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지훈상(Hoon Sang Chi),이경식(Kyong Sik Lee),김충배(Choong Bai Kim),최일섭(Il Sup Choi) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.2
Esophagogastrostomy has become the accepted procedure of the reconstruction following resection for the esophageal carcinoma. But it has serious complication of anastomotic leakage about 10% that was thought to be responsible for more than half of the postoperative deaths. Recently the incidence of this complication decreased to about 3.5% after using the stapling instrument. 17 patients, who received esophagogastrostomy after esophagectomy due to carcinoma and lye stricture of the esophagus, from the January 1977 to October 1986 at Department of Surgery, Yonsei University College of Medicine. The results were as followed. 1) The manual anastomosis was performed in 11 cases and the stapled anastomosis in 6 cases. 2) The operative mortality was 5.9% 3) The complications of manual anastomosis were; anastomotic leakage in 2 cases (18%), stricture in anastomotic site in 3 cases (27%), pneumonia in 3 cases (27%), gastroesophageal reflux in 1 case (9%) and wound infection in 1 case (9%). The transhiatal esophagectomy was performed in 3 cases and the complications of this procedure were bleeding and pneumothorax in 1 case. 4) The complications of stapled anastomosis were; pneumonia in 2 cases (33%), stricture in anastomotic site in 1 case (17%) and wound infection in 1 case (17%). The leakage from the anastomotic site was not found. As substitute for esophagus, stomach is advantageous for it's simplicity, and excellent blood supply. And the stapled anastomosis appears to be safer than manual suturing for patients undergoing esophageal reconstruction.
지훈상 ( Hoon Sang Chi ),안태완 ( Tae Wan Ahn ),심강섭 ( Kang Sup Shim ),조준필 ( Joon Pil Cho ),김병로 ( Byung Ro Kim ) 대한외상학회 1990 大韓外傷學會誌 Vol.3 No.2
Pelvic fracture due to high energy forces such as motor vehicle accidents, fall from height, and industrial crush injuries-has become one of the most serious injuries. In addition to life threatening hemorrhage itself and post-hemorrhagic complications (post-traumatic respiratory distress syndrome, sepsis, multiple organ failures), local and distant associated injuries, deformities and disabilities are all potential problems for a patient with pelvic fracture. So it is not enough to emphasize the need for an accurate and a rapid diagnosis of associated injuries of hemodynamically stable or unstable patient with pelvic fracture. We retrospectively reviewed medical records of 100 cases of abdominal or perineal injuries associated with pelvic fracture, which had been admitted to departement of General surgery, Yonsei University College of Medicine. During recent 5 years from Jan. 1984 to Dec. 1988. Laparatomy was performed in half of 100 cases. The most common type associated with abdominal injury was retroperitoneal hematoma in 33%. Twenty one patients received transfusion more than 10 units. The overall mortality rate was 6%. The causes of death were sepsis with multiple organ falilures in 3 patients and irreversible hypovolemic shock in 3 patients. In order to manage appropriately hemodynamically stable or unstable patients of pelvic fracture associated with surgical problems we present a management protocol.