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최승봉(Seung Bong Choi),이인규(In Kyu Lee),원대연(Dae Youn Won),이윤석(Yoon Suk Lee),시윤(Yoon Si),이상철(Sang Chul Lee),강원경(Won Kyung Kang),박종경(Jong Kyung Park),안창혁(Chang Hyeok Ahn),김준기(Jun-Gi Kim),오승택(Seong Taek Oh) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.79 No.6
Purpose: Although many papers have reported poor prognosis of colorectal mucinous adenocarcinoma, the underlying cause for its unfavorable outcome is yet to be elucidated. In the peritoneal fluid studies, we observed that peritoneal recurrences and cytology positive cases were many times mucinous cancers. On the basis of these observations, mucinous and non-mucinous adenocarcinomas were compared and prognostic factors were studied. Methods: Five hundred and forty-six patients who underwent surgery for colorectal adenocarcinomas from January 2004 to December 2008 were included. Results: Among the 546 patients, mucinous adenocarcinomas were 30 (5.5%) and non-mucinous adenocarcinomas were 516 (94.5%). Mean age was 55.0 years, which was younger than 63.2 years in non-mucinous colon cancers. They tend to develop in the right colon. Mucinous adenocarcinomas were more advanced in depth of invasion and distant metastasis, but no significant difference in lymph node (LN) metastasis. Peritoneal CEA, CA19-9, and positive cytology were more apparent. Liver and peritoneal metastasis did not show significant increases. Five year survival rates were 82.9% and 91.7% and cancer free survival rates were 42.7% and 68.5% each, respectively, for mucinous and non-mucinous cancers. According to stage, only stage Ⅲ and Ⅳ patients showed differences in cancer free survival and overall survival (P=0.001, 0.040). Conclusion: Mucinous adenocarcinomas showed worse prognoses and significant differences in recurrences, but had similar prognoses in early cancers. Although no significant differences were in LN metastasis, dissimilarities were in infiltration depth. Infiltrations led to the increase in free cancer cells and peritoneal fluid tumor markers: ultimately cancer recurrences developed.
김도형,이인규,최승봉,이윤석,이상권,오승택,전해명,김준기,김응국,장석균 대한대장항문학회 2008 Annals of Coloproctolgy Vol.24 No.3
Purpose: The purpose of this study was to evaluate the clinical course and pregnancy outcome according to operative management of appendictis in the Department of Surgery. Methods: We reviewed the charts of pregnant patients who went through a convential appendectomy and a laparoscopic appendectomy at the Department of Surgery, Catholic University of Korea St. Mary’s Hospital, from May 1995 to June 2006. Results: The incidence of acute appendicitis during pregnancy was the highest at the 2nd trimester and at ages from 25 to 30 years. The laparoscopic appendectomy was shorter than the open appendectomy in hospital stay and decreased leukocytosis faster in the first postoperative day, except in cases of perforated appendicitis, but the operation times were similar. There was a significant difference in gestational age at delivery between perforated appendicitis and suppurative. We found one fetal anomaly, but it was not related to either the appendicitis or the operation method. Conclusions: In this study, we found that a laparoscopic appendectomy was better than an open appendectomy for recovery and was safe in pregnant appendicitis patients at any gestational age. However, follow up and investigation in a larger population is needed to get more accurate results.
