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김근영,유문원,한혜승,윤익진,이경영,Kim, Kun-Young,Yoo, Moon-Won,Han, Hye-Seung,Yun, Ik-Jin,Lee, Kyung-Yung 대한위암학회 2008 대한위암학회지 Vol.8 No.4
목적: 건국대학교병원은 2005년 9월에 개원하여 현재 2차 병원이며 설립 초기에 위암의 수술적 치료 과정에서 비교적 경험이 부족한 전공의와 간호사가 종사하였다. 따라서 건국대학교병원의 위암 수술 성적은 기존에 설립된 대형화된 3차 병원과 다를 수 있다. 이에 건국대학교병원에서 위암을 진단받고 수술을 받은 환자들의 임상병리학적 특성과 수술 후 이환율과 사망률을 기존의 보고된 자료와 비교하고 설립 초기 수련 병원에서 위암 수술 후 발생한 합병증에 영향을 미치는 인자들을 조사해 보고자 하였다. 대상 및 방법: 2005년 9월부터 2008년 4월까지 위암으로 진단받고 건국대학교병원에서 수술 받은 모든 환자를 대상으로 의무기록을 통해 임상병리학적 특징 및 수술 후 이환율과 사망률을 후향적으로 조사하였다. 결과: 건국대학교병원의 이환율과 사망률은 각각 10.4%와 0.5%로 기존에 보고된 자료와 비교해 볼 때 큰 차이는 없는 것으로 생각된다. 연령이 증가할수록 수술 후 이환율이 높아졌다. 그 외 통계적으로 유의하게 수술 후 합병증 발생에 영향을 주는 변수는 없었다. 결론: 설립 초기 수련 병원의 한계점을 가지고 있는 건국대학교병원의 위암 수술환자의 이환율과 사망률, 환자의 임상병리학적 특성은 기존의 보고된 자료와 비교해 볼 때 큰 차이가 없다고 생각된다. 그리고 높은 연령이 위암 수술 후 이환율에 영향을 미치는 인자로 나타났다. 추후 보다 정확한 수술 성적을 위해서 환자의 추적 관찰을 통해 위암으로 수술한 환자의 생존자료의 확보가 요망된다. Konkuk University Hospital (KUH), which opened in September 2005, is currently categorized as a secondary hospital. Early on after its establishment, the surgical residents and nurses were relatively inexperienced in the treatment of stomach cancer. Therefore, the quality of surgery for stomach cancer at KUH may be different from that of the existing large-scale tertiary hospitals. The purpose of this study is first to investigate the clinicopathological characteristics of the gastric cancer patients at the KUH, and second to compare our morbidity & mortality rates with those of previous studies, and we also analyzed the risk factors of morbidity at the early stage of a training hospital. Materials and Methods: This study retrospectively collected the clinicopathological characteristics and the post-operative morbidity rates and mortality rates with using the electronic medical records of all the patients who went under a gastric cancer operation at KUH from September 2005 to April 2008. Results: The total number of gastric cancer patients who underwent operation was 201. The morbidity rate and death rate at KUH were 10.4% and 0.5%, respectively. The morbidity has increased with an older age. The other variables had no influence on morbidity. Conclusion: The morbidity rate, death rate and the clinicopathological characteristics of gastric cancer patients at KUH were similar to those of the previous reports. We found that age is the main factor affecting the morbidity rate after stomach cancer surgery. For further surgical qualification of stomach cancer surgery at KUH, it is necessary to collect the survival data of patients who undergo stomach cancer surgery.
