2004년 전국 복강경 위 수술 현황

김형곤,김곤홍,김동헌,김민찬,김병식,김영우,김용일,김용호,김욱,김원우,김진조,김태봉,류성엽,Kim, H.H.,Kim, K.H.,Kim, D.H.,Kim, M.C.,Kim, B.S.,Kim, Y.W.,Kim, Y.I.,Kim, Y.H.,Kim, W.,Kim, W.W.,Kim, J.J.,Kim, T.B.,Ryu, S.Y. 대한위암학회 2005 대한위암학회지 Vol.5 No.4

대한복강경위장관연구회가 2004년 전국에서 시행된 복강경 위 수술의 현황을 조사하였다. 모두 36개의 기관으로부터 38명의 외과의가 설문에 응답하였다. 2004년 한 해 동안 시행된 복강경 위 수술은 총 1,089예였고 1995년부터 2004년까지 시행된 복강경 위 수술을 누적하면 모두 2,386예였다. 2004년에 위선암 환자에서 시행된 복강경 위 수술은 2003년보다 약 2배 많은 754예였다. 위선암에 대한 근치적 위절제술인 복강경보조위아전절제술 및 복강경보조위전절제술은 2001년도를 전환점으로 급속히 증가하였다(2001년 55예, 2002년 150예, 2003년 364예, 2004년 738예). 특히 복강경보조위전절제술은 작년에 폭발적 인 증가를 보였다. (2003년 20예, 2004년 112예). 그러나 복강경보조유문부보존위절제술 및 복강경보조근위부위절제술과 같은 복강경보조기능보존위절제술은 작년 각각 1예씩 시행되어 아직 보편화되지 않았다. 위 점막하종양에 시행된 복강경위쐐기절제술은 142예였다. Hand-assisted laparoscopic surgery는 2001년 39예, 2002년 55예, 2003년 49예가 시행되었으나 2004년에는 단 5예만 시행되어 급격한 감소를 보였다. 고도비만수술은 2003년도에 시작되어 2004년에는 49예로 증가하였다. 위선 암에서 복강경위수술의 적응증에 대한 견해로서 19명이 조기위암에서 시행한다고 하였고 7명은 적응증을 T2N0까지 넓히고 있었다. 앞으로 보험문제가 해결이 되고 장기 성적이 나온다면 위선암에 대한 복강경 위 수술은 널리 보편화될 것이다. The Korean laparoscopic Gastrointestinal Surgery Study Group made a survey of laparoscopic gastric surgeries which were performed in Korea during 2004. Thirty-eight surgeons from 36 Institutions responded to the questionnaires. One thousand eighty-nine laparoscopic gastric operations were performed during 2004. The cumulative number from 1995 to 2004 was about 2,386. Seven hundred fifty-four operations for a gastric adenocarcinoma were performed during 2004 which is almost two times the number performed during 2003. Laparoscopic radical procedures, such as a laparoscopy-assisted distal gastrectomy or total gastrectomy (LADG and LATG) have increased rapidly since 2001 (55 cases in 2001, 150 cases in 2002, 364 cases in 2003 and 738 cases in 2004). Especially, laparoscopic total gastrectomies were explosively adopted last year (20 cases in 2003 and 112 cases in 2004). However, laparoscopic function-preserving gastrectomies, which included one laparoscopy-assisted pylorus-preserving gastrectomy and laparoscopy-assisted proximal gastrectomy, are rarely performed at this time. One hundred forty-two wedge resections for a gastric submucosal tumor were performed during 2004. Hand-assisted laparoscopic surgery (HALS) was performed in 39 cases in 2001, 55 in 2002, and 49 in 2003; however, only 5 such surgeries were performed during 2004. In 2003, laparoscopic bariatric surgery began, and during 2004, 49 operations were performed. In terms of indications of laparoscopic gastric surgery for adenocarcinoma, 19 surgeons performed a LADG only for a T1 lesion, and 7 surgeons extended their indications to T2N0 lesions. In the near future, laparoscopic procedures for gastric cancer will be widely adopted in Korea if the medical-insurance obstacle is overcome, and the long-term survival results are verified.

