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Laparoscopic Cholecystectomy in Two Patients with Situs Inversus Totalis: A Case Report
Jae Yool Jang,Woohyung Lee,Jin-Kyu Cho,정치영,홍순찬 대한내시경복강경외과학회 2018 Journal of Minimally Invasive Surgery Vol.21 No.2
Situs inversus totalis (SIT) is a rare condition in which the viscera are transposed in a mirror image reversal. We report two cases of laparoscopic cholecystectomy (LC) performed for SIT patients. A 63-year old male patient with SIT was diagnosed with symptomatic gallstones. We performed LC by 3-port method. The patient was discharged uneventfully on postoperative day 2. A 57-year old female patient with SIT underwent LC for acute cholecystitis. Due to severe inflammation an assistant was needed. The patient was discharged uneventfully on postoperative day 3. Over 80 cases of LCs in SIT patients have been reported so far and LC has become the standard treatment. The current report confirms the safety of laparoscopy in such cases. Laparoscopic cholecystectomy can be performed safely in SIT patients if care is taken. Surgeons need to be careful of reversed anatomy and unaccustomed working hand.
장재율(Jae Yool Jang),안영준(Young Joon Ahn),정중기(Jung Kee Chung),정인목(In Mok Jung),허승철(Seung Chul Heo),황기태(Ki-Tae Hwang),안혜성(Hye Seong Ahn),신은(Eun Shin),서자희(Ja Hee Seo) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.78 No.5
Adenosquamous carcinoma arising in congenital choledochal cyst is very rare and herein we report a case thereof. A 37-year-old woman was referred for further evaluation of pancreas head mass and a hepatic nodule on CT. She had been diagnosed with congenital choledochal cyst at 22-years-old and received Roux-en-Y choledochojejunostomy at that time. Endoscopic ultrasonography-guided biopsy proved the pancreas head mass as a squamous cell carcinoma and liver biopsy also proved the liver mass as a metastatic squamous cell carcinoma. We performed pancreaticoduodenectomy and tumorectomy of metastatic liver nodule. Grossly, the primary lesion was located at intrapancreatic portion of choledochal cyst. Histologically, the primary lesion and hepatic nodule was metastatic adenosquamous carcinoma. So far, there have been only three cases of adenosquamous carcinoma arising in congenital choledochal cyst reported in English-language literature. This is another case and the first case reported in Korea.
( Young Yool Chung ),( Chae Hyun Im ),( Dae Hee Kim ),( Ju Yeong Heo ),( Young Jae Jang ) 대한고관절학회 2014 Hip and Pelvis Vol.26 No.3
Purpose: To evaluate the clinical and radiological results, as well as the survival rate, associated with total hip arthroplasty using a hydroxyapatite (HA)-coated anatomical femoral stem at a follow-up of ≥12 years. Materials and Methods: From April 1992 to May 1997, 86 patients (102 hips) underwent total hip arthroplasty with a HA-coated ABG I (Anatomical Benoist Giraud; Howmedica) hip prosthesis. The average age at the time of surgery was 53.4 years and the mean duration of follow-up was 17.1 years (range, 12.1-21.0 years). The Harris hip score (HHS) and radiographic assessments of thigh pain were used to evaluate the clinical results. We observed osteointegration, cortical hypertrophy, reactive line, calcar resorption and osteolysis around the femoral stems. The survival rate of the femoral stems was evaluated by using the span of time to a revision operation for any reasons was defined as the end point. Results: The mean HHS was 50.5 preoperatively and 84.2 at the time of last follow-up. Osteolysis only around the HA-coated proximal portion of the femoral stem was observed in 72 hips, cortical hypertrophy all around the distal portion of the femoral stem was observed in 38 hips, and calcar resorption was observed in 44 hips. A reactive line was observed in 13 hips, but was unrelated to component loosening. Stem revision operations were performed in 24 (23%) hips due to osteolysis (14 hips), fracture (5 hips) and infection (5 hips). The femoral stem survival rate was 75% over the mean duration of follow-up. Conclusion: Total hip arthroplasty using a HA-coated anatomical femoral stem showed necessitated a high rate of revision operations due to osteolysis around the femoral stem in this long term follow-up study.
Relevance of the Tumor Site and Node Metastasis in Patients with Intrahepatic Cholangiocarinomaγ
( Woohyung Lee ),( Jae Yool Jang ),( Soon-chan Hong ),( Chi-young Jeong ) 대한간학회 2016 춘·추계 학술대회 (KASL) Vol.2016 No.1
Aims: Although node metastasis is a well-known prognostic factor of intrahepatic cholangiocarcinoma (IHCC), relationship between tumor site and metastatic node is rarely reported. In this study, we compared the metastatic node and oncologic outcomes between perihilar and peripheral IHCC. Methods: The study population included 31 patients with IHCC who underwent potentially curative resection in tertiary university hospital. We respectively analysed pathologic and survival data between near-hilar (n = 7) and peripheral (n=24) IHCC. Results: There were no significant differences in the preoperative and intraoperative data between two groups. Near-hilar IHCC group showed higher rate of R1 resection (28.6 % vs 0 %, p = 0.045), perineural invasion (57.1 vs 6.3 %, p = 0.017), and node metastasis (66.7 vs 6.3 %, p = 0.009). Median follow up period was 22 months and the 3-year overall survival (OS) was 72.7 %. There was no significance in 3-year OS (45.7 vs 64.8 %, p = 0.206). However, near-hilar IHCC group showed lower 3-year recurrence free survival (0 vs 32.0 %, p=0.046) compared with peripheral IHCC group. Conclusions: Near-hilar IHCC group showed more frequent node metastasis and recurrence after resection compared with peripheral IHCC. IHCC around hepatic hilum needs regional lymph node dissection with hepatectomy.