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RISS 인기검색어
- 검색키워드
- 저자 : 송완희(Wan Hee Song) (검색결과 3 건)
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임태진,김홍,송완희,강구정,배중식 대한소화기학회 1999 대한소화기학회지 Vol.34 No.5
Background/Aims: The periampullary carcinoma includes the tumor originated from pancreatic head, distal bile duct, ampulla of Vater and duodenum. The survival and prognostic factors of these tumors after treatment were investigated according to the treatment modalities. Methods: One hundred and sixty patients diagnosed as periampullary carcinoma from March, 1989 through November, 1996, were investigated to determine the clinical and pathological characteristics of periampullary carcinoma on the basis of medical records obtained by a retrograde method. The patients were divided into three groups such as pancreaticoduodenectomy group, bypass surgery group and percutaneous external drainage group. Their survival rates were analyzed according to the three different modalities of treatment and prognostic factors. Results: The median survival was 24.6 months after pancreaticoduodenectomy, 9.6 months after bypass surgery, and 3.8 months after percutaneous external drainage. In univariate analysis of the survival according to the prognostic factors after radical pancreaticoduodenectomy, origin of the tumor, pathologic differentiation and sex appeared as significant prognostic factors. Conclusions: Radical pancreaticoduodenectomy for patients with periampullary carcinoma is crucial for better survival. If the patient is fit to endure the operation and the extent of tumor invasion is limited, pancreaticoduodenectomy is the best choice of treatment.
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강영우,김형태,김홍,김형수,조원현,송완희,김대광 대한혈관외과학회 1999 Vascular Specialist International Vol.15 No.2
A 36-year-old man presented abrupt onset of epigastric pain with high fever for one week after pork meal. Extensive diagnostic studies including blood, urine and stool cultures and other inflammatory factors were done but only leukocytosis, 1: 160 for H Ag of widal test, and increased FDP were positive findings. Abdominal CT showed multifocal hepatic and splenic arterial aneurysms which grew very rapidly during these 10 days. Emergency exploration and ligation at either side of common hepatic artery and the proximal segment of right hepatic artery were done because of impending rupture. The histologic findings of the excised aneurysmal wall were diffuse infiltration of inflammatory cells and medial necrosis. Several other arterial aneurysms at right bracbial, left carotid and branch of superior mesenteric artery were identified on the follow up angiogram. Also noted right brachial artery thrombosis in aneurysmal dilatation site and this was treated by continuous intraarterial infusion of urokinase. Even though the patient had no endocarditis and no growth of blood culture, we consider this multiple artery aneurysms as an infected aneurysm by unknown bacteremia due to pork meal.
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