Acriflavine과 Guanosine 복합체(AG60)의 유전독성시험
정영신(Young-Shin Chung),홍은경(Eun-Kyung Hong),김상건(Sang Geon Kim),안의태(E-Tay Ahn),이경영(Kyung-Yung Lee),강종구(Jong-Koo Kang) 한국환경성돌연변이발암원학회 2002 한국환경성돌연변이·발암원학회지 Vol.22 No.2
AG60, the complex of acriflavine and guanosine, has been shown to possess the synergistic antitumorigenic activity in the previous paper (J. Pharm. Pharmacol. 1997, 49:216). In this study, we have investigated the genotoxic properties of AG60 using in vitro and in vivo system such as Ames bacterial reversion test, chromosomal aberration assay and micronucleus assay. In Ames reverse mutation test, AG60 treatment at the dose range up to 250 μg/plate caused the dose-independent random induction of the mutagenic colony formation in S. typhimurium TA98, TA100, TA1537, and E. coli WP2uvrA, while any mutagenic effect of AG60 wasn't observed in S. typhimurium TA1535. Any significant chromosomal aberration wasn't observed in chinese hamster lung (CHL) fibroblast cells incubated with PBS or AG60 at the concentrations of 2.5, 5, 10 μg/ml for 24<br/> hours without but even with S9 metabolic activation system for 6 hours. In vivo ICR mice, the intramuscular injection of AG60 at the doses of 7.15, 14.3, and 28.6 mg/kg did not induce the frequency of micronucleus formation. However, mitomycin C, as one of the positive controls at the dose of 2 mg/kg caused the 8.4% induction<br/> in the frequency of micronucleus and 24% increase in the chromosomal aberration.
복강경적 충수절제술 후 성인과 소아에서의 합병증 비교 연구
배수연(Soo Youn Bae),윤익진(Ik Jin Yun),이경영(Kyung Yung Lee),성무경(Moo Kyung Seong),유영범(Young Bum Yoo),장성환(Seong Hwan Chang),김지수(Jee Soo Kim) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.76 No.2
Purpose: In recent studies, laparoscopic appendectomy has been widely performed for not only uncomplicated appendicitis but also perforated appendicitis. But, in children, the value of laparoscopic appendectomy for acute appendicitis is not yet established. Our retrospective study is to evaluate the safety of laparoscopic surgery for acute appendicitis in children. Methods: We reviewed electronic medical records of a total of 595 patients (95 children and 500 adults), who had been operated upon for acute appendicitis, from August 2005 to February 2007. Those patients were divided into two groups; children and adults. Demographic data, duration of pain, diagnostic methods, length of stay, operative time, time under anesthetic, time to diet, perforation rate, and complication rates were analyzed. Results: In eight adult patients, laparoscopic surgery was converted to open laparatomy. There was no significant difference in perforation rates (children 20.0% vs. adults 18.1%, P=0.714). However, postoperative complication rates were significantly higher in the children group (7.4%) compared to the adult group (2.2%). Conclusion: We noted that laparoscopic appendectomy should be applied cautiously, especially in pediatric groups due to the relatively high complication rate. However, we need to see more high-quality randomized trials.
이경영,유영범,김태원,이경룡 건국대학교 의과학연구소 2004 건국의과학학술지 Vol.14 No.-
Gastrointestinal tumors(GIST) are rare group of neoplasias of the gastrointestinal track, which originate from or differentiate into interstitial cells of Cajal (ICC). GIST traditionally have been designated as smooth muscle tumor. However, with increasingly accurate analytic tools, immunohistochemistry and ultrastructure, most investigators were able to demonstrate that ICC, a complex cellular network postulated to act as pacemaker cells of the gastrointestinal track, which exhibit both myoid and neural features, could be a candidate for tumor histogenesis. Most ICC are only c-kit-positive, however a subset are positive for both c-kit and CD34. Most GISTs are asymptomatic and are thus usually discovered incidentally during routine check, at operation of other organs. When symptoms occur, GISTs usually present with gastrointestinal bleeding due to ulceration of the overlying gastric mucosa. Bleeding may be massive, leading to hematemesis and melena. Recently, we experienced a large sized(5×5×5 cm) GIST on the upper body of the stomach, which caused massive upper gastrointestinal bleeding in a 61-year-old man and was treated by local resection with adequate safety margin about 2 cm.
이경영 건국대학교 의과학연구소 1992 건국의과학학술지 Vol.2 No.-
Necrotizing fasciitis is a rare, but rapidly progressing fatal soft-tissue infection marked by extensive necrosis of subcutaneous tissue and fascia. It is usually caused by a combination of facultative aerobic and anaerobic bacteria after operation, minor trauma, or inadequate care of perirectal abscesses. Although systemic symptoms usually present, the subtle local findings often make early diagnosis difficult, and account for the delay in the surgical intervention and the unacceptably increased mortality. Recently, I experienced the successful early aggressive treatment of one case of extensive necrotizing fasciitis due to perianal abscess, and report it with a brief review.