant. In patients treated with the modified Sugiura procedure, the liver function was remarkably improved after the operation. Rates of rebleeding (p<0.001), requiring additional endoscopy (p=0.016) and rehospitlalizations (p=0.008) were higher in endoscopic therapy group. In spite of initial lower cost, the overall costs of endoscopic therapy were higher than those of surgery if the costs for the prevention of variceal rebleeding was included. Conclusions: These results indicate that modified Sugiura procedure for esophageal variceal bleeding could improve therapeutic efficiency and quality of life of the patient, especially in the patients with good liver reservoir function. (Korean J Gastroenterol 2003;41:302-308)
강동원,곽금희,양근호,배병노,김기환,한세환,김홍주,김영덕,최명재,Kang, Dong-Won,Gwak, Geum-Hee,Yang, Keun-Ho,Bae, Byung-Noe,Kim, Ki-Hwan,Han, Se-Whan,Kim, Hong-Joo,Kim, Young-Duk,Choi, Myeung-Jae 대한소아외과학회 2008 소아외과 Vol.14 No.2
Necrotizing enterocolitis (NEC) is the most common gastrointestinal emergency in the neonatal population. The aim of this study is to evaluate surgical indication and prognostic factors of NEC. Clinical data of seventy patients, diagnosed as NEC between January 2000 & January 2007, were reviewed retrospectively. Fifty-seven patients had medical treatment and 7 of them died. Thirteen patients who presented with pneumoperitoneum on plain abdominal film or were refractory to medical treatment received surgical treatment, and 5 of them died. All the expired 12 patients weighed less than 2500 g. Twenty out of seventy patients showed thrombocytopenia, and 11 patients of them died. The finding of pneumoperitoneum and thrombocytopenia could be the most important surgical indication. Prematurity, low birth weight and thrombocytopenia were related to a bad prognosis. NEC patients who presents with these findings must be considered for close observation and intensive care.
림프관 침윤이 있는 stage II 대장암 환자와 국소림프절 전이가 N1인 stage III 환자의 보조적 항암요법의 결과 및 예후
박재현(Jae Hyun Park),배병노(Byung Noe Bae),안훈(Hoon An),박인석(In Seok Park),조현진(Hyun Jin Cho),곽금희(Geum Hee Gwak),양근호(Keun Ho Yang),김기환(Ki Whan Kim),한세환(Sehwan Han),김홍주(Hong Ju Kim),김영덕(Young Duk Kim) 대한종양외과학회 2013 Korean Journal of Clinical Oncology Vol.9 No.2
저위험군의 유두상 갑상선암에서 수술 후 국소 재발에 영향을 미치는 인자들에 대한 분석
임승우,박성진,조현진,곽금희,양근호,배병노,김기환,김홍주,김영덕,한세환,Seung-woo Lim,M,D,Sung-jin Park,M,D,Hyunjin Cho,M,D,Geumhee Gwak,M,D,Keun-Ho Yang,M,D,Byung-Noe Bae,M,D,Ki-Whan Kim,M,D,Hong-Joo Kim,M,D,Young-Duck Kim,M,D,and 대한갑상선-내분비외과학회 2008 The Koreran journal of Endocrine Surgery Vol.8 No.2
<B>Purpose:</B> This study analyzed factors affecting local recurrences in AGES low risk papillary thyroid carcinomas (PTCs). <B>Methods:</B> The clinical records of 89 patients who underwent thyroidectomy because of PTC were reviewed. Seventy patients had belonged to low risk PTC according to the AGES classification scheme. The clinical data of these patients concerning disease recurrence was analyzed considering age, gender, operative methods, tumor size, lymph node (LN) metastasis, postoperative radioactive iodine scan (RI scan <SUP>131</SUP>I), and Synthyroid<SUP>Ⱂ</SUP> intake. <B>Results:</B> Of the 70 patients, 56 were female (80%). Thirty- seven patients underwent