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복부대동맥류의 혈관 내 치료 중 발생한 Endoleak 경험
박근명(Keun Myoung Park),김장용(Jang Young Kim),정지은(Ji Eun Jung),전용선(Yong Sun Jeon),조순구(Soon Gu Cho),최윤미(Yun-Mee Choe),최선근(Sun Keun Choi),허윤석(Yoon Seok Heo),이건영(Keon Young Lee),김세중(Sei-Joong Kim),조영업(Young 대한외과학회 2010 Annals of Surgical Treatment and Research(ASRT) Vol.78 No.4
Purpose: Endoleak is a common complication following endovascular aortic aneurysm repairs (EVAR). The aim of this study was to discover the frequency and characteristics after EVAR with on-label use. Methods: A retrospective review was performed on 25 patients who underwent EVAR in Inha University Hospital between December 2005 and February 2009. The data included in this study accounted for patient characteristics, anatomic features, operative technical details, and types of devices used. The results of EVAR were analyzed for clinical success, technical success and endoleak. Results: Endoleaks were observed during 11 (47.8%) procedures. Type Ⅰ endoleaks were observed in 2 (18.2%) cases. A total of 6 type Ⅱ intraoperative endoleaks (54.5%) were observed. 3 type Ⅲ endoleaks (27.3%) occurred. But all endoleaks were resolved without additional intervention CT scan after 6 months. Conclusion: Although the endovascular management of AAAs is less invasive than open surgery, many complications including endoleak were still the most common adverse event during the first postoperative month. However, observation may be a good treatment for minor endoleak after EVAR.
대장암에서 림프절 침범과 암의 침윤도가 예후에 미치는 영향
최윤미 ( Yun Mee Choi ),김해성 ( Hae Sung Kim ),최선근 ( Sun Keun Choi ),허윤석 ( Yun Seok Hur ),이건영 ( Kun Yong Lee ),김세중 ( Sei Joong Kim ),안승익 ( Seung Ick Ahn ),홍기천 ( Kee Cheun Hong ),신석환 ( Seok Hwan Shin ),우제홍 대한소화기학회 2002 대한소화기학회지 Vol.40 No.6
Background/Aims: This study was carried out to evaluate prognostic significance of the clinicopathological features in colorectal cancer. Methods: The records of 413 patients who underwent a curative resection of colorectal cancer from June of 1996 to December of 2000 were examined focusing on the clinicopathological factors and difference of survival rates. Results: The numbers of lymph node metastasis were significantly related to age, depth of invasion, histologic differentiation, tumor size, lymphovascular invasion, perineural invasion, and preoperative serum CEA level. In the univariate analysis for 366 patients, the depth of invasion (p=0.0017), histologic differentiation (p=0.0069), lymph node metastasis (p=0.0000), lymphovascular invasion (p=0.0001), perineural invasion (p=0.0008), and preoperative serum CEA level (p=0.0005) turned out to be significant prognostic factors. The histologic differentiation between the primary lesion and the metastatic lymph node was the same in 90.7% of the studied cases. Capsular invasion was found in 92 cases (53.5%), but there was no significant difference in survival rates between the capsular invasion group and non-capsular invasion group (p=0.0510). Conclusions: In this study, the depth of invasion, lymph node metastasis, and the number of lymph node metastasis could be recognized as important prognostic factors for colorectal cancer. However, further follow-up studies are needed to determine the role of the various clinical and pathological factors in colorectal cancer prognosis. (Korean J Gastroenterol 2002;40:371-378)
이정범(Joung Bum Lee),최선근(Sun Keun Choi),신우영(Woo Young Shin),최윤미(Yun-Mee Choe),최석진(Suk Jin Choi),김경래(Kyung Rae Kim) 대한종양외과학회 2013 Korean Journal of Clinical Oncology Vol.9 No.2
Primary lung cancer is relatively common malignant tumor throughout the world and often spreads to the contralateral lung, liver, brain, adrenal gland, and bone. However, metastatic involvement of gastrointestinal tract from lung cancer is an infrequent clinical entity characterized by very poor prognosis and rectal metastases, in particular, are an extremely rare occurrence. We report here the cases of two patients presenting with abdominal pain or hematochezia and a presumed diagnosis of gastrointestinal metastases from primary lung cancer.