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난치성 백반증에 대한 흡입물집을 이용한 비배양 표피세포이식술 20례
배정민 ( Jung Min Bae ),정한미 ( Han Mi Jung ),이한나 ( Han Na Lee ),이로우 ( Ro Woo Lee ),은성혜 ( Sung Hye Eun ),권혁선 ( Hyuck Sun Kwon ),이지혜 ( Ji Hae Lee ),김경문 ( Gyong Moon Kim ) 대한피부과학회 2018 대한피부과학회지 Vol.56 No.7
Background: As nonsurgical interventions for vitiligo are not always successful, various surgical modalities have been used in patients with refractory vitiligo. Of these, non-cultured epidermal suspension transplantation (NCES) was recently introduced to treat large recipient sites using cells from small donor tissue. Objective: We assessed the effectiveness and safety of NCES as a surgical treatment for patients with refractory vitiligo. Methods: We retrospectively reviewed 20 cases in 17 patients (11 females; median age 25 years) who underwent NCES from July 2015 through March 2018. Suction blisters (20 mm in diameter) were collected from the patient’s inner thigh at a donor-to-recipient area ratio of 1:5. After the addition of 5 mL recombinant trypsin solution to the suction blisters, followed by incubation at 37°C for 60 min, epidermal cells were manually scraped off the blister surface, and epidermal cell suspension was obtained by centrifugation at 1,500 RPM for 5 min. The suspension was applied to the vitiligo regions after epidermal ablation of those regions. Phototherapy resumed 1 month later. Treatment success was defined as ≥75% repigmentation of the surgical site, and all adverse events were noted. Results: Overall, 85.0% of cases (17/20) exhibited treatment success. Adverse events included hyperpigmentation (20%) and surgical site infection (5%), but the treatment was tolerable in all cases. Conclusion: NCES is a reliable surgical option for patients with vitiligo refractory to nonsurgical treatment. Large areas of vitiligo can be treated by NCES, and use of this technique should be encouraged in Korea. (Korean J Dermatol 2018;56(7):426∼432)
배정민 ( Jung Min Bae ),김세원 ( Se Won Kim ),김상운 ( Sang Woon Kim ),송선교 ( Sun Kyo Song ) 대한소화기학회 2011 대한소화기학회지 Vol.57 No.1
Solitary fibrous tumors (SFTs) are an uncommon neoplasm characterized by the proliferation of spindle cells. The diagnostic criteria of malignant solitary fibrous tumors (MSFTs) include high cellularity, high mitotic activity (4>10 HPF), pleomorphism, hemorrhage and necrosis. This tumor frequently involves the pleura and MSFTs of retroperitoneum mimicking gastric submucosal tumor are very rare. We report a rare case of MSFT that presented as a gastric submucosal tumor. A gastroscopic examination showed a large bulging mucosa in the gastric body. Abdominal computed tomography revealed a well-defined heterogeneous enhancing mass between the left hepatic lobe and gastric body. Surgical resection was performed and histologic features were consistent with a MSFT. (Korean J Gastroenterol 2011;57:47-50)
배정민 ( Jung Min Bae ),김세원 ( Se Won Kim ) 대한소화기학회 2009 대한소화기학회지 Vol.54 No.2
The stomach is the most frequent site of gastrointestinal stromal tumor (GIST). The common clinical manifestation of GIST are melena and hematochezia caused by gastointestinal bleeding. However, hemoperitoneum due to GIST rupture is a very rare condition. We describe a 33-year-old man with gastric GIST causing hemoperitoneum. A preoperative CT scan demonstrated large amount of fluid collection and extraluminal mass lesion in gastric antral area. He underwent an emergent laparotomy. The antral mass was polypoid shaped and showed ruptured focus. We performed a distal gastrectomy. The tumor was revealed as GIST with intermediate malignant risk by pathologic examination. The patient had an uneventful postoperative course and remains well. (Korean J Gastroenterol 2009;54:123-125)
배정민 ( Jung Min Bae ),김미연 ( Mi Yeon Kim ),박영민 ( Young Min Park ),김형옥 ( Hyung Ok Kim ) 대한피부과학회 2006 대한피부과학회지 Vol.44 No.5
Cement is increasingly used in the construction industry, however the occurrence of cement burns has rarely been reported. Exposure to wet cement may cause severe alkaline and thermal burns due to the exothermic reaction of calcium oxide with water which forms calcium hydroxide. Furthermore, alkalinity of calcium hydroxide in wet cement, combined with the effect of pressure and occlusion against skin, may result in cement burn. We herein report a case of cement burn in a 42-year-old male, who had wet cement trapped in his boots and presented with 3rd degree burns on both lower legs. He was treated with wet dressings and the burns healed after two weeks of treatment. (Korean J Dermatol 2006;44(5):586~588)
배정민(Jung Min Bae),이대형(Dae Hyung Lee),정기훈(Ki Hoon Jung) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.72 No.4
Necrotizing fasciitis is a progressive soft tissue infection involving the superficial fascia which can be a lethal disease without proper treatment. The predisposing factors of necrotizing fasciitis are diabetes mellitus, alcohol abuse, drug abuse, obesity, malnutrition and immunocompromised state. Most of the recently reported cases of necrotizing fasciitis were caused by perianal disease. We treated a young woman with necrotizing fasciitis secondary to infected bedsore who had been held in hospital for 15 years due to schizophrenia and epilepsy. Here, we emphasize the specific concern when treating patients with bedsore.