잠정적 Silastic 삽입을 이용한 관절원판 적출술

김형곤,박광호,김준배,주재동,배성렬,김영환,Kim, Hyung-Gon,Park, Kwang-Ho,Kim, Joon-Bae,Joo, Jae-Dong,Bae, Sung-Yeol,Kim, Young-Hwan 대한악안면성형재건외과학회 1992 Maxillofacial Plastic Reconstructive Surgery Vol.14 No.3

The author has studied retrospectively the meniscectomy with temporary silastic implant. The study material used was 4 joints that were possible to be followed up in 9 joints of out of all 145 joints who were diagnosed as internal derangement and have been operated in Yongdong Severance hospital from March 1988 to February 1990. We concluded that the use of temporary silastic implant would prevent the complication which would be arised after meniscectomy alone. And we could obtain the results of the relief of clinical symptoms and maintenance or improvement of joint space when preoperative and postoperative clinical and radiographic findings were compared. The larger number of patients and long term follow-up will be needed for further the investigation.

혈관내 Alcohol 주입법에 의한 두경부 정맥 기형증의 치험 2례

김형곤,박광호,이의웅,김준배,주재동,김동익,Kim, Hyeong-Gon,Park, Gwang-Ho,Lee, Ui-Ung,Kim, Jun-Bae,Ju, Jae-Dong,Kim, Dong-Ik 대한악안면성형재건외과학회 1991 Maxillofacial Plastic Reconstructive Surgery Vol.13 No.4

저자등은 5세 여아의 좌측 하순부에 발생한 정맥기형증 및 25세 여자 환자의 좌측 교근부에 발생한 정맥 기형증에 대하여 비와과적 방법인 직접알콜 주입에 의한 sclerosing therapy 치료한 결과, 별다른 후유증이나 재발의 소견없이 심미적, 기능적으로 양호한 결과를 얻었기에, 과거 sclerosing solution의 단점을 보완한 순수한 알콜제재의 사용을 문헌고찰과 함께 보고하는 바이다.

하인두 및 위의 손상을 동반한 급성 부식성 식도손상의 외과적 치료

김형곤,이삼윤,최종범,Kim, Hyeong-Gon,Lee, Sam-Yun,Choe, Jong-Beom 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.10

Two cases of severe caustic injury of the hypopharynx, esophagus, and stomach are presented. Restoration of digestive continuity was accomplished by retrosternal isoperistaltic interposition of the transverse and left colon on the post-injury 73rd and 66th day respectively. The upper oro-colon continuity was made by a cervical approach, a vertical incision at the posterior hypopharyngeal wall, and interrupted one-layer sutures using 3-0 Dacron suture materials. The distal continuity was made by colojejunostomy between the transposed colon and proximal jejunum. There was no event after the operation in both cases. The posterior vertical hypopharyngotomy and hypopharyngocolostomy at the early post-injury period may be the preferred procedure to obtain normal deglutition in patients with esophageal stricture associated with hypopharyngeal injury.

악관절 내장증의 증상 중 연관통의 악관절 수술 후 변화

김형곤,박광호,허종기,윤현중,김기영,남광현,Kim, Hyung-Gon,Park, Kwang-Ho,Huh, Jong-Ki,Yoon, Hyun-Joong,Kim, Ki-Young,Nam, Kwang-Hyun 대한악안면성형재건외과학회 1999 Maxillofacial Plastic Reconstructive Surgery Vol.21 No.1

Purpose: The aim of this study was to investigate the improvement of referred symptoms of TMJ internal derangement after open surgery of TMJ. Materials and Methods: The present study focused referred symptoms such as headache, neck pain, shoulder pain and evaluated the incidences and changes in their improvement at 1, 3, 6, 12 months after surgery in 118 patients who had TMJ internal derangement and received meniscoplasty(or meniscorrhaphy) and eminectomy at TMJ clinic of Yonsei University, Yongdong Severance Hospital, between 1992 and 1997. Results: One hundred eighteen patients(102 females, 16 males) with mean age of 29.6 years(range, 14 to 74) were included in this study and the mean follow-up period was 19.5 months(range, 12 to 60). The incidences of headache, neck pain, shoulder pain among the surgically treated TMJ internal derangement patients were 66.9%, 28.8%, 28.0% before surgery. Thirty-two preoperative severe(+++) headache patients were all improved their headache at 1, 3, 6 months after surgery, but slight relapse(9.4%) was found at 12 months after surgery. The clearance rate of preoperative neck and shoulder pain were 91.2% and 90.9% at 1 month after surgery and all of these groups had no pain at 12 months after surgery. Conclusions: Referred symptoms of TMJ internal derangement such as headache, neck pain, shoulder pain were dramatically improved after surgical treatment of TMJ.

