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- 저자 : 강귀언 ( Gui Eon Kang ) (검색결과 3 건)
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강귀언 ( Gui Eon Kang ),진성아 ( Sung Ah Jin ),부혜연 ( Hye Yeon Boo ),표주연 ( Ju Yeon Pyo ),오영하 ( Young Ha Oh ),김승룡 ( Seung Ryong Kim ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.11
Primary malignant lymphomas in the female genital tract are rare, but when it occurs, the cervix or the ovary are more common site than the uterine corpus. Most common symptoms are abnormal vaginal bleeding but sometimes it is symptom free. Due to rarity of primary malignant lymphoma, the standard treatments are not yet established, but rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone chemotherapy after the surgery is general executed. We present a case of primary malignant lymphoma originating from endometrium with spine involvement.
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복강경을 이용한 자궁근종 절제술의 임상적 효용성에 관한 연구
조백설 ( Baik Seol Cho ),강귀언 ( Gui Eon Kang ),이홍주 ( Hong Jue Lee ),천상훈 ( Sang Hoon Cheon ),조출현 ( Chool Hyun Cho ),김성희 ( Seong Hee Kim ),이정한 ( Jung Han Lee ),조삼현 ( Sam Hyun Cho ),김승룡 ( Seung Ryong Kim ) 대한산부인과학회 2009 Obstetrics & Gynecology Science Vol.52 No.10
Objective: The objective of this study is to evaluate the safety and the clinical efficacy of the laparoscopic myomectomy through analyzing several operation factors. Methods: There were 185 cases of laparoscopic myomectomy between January 2004 and December 2008 at the department of obstetrics and gynecology in Hanyang University Guri Hospital. Retrospectively many factors of the operation were analyzed. The factors include the size, number and type of the myoma, BMI (body mass index), operation method, operation time, and complication and the prognosis of the operation. Results: For the type of myomas, 115 (62.2%) cases were intramural myomas, 38 (20.5%) cases were subserosal types and 32 (17.3%) cases were mixed types. The average diameter of the biggest myoma was 6.67±0.16 cm (range, 2.5~15 cm) and the average number of the myoma was 2.07±0.15 (range, 1~15). Previous operation history and pelvic adhesion did not show correlation with the operation time. The size, type and number of myoma and the operation methods showed correlation with the operation time. According to myoma size and number, we divided the cases into two groups, low risk group (122 cases) and high risk group (63 cases). The analysis showed that post-operation hemoglobin drop (2.89±0.10 g/dL vs. 4.03±0.23 g/dL) and blood transfusion amount (2.89±0.10 pints vs. 4.03±0.23 pints) as well as the operation time (137.58±4.37 min vs. 193.73±9.88 min) showed noticeable increase in the high risk group. Conclusion: This statistics show that laparoscopic myomectomy is now being applied to patients with larger and more myomas. Factors affecting operation time were the weight of myomas, number of myomas, type of myomas, number of trocars and methods of resected myomas removal. Also, operation time and post-operative hemoglobin drop increased in the high risk group.
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배액관이 있는 5 mm 투관침 부위에서 발생한 소장 탈장과 이의 복강경적 복원
조백설 ( Baik Seol Cho ),김승룡 ( Seung Ryong Kim ),강귀언 ( Gui Eon Kang ),호정규 ( Jeong Kyu Hoh ),김성희 ( Seong Hee Kim ),이정한 ( Jung Han Lee ),조삼현 ( Sam Hyun Cho ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.6
The incisional hernia through trocar site is an uncommon complication of gynecologic laparoscopy. Its incidence is less than 1% and most of them are occurring through 10 mm trocar site. Small bowel herniation through 5 mm trocar site is very rare. Furthermore, 5 mm trocar site bowel herniation with drain tube in situ has not yet been reported. We present a case of small bowel herniation through 5 mm trocar site with drain tube in situ and its reduction by laparoscopy with a brief review of literature.
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