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김가정,송유정,문형곤,정상호,정치영,주영태,정은정,이영준,최상경,하우송,박순태,홍순찬,Ka-Jeong Kim,M,D,Yu-Jeong Song,M,D,Hyung-Gon Moon,M,D,Sang-Ho Jeong,M,D,Chi-Young Jeong,M,D,Young-Tae Ju,M,D,Eun-Jung Jung,M,D,Young-Joon Lee,M,D,Sang-K 대한갑상선-내분비외과학회 2009 The Koreran journal of Endocrine Surgery Vol.9 No.1
Adrenal cysts are a relatively uncommon disorder and most such cases are discovered at autopsy. According to the overseas cases, the reported incidence is 0.06∼0.18% and the incidence is increasing due to the widespread use of ultrasonography and computed tomography scanning. Adrenal cysts are usually asymptomatic and they need to be differentiated from other cystic lesions including liver, pancreas and kidney cystic lesions. We report here on a case of a 39-year-old female with an adrenal pseudocyst that was misdiagnosed preoperatively as a pancreas mucinous cystic neoplasm. (Korean J Endocrine Surg 2009;9: 30-32)
김가정(Ka-Jeong Kim),정치영(Chi-Young Jeong),정상호(Sang-Ho Jeong),주영태(Young-Tae Ju),정은정(Eun-Jung Jung),이영준(Young-Joon Lee),최상경(Sang-Kyung Choi),하우송(Woo-Song Ha),박순태(Soon-Tae Park),홍순찬(Soon-Chan Hong) 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.80 No.1
Purpose: With the advancement of laparoscopic instruments and accumulation of surgical technique, laparoscopic liver resection is currently performed for various benign and malignant liver diseases. However, controversies still remain over laparoscopic liver resection for malignant liver diseases including HCC and its oncologic safety is yet to be established. This study aims at determining the safety, feasibility and short-term oncologic outcomes of laparoscopic liver resection performed for HCC. Methods: From July 2008 to March 2010, laparoscopic liver resection was performed at our hospital on a total of 45 patients with various benign and malignant liver diseases. Among these 45 patients, 16 patients diagnosed with HCC were reviewed retrospectively. Results: The mean age of the patients was 59.25, comprising 11 male patients (68.8%) and 5 female patients (31.2%). The location of tumor was left lateral in 7 cases, 4 cases in segment 6, 2 cases in segment 7, 2 cases in segment 5, 1 case in segment 4 and 1 case in caudate lobe. Wedge resection was performed in 11 cases, left hemi hepatectomy in 2 cases, left lateral sectionectomy in 2 cases, caudate lobectomy in 1 case. The mean operative time was 248.75 minutes. The mean hospital stay was 13.8 days, and there were no post-operative recurrences during the post-operative follow-up period. Conclusion: When performed by expert surgeons in selected patients, laparoscopic liver resection for HCC is a feasible and safe procedure.
김가정(Ka-Jeong Kim),이영준(Young-Joon Lee),주영태(Young-Tae Ju),정치영(Chi-Young Jeong),정은정(Eun-Jung Jung),홍순찬(Soon-Chan Hong),최상경(Sang-Kyung Choi),하우송(Woo-Song Ha),박순태(Soon-Tae Park) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.74 No.5
Purpose: Chylous ascites is an accumulation of lymphatic fluid within the peritoneal cavity caused by obstruction or rupture of the peritoneal or retroperitoneal lymphatic drainage system. Postoperative chylous ascites is a rare complication of abdominal surgery. In the present study, we analyzed patients who developed postoperative chylous ascites after gastrectomy. Methods: From February 2003 to June 2006, we treated 7 cases of chylous ascites that occurred after gastrectomy for gastric cancer. We reviewed the medical charts of these patients retrospectively. Results: The incidence of chylous ascites after gastrectomy was 1.7%. Mean triglyceride concentration of the ascitic fluid was 437 ㎎/㎗ (range: 128 ㎎/㎗∼816 ㎎/㎗). Total parenteral nutrition and somatostatin were administered to 6 patients, and 1 patient was treated with oral diuretics and serial paracentesis. Conclusion: The incidence of chylous ascites is low, but may increase with more aggressive surgery. Surgeons should consider chylous ascites if the character of drainage is milky. Conservative management is usually effective for the treatment of postoperative chylous ascites. If conservative management fails, surgical management should be considered.
소아에서 발생한 자석 삼킴에 의해 유발된 위장관계 합병증
김가정(Ka-Jeong Kim),주영태(Young-Tae Ju),정치영(Chi-Young Jeong),정은정(Eun-Jung Jung),이영준(Young-Joon Lee),홍순찬(Soon-Chan Hong),최상경(Sang-Kyung Choi),하우송(Woo-Song Ha),박순태(Soon-Tae Park) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.73 No.4
Because of the magnetic property that attracts magnets to one another, the swallowing of magnets could provoke perforation, obstruction, and formation of fistula in the gastrointestinal tract. Here, the authors describe two cases of gastrointestinal complication caused by swallowed magnets in children. The first case occurred in a 12-year-old boy who swallowed multiple magnetic educational instruments; the patients presented with duodeno-colic and colo-colic fistula. In the second case, a 7-year-old boy swallowed two magnets and developed a jejuno-jejunal fistula associated with perforation of the jejunum. In accidental swallowing of the magnet, especially multiple pieces, the follow-up plain abdominal X-ray film should be checked, and an emergency exploration could be considered.