위장의 위장관 기질종양 환자에서 개복 쐐기절제술과 복강경적 쐐기절제술의 비교
배정민(Jung Min Bae),김세원(Se Won Kim),김상운(Sang Woon Kim),송선교(Sun Kyo Song) 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.79 No.6
Purpose: The stomach is the most frequent site of gastrointestinal stromal tumor (GIST). Surgery remains the only curative treatment for GIST. Resection needs to ensure tumor free margin without lymphadenectomy. Thus partial gastric resection is the treatment of choice for gastric GIST. This study aims to review clinical characteristics between open and laparoscopic wedge resection group and evaluate safety and efficacy of laparoscopic wedge resection. Methods: Between 1997 and 2008, 74 consecutive patients undergoing open or laparoscopic wedge resection of gastric GISTs were identified in a retrospectively collected database. Preoperative and postoperative variables were analyzed. Results: Wedge resection with negative margin was performed in 74 patients. Laparoscopic wedge resection was performed 19 patients. Open wedge resection was performed in 55 patients. Mean tumor size of laparoscopic group was 2.7 ㎝ (range 0.4∼6.0) and open group was 4.4 cm (range 0.4∼23.0). Mean operation time of laparoscopic group was 150.0 minutes (range 80∼240), and open group was 164.6 minutes (range 75∼360). Mean hospital stay of laparoscopic group was 7.11 days (range 3∼19), and open group was 9.38 days (range 6∼20). There were no significant survival differences between groups. Conclusion: A laparoscopic wedge resection of gastric GIST is associated with short hospitalization and not inferior to open wedge resection in terms of morbidity and mortality. The long-term outcomes between laparoscopic and open wedge resection group in our study were no significant survival differences. Long-term and prospective randomized study should be performed to confirm oncological safety of laparoscopic wedge resection.
배정민(Jung Min Bae),김세원(Se Won Kim),김상운(Sang Woon Kim),송선교(Sun Kyo Song) 대한외과학회 2011 Annals of Surgical Treatment and Research(ASRT) Vol.80 No.1
Purpose: In 2010, the new UICC/AJCC TNM classification for gastric cancer was declared. The new classification for gastric cancer has several changes from the 6th classification. We evaluated the prognostic values and differences according to the new UICC/AJCC TNM classification. Methods: From 2000 to 2004, 1,196 patients who underwent curative resection with D1+β or more lymph node dissection and with 15 or more lymph nodes retrieved were studied retrospectively. We analyzed clinical characteristics and survival outcomes retrospectively from medical records. Results: According to UICC/AJCC 7th TNM classification, the 5-year survival rate (5YSR) of each group for depth of invasion and node metastasis were significantly different. The 5YSR of stage Ⅱ in 6th classification was 82.4% and the 5YSR of stage Ⅱa and Ⅱb in 7th classification were 92.2% and 82.9%. The 5YSR of stage Ⅲa and Ⅲb in 6th classification were 56.3% and 33.0%. The 5YSR of stage Ⅲa, Ⅲb and Ⅲc in 7th classification were 72.7%, 48.4% and 26.1%. In our Cox regression multivariate analysis, N stage of the 6th UICC/AJCC TNM classification was the main independent prognostic factor. Conclusion: N stage of the 6th UICC/AJCC TNM classification is a more reliable prognostic factor than N stage of the 7th UICC/AJCC TNM classification. Further study should be performed to confirm the appropriateness of N stage TNM classification for gastric cancer.
배정민(Jung Min Bae),김영삼(Young Sam Kim),정흥숙(Heung Sook Grace Chung) 한국복식학회 2005 服飾 Vol.55 No.2
Stepping in the 1990s, we has lived under the time of co-existence of diverse culture as well as faced the diffusion of pop-culture. The border between subculture style and hi-fashion has been blurred since beginning of 1990s. By this reason, recognizing the power of influence and importance of subculture style, we will try to provide the comprehensive vision reflecting the cultural background to analyze the subculture style. We will conclude this article with discussing the club-culture which is settle as one type of culture. Enjoying the club-culture, clubber tries to escape from the structural estrangement putting by the magical and symbolic meaning through creating their own style, and endowing their life the meaning. They make liquid club wear targeting at general young culture, pop culture, and subculture as well as hippies, Mods, funk. The Club wear around University sort out Hiphop Style, Casual Style, Mix and Match style. As at the club the hiphop music was played, the hiphop style dress becomes the club ware. Especially, training style clothes which is easy to dance has become the everyday dress, not just restricted in the indoor dress.