http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Heterogeneous living donor hepatic fat distribution on MRI chemical shift imaging
YoungRok Choi,Jeong Min Lee,Nam-Joon Yi,Hyeyoung Kim,Min-Su Park,Geun Hong,Tae Yoo,Suk-Won Suh,Hae Won Lee,Kwang-Woong Lee,Kyung-Suk Suh 대한외과학회 2015 Annals of Surgical Treatment and Research(ASRT) Vol.89 No.1
Purpose: We evaluated the heterogeneity of steatosis in living donor livers to determine its regional differences. Methods: Between June 2011 and February 2012, 81 liver donors were selected. Fat fraction was estimated using magnetic resonance triple-echo chemical shifting gradient imaging in 13 different regions: segment 1 (S1), S2, S3, and each peripheral and deep region of S4, S5, S6, S7, and S8. Results: There were differences (range, 3.2%?5.3%) in fat fractions between each peripheral and deep region of S4, S6, S7, and S8 (P < 0.001, P = 0.004, P < 0.001, and P = 0.006). Fat deposit amount in S1, S2, S3 and deep regions of S4?S8 were significantly different from one another (F [4.003, 58.032] = 8.684, P < 0.001), while there were no differences among the peripheral regions of S4-S8 (F [2.9, 5.3] = 1.3, P = 0.272) by repeated measure analysis of variance method. And regional differences of the amount of fat deposit in the whole liver increased as a peripheral fat fraction of S5 increased (R² = 0.428, P < 0.001). Conclusion: Multifocal fat measurements for the whole liver are needed because a small regional evaluation might not represent the remaining liver completely, especially in patients with severe hepatic steatosis.
Solo Reduced Port Laparoscopic Left Lateral Sectionectomy
YoungRok Choi,Ho-Seong Han,Yoo Seok Yoon,Jai Young Cho,Sungho Kim,In Gun Hyun,Kil Hwan Kim 대한내시경복강경외과학회 2018 Journal of Minimally Invasive Surgery Vol.21 No.3
Laparoscopic approach for left lateral sectionectomy became the standard procedure. With increasing demand for minimizing of the access ports and with the advancement in surgical technique, reduced port laparoscopic surgery is introducing itself to the fields of hepatic surgery. We report a case of solo reduced port laparoscopic left lateral sectionectomy for a 25-year-old patient with a 1.7 cm sized tumor implant of growing teratoma syndrome. She underwent salpingo-oophorectomy and 3 cycles of chemotherapy with bleomycin, etoposide and cisplatin 2 prior to the operation. Her BMI was 18.3 kg/m2. The total operation time was 85 minutes and estimated blood loss was scanty. The patient was discharged without a significant complication on postoperative day 5. In the video, we demonstrate the surgical procedure of the solo reduced port laparoscopic left lateral sectionectomy using a laparoscopic scope holder.