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유행랑(Haeng Rang Ryu),박준성(Joon Seong Park),황호경(Ho Kyung Hwang),김재근(Jae Keun Kim),김경식(Kyung Sik Kim),최진섭(Jin Sub Choi),윤동섭(Dong Sup Yoon),이우정(Woo Jung Lee),지훈상(Hoon Sang Chi) 한국간담췌외과학회 2008 한국간담췌외과학회지 Vol.12 No.4
Purpose: Although laparoscopic surgery has become more popular, its technical difficulties have limited the applications of this technique to liver surgery. We report here on our experience with liver resection with perfoming laparoscopic assisted and DaVinci robot assisted hepatectomy. Methods: We retrospectively evaluated 40 patients who underwent laparoscopic assisted and DaVinci robotic assisted hepatectomy at the Yonsei University Health System from January 2002 to January 2008. Results: Thirty patients (75%) had malignancy and ten patients (15%) had benign disease. We performed Lt. hepatectomy (7.5%), wedge resection (17.5%), segmentectomy (30%) and Lt. lateral segmentectomy (45%). The rate of conversion to laparotomy was due to intraoperative bleeding was 10%. The complication and mortality rates were 7.5% and 0%, respectively. Conclusion: Laparoscopic and DaVinci robot hepatectomy showed a reduced time to oral intake, a shortened hospital stay and a smaller incisional scar compared to open surgery. So, laparoscopic and DaVinci robot hepatectomy should be performed in selected patients as the postoperative status of the patients is better than that with performing open hepatectomy.
박슬기,정종주,정준수,Haeng Rang Ryu,이초록,박재현,강상욱,남기현,정웅윤,박정수 대한의학회 2013 Journal of Korean medical science Vol.28 No.5
Thyroid carcinomas are uncommon in childhood and adolescence. The aim of this study was to analyze clinical features and clinical outcomes of thyroid cancer in the pediatric population treated in the Yonsei University Health System. From September 1982 to June 2009, 90 patients (75 females, 15 males; female:male ratio of 5:1) with differentiated thyroid carcinoma were identified in our institute. The mean age at diagnosis was 15.8 yr old (range 4.8-19.9 yr). Cervical masses were most common clinical manifestations at diagnosis in 65 patients (72.2%). Forty-two patients underwent less than total thyroidectomy and 18 patients underwent total thyroidectomy. Thirty patients (33.3%)had lateral neck lymph node metastasis and seven patients (7.8%) had lung metastasis at the time of surgery. Among the 90 patients, recurrence occurred in 14 patients (15.5%). Mean follow-up period for patients with differentiated thyroid carcinoma was 81.6months (13-324 months). No patients died of differentiated thyroid carcinoma. Patients with differentiated thyroid carcinoma who were < 20-yr-of-age were present with aggressive local disease and a high frequency of lymph node and distant metastasis. It is recommended that pediatric thyroid cancer should be managed mostly using proper surgical approach with thyroidectomy and lymph node dissection when indicated.
재발된 유두 갑상선암으로 완결갑상선절제술을 시행한 환자의 임상양상 및 수술합병증
김창우,이소희,유행랑,이강영,강상욱,정종주,남기현,장항석,정웅윤,박정수,Chang Woo Kim,So Hee Lee,Haeng Rang Ryu,Kang Young Rhee,Sang-Wook Kang,Jong Joo Jung,Kee-Hyun Nam,Hang Seok Chang,Woong Youn Chung,and Cheong Soo Park 대한갑상선-내분비외과학회 2009 The Koreran journal of Endocrine Surgery Vol.9 No.3