파주 운정(2) 택지개발지구내(10지점) 유적 - 한성백제기 취락유적을 중심으로 -

장기경,박세원 중부고고학회 2009 서울경기고고학회 학술발표회 Vol.2009 No.3

선천성 낭포성 선종양 기형 -1례 보고-

장기경 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.7

Congenital cystic adenomatoid malformation[CCAM of the lung is extremely rare. We have experienced an unusual case of congenital cystic adenomatoid malformation. The patient was 20-year-old male and had chest pain for 10 days. On simple chest x-ray and Thoracic CT scan, there was a large cystic mass surrounded with multiloculated round cysts with air fluid level on the right lower lobe of a lung. Right lower lobectomy was performed and the pathologic result was congenital cystic adenomatoid malformation.

횡경막 탈장의 임상적 고찰

장기경 대한흉부심장혈관외과학회 1995 Journal of Chest Surgery (J Chest Surg) Vol.28 No.9

Between June 1981 and April 1994, 15 patients underwent surgical repair of diaphragmatic hernia. The ages ranged from 1 day to 60 years, with a mean age of 34. There were 5 cases of congenital diaphragmatic hernia; Bochdalek hernia in 4 cases and Morgagni hernia in 1 case. There were 10 cases of traumatic diaphragmatic hernia;blunt trauma in 8 cases and stab wounds in 2 cases. The chest X-ray findings were abnormal in 10 cases. Operations were performed in all patients and there was only one death, who was a newborn with left Bochdalek hernia and pulmonary hypoplasia.

원발성 종격동 종양 및 낭종의 임상적 고찰

장기경 대한흉부심장혈관외과학회 1994 Journal of Chest Surgery (J Chest Surg) Vol.27 No.8

A retrospective analysis was performed on 36 patients with primary cysts and tumors of the mediastinum seen at the Department of Thoracic and Cardiovascular Surgery of Maryknoll Hospital from January 1983 to December 1993. There were 21 female and 15 male patients in the study. Ages ranges from 2 years to 72 years, with a mean of 34.7. There were 9 malignant tumors and 27 benign tumors.Thymic neoplasms were the most common. For the whole series, 29 of the patients had tumors in the anterior mediastinum. There appears to be an in6rease in tumors in the anterior compartment. There were 30 symptomatic patients in our series. Of the patients with malignant disease, 89 % were symptomatic. All of benign tumors were completely removed and malignant tumors were treated with chemotherapy and radiotherapy after operation. There were 9[27.3 %] postoperative complications. There was no postoperative mortality. Follow-up was available on 27 patients. There was no recurrence, malignant degeneration, or growth of any tumor. It is hoped that careful evaluation and aggressive treatment of mediastinal tumors will continue to provide improvement in the prognosis for these patients.

St. Jude 기계판막의 임상성적

장기경,윤후식 대한흉부심장혈관외과학회 1996 Journal of Chest Surgery (J Chest Surg) Vol.29 No.9

저자들은 1988년 9월부터 1993년 7월까지 42례의 환자(승모판막치환 25례, 대동맥 판막치환 11례, 중복판막치환 6례)에서 St. Jude Medical 판막치 환술을 시행하였다. 판막치환수술과 다른 수술을 동시에 시행한 예는 5례(11.9%)있었다. 조기사망율은 4.8%(2례)였고 만기사망율은 9.5%(4례)였다. 수술 후 생존자를 대상으로 총 179.81환자-년의 추적이 이루어졌으며 평균 추적기간은 54개월이었고 추적률은 100%이었다. 판막과 관련된 만기사망원인으로는 심내막염이 3례, 원인을 밝히지 못한 경우가 1례 있었다. 판막의 구조적 실패와 이로 인한 합병증으로 사망한 례는 없었다. 5년에 전체 환자의 생존율은90$\pm$ 4.7%였고 판막실패없는 빈도는 90$\pm$4.7%, 혈전색증없는 빈도는 89.7$\pm$4.8%, 심내막염없는 빈도는 92.3 $\pm$4.2%였다. St. Jude Medical bileaflet valve was implanted in 42 patients from September, 1988, to July, 199)(mitral valve replacement in 25, aortic valve replacement in 11, multiple valve replacement in 6). Concomitant procedures were performed in 5 patients(11.9%). The early mortality was 4.8%(2 patients) and the late mortality was 9.5%(4 patients). The valve-related causes of late mortality were prosthetic valve endocarditis(threi), unknown(one). There was no instance of structural failure. Follow up was 100% complete, with 179.8 patient-years and a mean follow up of 54 months(from 1.5 to 84 months). The overall actuarial survival rates was 90$\pm$4.7% at 5 years. At 5 years, the acturarial freedom from valve failure was 90$\pm$4.7%, 89.7$\pm$4.5% from thromboembolism and 92.3 $\pm$4.2% from bacterial endocarditis, respectively.