대장 내시경하 용종절제술 후 발생한 복강농양의 경피적 배농술 1예
시윤,김신영,최승봉,김형진,이윤석,조현민,김준기,오승택,이인규 대한대장항문학회 2009 Annals of Coloproctolgy Vol.25 No.5
Perforations that occur during colonoscopy are usually managed by surgical repair. When the patient’s symptoms are mild and laboratory findings show minor abnormalities, a conservative treatment can be considered. Although an operation is the treatment of choice in patients with generalized peritonitis, in some selected patients, percutaneous abscess drainage can be an alternative to surgical intervention for drainage of deep-infected fluid collections or can act as a temporary measure until the patient becomes sufficiently stable for surgery. We report here on a 53-yr-old male patient who developed signs of localized peritonitis and had a pelvic abscess due to a colonic perforation after colonoscopy and was treated successfully by using percutaneous abscess drainage. Perforations that occur during colonoscopy are usually managed by surgical repair. When the patient’s symptoms are mild and laboratory findings show minor abnormalities, a conservative treatment can be considered. Although an operation is the treatment of choice in patients with generalized peritonitis, in some selected patients, percutaneous abscess drainage can be an alternative to surgical intervention for drainage of deep-infected fluid collections or can act as a temporary measure until the patient becomes sufficiently stable for surgery. We report here on a 53-yr-old male patient who developed signs of localized peritonitis and had a pelvic abscess due to a colonic perforation after colonoscopy and was treated successfully by using percutaneous abscess drainage.
섬유총판 간세포암으로 오인된 부신 피질 호산성 과립세포종 1예
박인수(ln Soo Park),최승봉(Seung Bong Choi),조병훈(Byung Hoon Cho),남우석(Woo Suk Nam),원용성(Yong Sung Won) 한국간담췌외과학회 2009 한국간담췌외과학회지 Vol.13 No.3
Adrenocortical oncocytoma is a very rare disease which has been reported in 40 cases. A 27-year-old female patient was admitted for a suspicious hepatocellular mass on ultrasonogram. On CT scan, sono-guided needle biopsy and 18 F-FDG PET scan, all results were unsatisfactory. During laparotomy, the mass was originated from Rt. adrenal gland and liver was pushed sideward by the mass. On pathology report, and adrenocortical oncocytoma was diagnosed. Adrenocortical oncocytoma has pathological characteristics comprised of oncocytes with granular, eosinophilic cytoplasm, and sufficient mitochondria in their cytoplasm. There were no established criteria for differential diagonose between benign and malignant adrenocortial oncocytoma. There are no sufficient data for the long-therm outcome of adrenocortical oncocytoma in the medical literature. Thus we report a case of adrenocortical oncocytoma with review of the related literature.
Evaluation of Circulating Zonulin, Histamine and Diamine Oxidase in Chronic Kidney Disease
김민영,고은실,허규진,김원정,이경희,최승봉,정재희,강원경,정성진 한국정맥경장영양학회 2016 한국정맥경장영양학회 학술대회집 Vol.2016 No.-
Background: Zonulin, a protein that leads to the breakdown of tight gap junctions in the gastrointestinal lining, is associated with intestinal permeability. Histamine balance is also a critical factor in patients with allergic and gastrointestinal symptoms. The aim of the study was to examine whether zonulin, DAO and histamine levels are affected by the amount of proteinuria and estimated glomerular filtration (eGFR) in patients with chronic kidney disease (CKD). Design and Methods: All clinical and laboratory data including measurements of blood zonulin, diamine oxidase (DAO) and histamine concentrations were obtained from 115 patients who admitted for CKD evaluation. The DAO:histamine ratio was calculated to examine balances between DAO and histamine. Results: When controlled for age, sex, body mass index and smoking status, blood DAO level was negatively correlated with eGFR (p=0.002; r=-0.49;), while other values were not. The amount of proteinuria exhibited significant positive association with circulating DAO level (β=47.18; p=0.004). In addition, only hs-CRP among other parameters showed significant association with circulating histamine (β=-0.49; p=0.002). Interestingly, dialysis therapy was found to be independently associated with DAO:histamine ratio. In stepwise multiple regression analyses, serum protein level was significantly associated with plasma zonulin level (β=0.018; p=0.004). However, circulating zonulin level was not correlated with the amount of proteinuria and eGFR even after adjustment with other variants. Conclusions: These results demonstrate that circulating zonulin, DAO and histamine levels need to be investigated as potential markers of renal function. Further research is required to explore the nature and causes of these interrelationships.