total thyroidectomy with central neck LN dissection and 33 patients underwent partial thyroidectomy with ipsilateral central neck LN dissection. Mean tumor size was 2 cm (0.4∼6 cm) and 31 patients had LN metastasis. Levels were <1Ռg/L in all patients who underwent total thyroidectomy but were 1∼10Ռg/L in patients who received partial thyroidectomy thyroglobulin. Local recurrencein AGES low risk papillary carcinomas was significantly associated with tumor size >2 cm (P=0.030) and partial thyroidectomy (P=0.045). There was no significant association between local recurrence and age, gender, extrathyroidal extension, LN metastasis, RI scan <SUP>131</SUP>I, or Synthyroid<SUP>Ⱂ</SUP> intake. <B>Conclusion: </B>Partial thyroidectomy and tumor size >2 cm are significantly associated with local recurrence in AGES low risk papillary thyroid carcinomas. <B>(Ko</B><B>rean J Endocrine Surg 2008;8:118-122)</B>
박인석 ( In Seok Park ),한세환 ( Se Hwan Han ),김기환 ( Ki Whan Kim ),배병노 ( Byung Noe Bae ),양근호 ( Keun Ho Yang ),곽금희 ( Geum Hee Gwak ),조현진 ( Hyun Jin Cho ),박경미 ( Kyeong Mee Park ),김지영 ( Ji Young Kim ),박성진 ( Su 대한임상종양학회 2011 Korean Journal of Clinical Oncology Vol.7 No.1
목적: 유방암 환자에서 국소구역 재발은 환자의 사망률을 증가시키는 요인이다. 본 연구는 유방 보존술을 받은 환자를 대상으로 국소구역 재발에 영향을 주는 인자를 알아보고자 진행 되었다. 방법: 단일 기관에서 유방 보존술을 받은 302명의 환자를 대상으로 후향적으로 의무 기록 및 조직 병리 보고서를 검토하여 국소구역 재발과 연관 있는 인자들을 분석 하였다. 결과: 302명의 환자 중 26명(8.6%)이 국소구역 재발을 보였고 중간 추적관찰기간 35.5개월 동안 18명(5.9%)이 국소재발을, 6명(2.0%)이 구역재발을, 그리고 2명(0.7%)이 국소구역 재발을 하였다. 각각의 인자들에 대한 단변량 분석에서 절제연 상태, HER2/neu 발현 양성, 광범위 관내상피 병소, 다발성 병변이 통계학적 유의한 인자였고 다변량 분석에서는 절제연 상태, HER2/neu 발현 양성, 다발성 병변이 유의한 인자였다. 결론: 침습 유방암에서 유방 보존술 후 국소구역 재발율을 낮추기 위해서는 수술 시 음성 절제연을 확보하고 보조 항암화학요법 및 방사선 치료를 고려해야 한다. 특히 다발성 병변을 가지고 있거나 HER2/neu 양성인 유방암은 국소 재발율이 높으므로 보조치료 후 국소 재발을 발견하기 위한 적극적 추적관찰이 필요 할 것으로 사료된다. Purpose: Significant proportion of breast cancer patients with locoregional recurrence eventually die of their disease. This study was performed to investigate the risk factors associated with locoregional recurrence of breast cancer after breast conserving surgery. Methods: We reviewed the medical records of 302 patients with breast cancer who underwent breast conserving surgery and analyzed the association between locoregional recurrences and clinico-pathological factors of each patients. Results: The 26 of 302 patients (8.6%) developed locoregional recurrence during a median follow-up of 35.5 months. 18 patients (5.9%) had local recurrence, 6 patients (2.0%) had regional recurrence and 2 patients (0.7%) had locoregional recurrence. On univariate analysis, positive margin (p<0.0001), HER2/neu positive, extensive intraductal component, multiplicity were statistically significant risk factors for locoregional recurrence of breast cancer. On multivariate analysis, positive margin status, HER2/neu positivity and multiplicity were significantly associated with locoregional recurrence after breast conserving surgery. Conclusion: Our study showed that adequate resection margin is the most important to reduce locoregional recurrence of breast cancer after breast conserving surgery. In addition, HER2/neu amplification or multiplicity increased the locoregional recurrence rate in breast cancer.