파주 운정(2) 택지개발지구내(10지점) 유적 -한성백제기 취락유적을 중심으로-

장기경,박세원 중부고고학회 2009 강원고고학회 학술발표회 Vol.2009 No.3

인공심장판막치환술의 임상적 고찰

장기경,윤후식 대한흉부심장혈관외과학회 1996 Journal of Chest Surgery (J Chest Surg) Vol.29 No.9

1989년 9월부터 1995년 5월까지 메리놀병원 흉부외과에서는 107례의 환자에서 인공심장판막치환술을 시행하였다. 환자의 연령분포는 19세부터 75세까지 였으며 평균 42.6$\pm$11.7세였고, 남녀비는 33:74였다. 승모판막치환술이 61례(57%)로 가장 많았으며, 중복판막치 환술 28례(26.2%), 대동맥 판막치 환술 18례 (16.8%)였다. 전체 사망율은 14.9%(16명)였으며, 조기사망율은 5.6%(6명), 만기 사망율은 9.3%(10명)이었다. 생존율은 술후 2년에 92.6$\pm$2.6 %, 술후 6년에 88.6$\pm$3.8%였다. 판막실패없는 빈도는 술후 6년에 88.6$\pm$3.8, 혈전전색증없는 빈도는 술후 6년에 88.3$\pm$3.9, 심내막염없는 빈도는 술후 6년에 89.5$\pm$ 3.7를 나타냈다. Cardiac valve implantation was performed in 107 patients from September, 1988 to May, 1995. There were 3) men and 74 women, whose ages ranged from 19 to 75 years(mean 42.6$\pm$11.7). Mitral valve was implanted in 61 patients, double(mitral & aortic) valve were Implanted in 28 patients and aortic valve was implanted in 18 patients. Follow up was 100% complete, with 345.6 patient-years and a mean fo low up of 41 months(from 1.5 to 84 months). The total mortality was 14.9%(16 patients). The early mortality was 5.6%(6 patients) and the late mortality was 9.3%(10 patients). The overall actuarial survival was 92.6 $\pm$ 2 6% at 2 years, 88.6$\pm$3.8% at 6 years. The probability of freedom from valve failure, thromboembolism and bacterial endocarditis were 388.6 $\pm$ 3.8, 88.3 $\pm$3.9, 89.5 $\pm$3.7 at 6 years, respectively.

급성 백혈병의 유도 화학요법후에 발생한 급성 식도협착

윤후식,장기경,강정수,김훈,김호균,김병창,천봉권,Yoon, Hoo-Sik,Chang, Ki-Kyung,Kang, Jeong-Soo,Kim, Hun,Kim, Ho-Kyun,Kim, Byung-Chang,Chun, Bong-Kwon 대한흉부심장혈관외과학회 1998 Journal of Chest Surgery (J Chest Surg) Vol.31 No.5

氷복茸兌\ulcorner환자에서 발생하는 연하곤란은 보통 역류성 식도염, 감염성 식도염, 화학요법 및 백혈병의 직접적인 식도 침범에 의해 발생하지만 그중에서도 백혈병 환자의 화학요법의 결과로 발생하는 식도협착중 급성으로 발병하는 경우는 아주 드물다. 본원에서는 40세의 남자환자가 급성 골수성 백혈병으로 화학요법 받은지 1개월 이내에 발생한 급성 식도협착으로 수술위해 입원, 식도 절제술 및 위식도 문합술 과 유문부 성형술을 시행하였다. 병리 조직검사상 단핵구들의 점막 침착 및 점막하조직과 근육층을 침범하는 섬유화소견을 보이고 있다. Although dysphagia in patients with acute leukemia is usually related to reflux esophagitis, infectious esophagitis, chemotherapy1) and leukemic infiltration2), acute esophageal stricture resulting from chemotherapy in the patient with leukemia is very rare. A 40-year-old man with acute myelogenous leukemia was admitted for operation of esophageal stricture which was developed within 1 month of chemotherapy. An esophagectomy and esophagogastrostomy with pyloroplasty was carried out. Histology showed mucosal infiltration of mononuclear cells and transmural fibrosis involving submucosa and the muscle layer.

종격동에 발생한 Castlement's Disease -1례보고-

윤후식,장기경,강정수,김훈,Yoon, Hoo-Sik,Chang, Gie-Kyung,Kang, Jeong-Soo,Kim, Hun 대한흉부심장혈관외과학회 2000 Journal of Chest Surgery (J Chest Surg) Vol.33 No.3

Castleman's disease is a relatively rate disorder of lymphoid tissue and poorly understood etiology. The disease may occur anywhere along the lymphatic chain, but is most commonly found as a solitary mass in the mediastinum. The hyaline vascular type represents 91% of Castlemen's disease, and these are most often discovered in the asymptomatic patient on routine chest film. Patients with the plasma cell type often exhibit systemic symptoms, including fever, night sweats, anemia, and hypergammaglobulinemia. Surgical excision effects cure, although resection of the hyaline vascular type may be associated with significant hemprrage owing to extreme vascularity. We recently experienced a case of hyaline vascular type Castleman's disease which was treated by surgical resection through the anterior mini-thoracotomy, and report with its review.