송유정(Yu-jeong Song),김가정(Ka-Jeong Kim),문형곤(Hyung-Gon Moon),정상호(Sang-Ho Jeong),주영태(Young-Tae Ju),정은정(Eun-Jung Jung),이영준(Young-Joon Lee),홍순찬(Soon-Chan Hong),최상경(Sang-Kyung Choi),하우송(Woo-Song Ha),박순태(Soon- 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.78 No.1
Purpose: Recently, there have been several studies on the early results of hepatectomy for various intrahepatic lesions. We report the early experience of our hospital after total laparoscopic left hepatectomy in patients with intrahepatic stones in the left hemi-liver. Methods: We retrospectively analyzed the medical records of patients who were diagnosed with left intrahepatic stones and underwent hepatectomy between January 2007 and June 2009. The patients were grouped according to operative procedure into open hepatectomy, laparoscopy-assisted hepatectomy, and total laparoscopic hepatectomy. Results: There were 31 patients who underwent Lt hemihepatectomy and Lt lateral sectionectomy during this period. Hepatectomy with open method, laparoscopy-assisted method, and total laparoscopy method were performed in 10, 14, and 7 cases. There were no significant differences between the three methods for operating time and postoperative complications. But the number of fasting times and hospital days was shorter with total laparoscopic hepatectomy than with others. Conclusion: Total laparoscopic liver resection is a safe and useful method for treating patients with intrahepatic stones and offers the advantage of quick patient recovery. Careful selection of appropriate patients and further development in the laparoscopic surgical technique resulting from accumulated experiences will help enable the laparoscopic hepatectomy to be performed more easily and safely in patients with intrahepatic stones.
송유정 ( Yu Jeong Song ),김가정 ( Ka Jeong Kim ),정상호 ( Sang Ho Jeong ),정치영 ( Chi Young Jeong ),주영태 ( Young Tae Ju ),정은정 ( Eun Jung Jung ),이영준 ( Young Joon Lee ),최상경 ( Sang Kyung Choi ),하우송 ( Woo Song Ha ),박 대한외상학회 2010 大韓外傷學會誌 Vol.23 No.1
Purpose: Over the past few decades, the treatment of traumatic splenic injuries has shifted to nonoperative management from surgical intervention. Although some nonoperative management failure have been reported, in most trauma centers, nonoperative management is now believed to be the treatment of choice in hemodynamically stable patients. Then, in this study, we have retrospectively evaluated our experience with traumatic splenic injury. Methods: From January 2005 to July 2009, 150 patients with blunt splenic injuries were managed in our hospital. Patients``charts were retrospectively reviewed to analyze their treatment, the patients were grouped according to those who had been admitted before October 2006, defined as the early group, and those who had been admitted after October 2006, defined as the late group. After the patients had been divided into two group, physiologic parameters and differences between the treatments were compared. Results: 150 patients were admitted to our hospital with blunt splenic trauma. In late group, both the surgical management rate and the nonoperative management failure rate were lower than they were in the early group. Conclusion: We expect angioembolization to effectively replace surgery for the treatment of selected patients with blunt splenic injury and to result in fewer complications. (J Korean Soc Traumatol 2010;23:43-48)
복강경 담낭절제술 중 발생한 담관 손상 치료의 임상적 경험
김주연(Ju-Yeun Kim),김가정(Ka-Jeong Kim),문형곤(Hyung-Gon Moon),정상호(Sang-Ho Jeong),정치영(Chi-Young Jeong),주영태(Young-Tae Ju),정은정(Eun-Jung Jung),이영준(Young-Joon Lee),최상경(Sang-Kyung Choi),하우송(Woo-Song Ha),박순태(Soon-T 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.5
Purpose: Laparoscopic cholecystectomy (LC) has become the gold standard of management of gallstone disease. LC is associated with a two-to-four times higher incidence of bile duct injury, which is a rare but more serious complication than open cholecystectomy. We reviewed our experiences with the management of bile duct injury during laparoscopic cholecystectomy. Methods: From January 1999 to April 2009, 13 patients with bile duct injuries following LC were managed in our hospital. Patients’ charts were retrospectively reviewed to analyze perioperative management. Results: Among the 13 patients, 7 patients sustained their bile duct injuries at our hospital. Six patients were referred to our hospital to manage their bile duct injuries. Five patients’ injuries were identified during LC. According to the Strasberg classification, there are 5 cases of type A, 2 cases of type C, 1 case of type D and 5 cases of type E injuries. Four type A bile duct injuries were treated by direct ductal ligation during LC and 1 type A bile duct injury and 1 type C bile duct injury were managed by non-surgical treatment. Type D and type E injuries were managed by Roux-en-Y hepaticojejunostomy. Conclusion: Bile duct injuries are a rare but serious complications that occur during laparoscopic cholecystectomy. Most minor bile duct injuries are well treatable with non-surgical management, whereas major bile duct injuries require surgical management. The combination of non-surgical management and surgical treatment results in successful outcomes in bile duct injuries.