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급성 담낭염에서 경피적 담낭조루술이 복강경 담낭절제술에 미치는 영향
김인규(In-Gyu Kim),전장용(Jang Yong Jeon) 한국간담췌외과학회 2010 한국간담췌외과학회지 Vol.14 No.1
Purpose: The purpose of this study was to evaluate surgical outcomes of laparoscopic cholecystectomy (LC) and the effect of preoperative percutaneous transhepatic gallbladder drainage (PTGBD) in patients with acute cholecystitis. In particular, we concentrated on differences in surgical outcomes between elective and emergency operations. Methods: Between March 2006 and February 2009, 259 cases of acute cholecystitis underwent LC at our institution and we studied them retrospectively. They were divided into 3 groups. Group I included 153 patients who underwent elective LC without PTGBD; group II included 90 patients who underwent elective LC after PTGBD; group III included 16 patients who underwent emergency LC without PTGBD. Results: Between groups I and III, there were no differences in conversion rate, postoperative complications, and total hospital stay. However, the operation times and postoperative hospital stays of group I were shorter than those of group III and the difference was significant (p<0.05, p<0.01, respectively). Between groups II and III, there were no differences in operation time, conversion rate, postoperative complications, and postoperative hospital stay. Conclusion: We recommend PTGBD for a patient with acute cholecystitis as much as possible, if indicated, so that we can do the operation on the patient as elective surgery and not as an emergency.
김병섭(Byung Seup Kim),임영아(Yong-Ah Lim),장경미(Kyung Mi Jang),김인규(In-Gyu Kim),전장용(Jang Yeong Jeon) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.5
Internal abdominal hernia is an unusual cause of intestinal obstruction. Paraduodenal hernia is relatively rare congenital malformations resulting from incomplete rotation of the midgut with entrapment of the small intestine beneath the developing colon. We report a case of paraduodenal hernia treated by laparoscopic approach. The patient was a 45-year-old man presenting with severe abdominal pain for 5 hours. Left paraduodenal hernia with jejunum hernia containing jejunal loops showed in abdominal CT. At operation, herniation of the small intestine into a retroperitoneal space through a defect on the left mesocolon was noted. After the herniated bowel was fully reduced, the hernia orifice was closed intra-corporeally in the manner of interrupted sutures with absorbable suture materials. The patient was discharged home without any serious complications on postoperative day 9. Conclusively, we think laparoscopic surgery in left paraduodenal hernia is feasible.
대한간학회지 제7차 추계학술대회 논문집 : 전격성 간부전에 대한 응급 간이식수술: 생체간이식을 중심으로
이승규 ( Lee Seung Gyu ),박광민 ( Park Gwang Min ),황신 ( Hwang Sin ),김기훈 ( Kim Gi Hun ),전장용 ( Jeon Jang Yong ),주선형 ( Ju Seon Hyeong ),주종우 ( Ju Jong U ),문덕복 ( Mun Deog Bog ),이영주 ( Lee Yeong Ju ),민병철 ( Min Bye 대한간학회 2001 Clinical and Molecular Hepatology(대한간학회지) Vol.7 No.3(S)
증 례 : 경피적 접근이 어려워 초음파내시경 유도 하 배액술로 치료한 췌십이지장 절제술 후 발생한 복강 소낭 내 체액 저류 1예
최청조 ( Chung Jo Choi ),문성훈 ( Sung Hoon Moon ),김종혁 ( Jong Hyeok Kim ),박지원 ( Ji Won Park ),김성은 ( Sung Eun Kim ),박충기 ( Choong Kee Park ),전장용 ( Jang Yong Jeon ) 대한췌담도학회 2015 대한췌담도학회지 Vol.20 No.4
수술 후 체액 저류는 췌십이지장절제술 후 발생할 수 있는 중요한 합병증 중 하나로 이로 인해 사망률과 재원 기간이 증가할 수도 있다. 초음파내시경 유도 하 배액은 췌장 가성낭종의 치료 방법 중 하나이며 최근에는 수술 후 발생한 체액 저류 치료에 있어서도 성공적인 사례들이 보고되고 있다. 60세 여성이 한 달 동안 4 kg의 체중감소와 5일 전부터 발생한 황달을 주소로 내원하였다. 복부 전산화단층촬영 및 내시경 역행성 담췌관 조영술을 이용한 조직검사를 통하여 총담관암이 진단되어 췌십이지장절제술을 시행하였고 수술 2주째 발열, 복통, 백혈구 증가의 임상증상을 보였다. 진단을 위해 시행한 복부 전산화단층촬영에서 소낭의 위오목에 체액저류가 증가하여 내시경적 배액술을 시행하였고 이후 합병증 없이 증상이 호전되었다. 국내에서는 아직 췌십이지장절제술 후 발생한 체액 저류를 내시경적 배액으로 치료한 증례가 보고된 바 없기에 문헌 고찰과 함께 보고하는 바이다. Postoperative fluid collection is a major complication after pancreaticoduodenectomy and can lead to increased mortality and hospital length of stay. External drainage has widely been used for postoperative fluid collections. Recently, EUS-guided drainage has also been used successfully in treating postoperative fluid collections. A 60-year-old woman was admitted due to weight loss and jaundice. She underwent pancreaticoduodenectomy for cholangiocarcinoma of the common bile duct. After 2 weeks, she had fever with abdominal pain and leukocytosis. CT showed a increased fluid collection in superior recess of lesser sac and EUS-guided drainage was performed. The symptoms resolved without any complication after drainage. This is the first case report of EUS-guided drainage for lesser sac in Korea.