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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>