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피하매몰 중심정맥포트 설치술:천자위치와 시술방법에 따른 비교
신병석,안문상,Shin, Byung-Suck,Ahn, Moon-Sang 대한영상의학회 2003 대한영상의학회지 Vol.49 No.3
목적: 피하매몰 정맥포트 삽입시 설치경로와 방법에 따른 결과와 합병증을 알아보고자 한다. 대상과 방법:2001년 4월부터 2002년 10월까지 피하매몰 중심정맥포트를 삽입하였던 95명의 환자,103개의 피하매몰 정맥포트를 대상으로 하였다.모든 예에서 항암요법을 실시하기 위해서 일체형(n=39)과 분리형 (n=64)의 정맥포트를 삽입하였다. 천자는 좌측 쇄골하정맥(n=35), 우측 쇄골하정맥 (n=5),좌측 내경정맥 (n=9),우측 내경정맥 (n=54)에서 시행하였다. 설치경로와 방법에 따른 포트의 사용기간과 합병증을 분석하였다. 결과: 모든 예에서 피하매몰 정맥포트를 성공적으로 설치를 하였다.도관의 삽입 기간은 8-554일(평균 159일, 총 17,872일)이었다. 시술과 관련된 초기합병증으로 일시적인 폐동맥 공기색전 (n=1),소량혈종(n=1)과 일체형의 포트사용시 도관의 위치이상 (n=2)이 발생하였다. 후기합병증으로 도관의 이동 (n=5),포트기능부전 (n=3), 도관폐쇄(n=1)와 감염 (n=11)이 발생하였고 이중 15예(14.5%)에서 포트를 제거하였다. 도관의 이동이 있던 예는 모두 쇄골하정맥을 천자한 경우이며 내경정맥은 발생하지 않았다 (13%,p=.008).감염은 10.7%(0.61 per1000 catheter days)에서 발생하였다. 도관과 연관된 중심정맥 혈전증의 발생은 없었다. 결론: 피하매몰 포트의 삽입은 안전하게 시행할 수 있으며 쇄골하정맥보다는 우측 내경정맥을 천자위치로 선택하는 것이 합병증 발생이 적으며 포트는 분리형을 사용하는 것이 시술시 보다 편리한 것으로 보인다. 시술 후 장기적으로 사용하기 위해서는 포트에 대한 적절한 관리가 필요하다. Purpose: To evaluate the results and complications of placement of implantable port according to approach routes and methods. Materials and Methods: Between April 2001 and October 2002, a total of 103 implantable chemoport was placed in 95 patients for chemotherapy using preconnected type (n=39) and attachable type (n=64). Puncture sites were left subclavian vein (n=35), right subclavian vein (n=5), left internal jugular vein (n=9), right internal jugular vein (n=54). We evaluated duration of catheterization days, complications according to approach routes and methods. Results: Implantable chemoport was placed successfully in all cases. Duration of catheterization ranged from 8 to 554 days(mean 159, total 17,872 catheter days). Procedure related complications occurred transient pulmonary air embolism (n=1), small hematoma (n=1) and malposition in using preconnected type (n=2). Late complications occurred catheter migration (n=5), catheter malfunction (n=3), occlusion (n=1) and infection (n=11). Among them 15 chemoport was removed (14.5%). Catheter migration was occured via subclavian vein in all cases (13%, p=.008). Infection developed in 10.7% of patients(0.61 per 1000 catheter days). There were no catheter-related central vein thrombosis. Conclusion: Implantation of chemoport is a safe procedure. Choice of right internal jugular vein than subclavian vein for puncture site has less complications. And selection of attachable type of chemoport is convenient than preconnected type. Adequate care of chemoport is essential for long patency.
직장 결장암의 간전이 환자에서 VEGF-A, C, D 발현의 비교연구
전광식(Kwang-Sik Chun),이경하(Kyung-Ha Lee),송인상(In-Sang Song),김지연(Ji-Yeon Kim),김제룡(Je-Ryong Kim),안문상(Moon-Sang Ahn),이상일(Sang-Il Lee),박종현(Jong-Hyun Park),최송이(Song-E Choi),강대영(Dae-Young Kang),송규상(Kyu-Sang Son 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.76 No.5
Purpose: We aimed to investigate the correlations between expressions of angiogenic cytokines VEGF-A, C, D of primary colorectal cancer and liver metastasis. Methods: We examined paraffin-embedded primary colorectal cancer tissue from 45 patients who had liver resection due to colorectal liver metastasis (metastasis group) and 37 patients who had surgical resection due to colorectal cancer only (control group). In the control group, local recurrence and distant metastasis had not occurred. Immunohistochemical staining for VEGF-A, C and D was performed. We analysed the correlations between expression of VEGF-A, C and D in primary colorectal cancer tissues and clinicopathologic parameters. Results: VEGF-A expressions of primary colorectal carcinoma were not different between the two groups. VEGF-C was more frequently expressed in the metastasis group (P=0.008) but VEGF-D was more expressed in the control group (P=0.003). Patients with VEGF-C negative and VEGF-D positive expression were predominant in the control group (P=0.020). Tumor location, T stage, lymph node metastasis and tumor differentiation were not related with the expressions of VEGF-A, C, D but only preoperative CEA was positively correlated with VEGF-A and C expression. Conclusion: Expressions of VEGF-C in primary tumor were more frequent in metastatic colorectal cancer and expressions of VEGF-D were more frequent in nonmetastatic colorectal cancer. More large-scale prospective studies for VEGF-C and D expression in colorectal cancer are necessary.
신 이식 직후 신장 스캔 소견과 이식신 장기 생존의 관계
소영(Young So),이강욱(Kang Wook Lee),신영태(Young Tai Shin),안문상(Moon Sang Ahn),배진선(Jin Sun Bae),설종구(Chong Koo Sul),정인목(In Mok Jung) 대한핵의학회 2001 핵의학 분자영상 Vol.35 No.4
N/A Purpose: We investigated the possibility of early postoperative Tc-99m DTPA scintigraphy in predicting long-term renal transplant survival. Materials and Methods: 64 living donor (LD) grafts were divided into two groups according to the graft function on early post-operative renal scintigraphy. Survival analysis was performed using Kaplan-Meier method and Cox proportional hazard model. Chi-square test was performed to evaluate the difference in the frequency of acute rejection. Results: Cumulative renal transplant survival was decreased in 11 patients with abnormal renal scintigraphy, but it was not statistically significant. Decreased graft function on early post-operative renal scintigraphy was not a predictor of long-term graft survival. The frequency of acute rejection was higher in abnormal scintigraphy group, and the difference was statistically significant. Conclusion: Decreased graft function on early post-operative renal scintigraphy has no direct effect on long-term renal transplant survival in LD transplantation. But it may have an indirect effect through increasing the frequency of acute rejection. (Korean J Nucl Med 200135-251-257)