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丘範煥,睦敦相 고려대학교 의과대학 1975 고려대 의대 잡지 Vol.12 No.1
After end-to-side, side-to-side and H-graft portacaval shunts in 9 dogs, the author observed hematologic values, liver function tests, the changes of portal and inferior vena caval pressures and hepatoscan findings. Histopathological findings of anastomotic stoma, liver and spleen were also included. The results are as follows: 1. In hematologic findings, R.B.C. and hematocrit were slightly increased in side-to-side shunt group than other 2 groups. And W.B.C. increased moderately in all groups. 2. In liver function tests, increased serum transaminase activity in side-to-side shunt group, increased serum globulin and reversed A/G ratio in H-type portacaval shunt group were observed. 3. postoperatively portal pressures were decreased moderately, and inferior vena caval pressures were decreased slightly in all groups. 4. The shunt stomata were stenosed partially due to fibrosis and foreign body granuloma, and more so in H-type shunt group. Histopathological changes of the liver and spleen mainly consisted of the degeneration of hepatic cells and disarray of hepatic cell cords in liver, and sinusoidal congestion, hemorrhage and white pulp atrophy in spleen. More marked changes were seen in H-type shunt group than other 2 groups. 5. In hepatoscan findings, enlargement, mottling and scattering of the liver were the alterations observed. More marked alterations were seen in H-type shunt group.
김종석,구범환,김선한 대한소화기학회 1992 대한소화기학회지 Vol.24 No.3
Recently, cyst excision has become the treatment of choice for choledochal cyst, that is based on a removal of a potential source of carcinoma, a significantly lower incidence of recurrent cholangitis, biliary calculi, anastomotic stricture, or pancreatitis after excision, and lower incidences of postoperative early complication and mortality. A successful resection was reported with a wide rage of 20% to 80% But there is no paper explaing this variable range of resection rate. Fourteen patients, surgically treated for choledochal cyst at the Guro Haspital, medical college of Korea university between Sep, 1983 and Aug. 1991, were analyzed with an univariate model in respect of influencing factors to resection of choledochal cyst. Patients were divided into two groups; one was a resected group (n=7), the other an unresected group (n=7). The only statistically significant factor was an association of biliary calculi (p=0.047), and a history of a previous biliary surgery and age older than 10 years influenced a failure of resection nt 0.11 level of p value, respectively. Other factors such as clinical features at admission, duration of history, frequency of an acute attack, type and size of cyst, laboratory abnormalities, and bacteriologic status of bile, were not significant statistically. Now we are collecting raw data from another hospitals, and will add a more reliable analysis to this preliminary report.