Ipv6 기반의 이동인터넷 보안 기술

김형곤,Kim Hyeon-Gon 한국통신학회 2006 정보와 통신 Vol.23 No.9

근육편에 의한 정중 흉골절개 감염의 치료 -5례 치험-

김형곤,조선환,최종범,Kim, Hyeong-Gon,Jo, Seon-Hwan,Choe, Jong-Beom 대한흉부심장혈관외과학회 1994 Journal of Chest Surgery (J Chest Surg) Vol.27 No.7

Infection of a median sternotomy incision may result in a large, unsightly,unstable,and potentially fatal wound. During the past 8 years, 5 consecutive patients [ 4 male and 1 female ] had repair of infected sternotomy wound. We describe our current preferred techniques and the results we have achieved with them. As soon as the sternal infection was shown, operative wound was opened and irrigated more than 4 times a day with 0.5% Betadine iodine solution until the exudate became clean with no growth of bacteria. Operation was performed in one-stage, which consisted of aggressive debridement of the infected bone and muscle transposition. Reconstruction was with one-side or both pectoralis flaps in all patients and rectus abdominis in 2 patients. There was no mortality or morbidity within 30 days postoperatively. We conclude that early aggressive debridement and muscle transposition remain the treatment of choice for most patients with infected median sternotomy wounds.

입의 건강-치아의 건강을 지켜 줍시다

김형곤,Kim, Hyeong-Gon 한국건강관리협회 1988 건강소식 Vol.12 No.7

중년기 남성의 재무적 자기효능감이 자산 형성에 미치는 영향

김형곤(Hyeonggon Kim) 한국FP학회 2023 Financial Planning Review Vol.16 No.2

본 연구는 중년기 남성의 자산 형성에 영향을 미치는 다양한 요인 중 재무적 자기효능감의 영향력을 하위요인별로 나누어 확인했다. 본 연구를 위해 만40~65세 사이의 대한민국 남성에게 구글 설문지를 배포하고 임의 표집 방식으로 수집된 437명의 데이터를 활용하였다. 본 연구에서 사용한 재무적 자기효능감 척도는 Nguyen(2016)이 표준화하고 김형곤(2022)이 번안하여 타당도와 신뢰도 검증을 수행한 재무적 자기효능감 척도를 사용하였다. 여기에 사용한 재무적 자기효능감 척도는 지출관리, 재무목표, 저축관리, 신용관리 4개의 하위요인으로 구성되어 있다. 연구대상자들의 순자산과 금융자산을 크기에 따라 세 집단으로 분류하였으며 자산이 낮은 집단을 참조범주로 하여 다항로지스틱 회귀분석을 실시하였다. 연구분석 결과, 중년기 남성의 순자산과 금융자산 형성에 영향을 미치는 재무적 자기효능감 하위요인은 저축관리와 신용관리로 나타났다. 특히 저축관리는 순자산과 금융자산 증가에 모두 유의한 영향을 미쳤다. 저축관리가 1단위 증가할 때 순자산이 10억 이상 될 확률은 참조범주에 비해 약 2.6배, 금융자산이 1억 이상 될 확률은 약 5.6배 증가하는 것으로 나타났다. 이 연구는 자산형성에 미치는 영향을 개인의 내적 요인에서 찾은 점에 의의가 있다. 또한, 일반적 자기효능감에 대한 활용 범위를 재무적 자기효능감으로 확장하였다. This study confirms the influence of financial self-efficacy by dividing various factors into four sub-factors that affect asset building in middle-aged men. A Google survey form was distributed to Korean men aged 40 to 65 and the data from 437 men collected by random sampling were analyzed for this study. With respect to the assessment, the financial self-efficacy scale standardized by Nguyen (2016) and translated by Kim (2022) was used after confirming its validity and reliability. The scale’s four sub-factors are expenditure management, financial goals, savings management, and credit management. The study’s subjects were classified into three groups depending on the size of their net assets and financial assets, and multinomial logistic regression analysis was conducted on the group with few assets. The results revealed that savings management and credit management were the sub-factors of financial self-efficacy affecting the building of net assets and financial assets in middle-aged men. In particular, savings management significantly affected both net assets and financial assets. When savings management increased by 1 unit, the probability of acquiring net assets exceeding one billion Korean won increased about 2.6 times, compared to the reference category, and the probability of acquiring financial assets exceeding KRW100 million increased by about 5.6 times. This study can help determine the individual internal factors that affect asset building, expands the application of general self-efficacy to financial self-efficacy.

광전소자용 CdGalnS₄ : Er³? 단결정의 광학적 에너지 갭의 온도 의존성

김형곤(Hyung-Gon Kim),김병철(Byung-Chul Kim),방태환(Tae-Hwan Bang),현승철(Seung-Cheol Hyun),김덕태(Duck-Tae Kim) 대한전기학회 2000 대한전기학회 학술대회 논문집 Vol.2000 No.7