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盧寬植,安東浩,鄭紀溶,金秉鎬,崔鳳洛,朴永寬 계명대학교 醫科大學 外科學敎室同門會 1990 남경 박영관 교수 정년퇴임기념 논문집 Vol.S No.-
The materials in this report were based on 22 cases of cystic hygroma which were treated in thi surgical department of the Presbyterian Hospital from January 1, 1961 to August 31, 1971. We also reviewed medical literatures, related to cystic hygroma. AlI cases were confirmed histopat-hologically. The following results were obtained. 1. Incidence of the cystic hygroma was frequents in infants (73%), and rare in above 35 yeaπof age (only 3 cases). The sex ratio was 1.2 for male to one for female. 2. The cardinal symptom and sign was palpable cystic mass in all cases. 3. The location of tumor was frequent in order as followings: posterior triangle of the neck in 25%, submandibular in 17%, supraclavicular, axillar, anterior chest in 12. 5%, respectively, flanks in 8. 3%, respectively, and upper arms in 4.2%. The location ratio was 1.2 for right to one for left. The most of them were located in the neck (15 cases). 4. The diagnosis of the cystic hyxgroma was relatively easy by previous history of tumor, clinical symptoms and signs, and physical examination. 5. The radical excision of the tumor was treatment of choice.
姜信學,鄭相鳳,李章博,崔鳳洛,李鐵 계명대학교 醫科大學 外科學敎室同門會 1990 남경 박영관 교수 정년퇴임기념 논문집 Vol.S No.-
This study consists of a clinical study of 48 cases of esophageal obstruction from . either benign caustic burn or malignant lesion treated by surgery, mainly subcutaneous or substernal colon replacement. Theses were all treated at the department of surgery, Presbyterian Hospital, Taegu, Korea from January 1965 to December 1969. The age and sex distribution of these cases and the patient’s motives of having swallowed caustic materials in cases of caustic esophageal stricture have all been analysed, and discovered that most of their age range was between 21-30 years of age, and the sex ratio was 2 : 1 being the female predominant. There were 4 cases of cancer of the esophagus which were treated by either resection or colon by-pass. Interestingly enough 25 cases out of the total had been previously treated by conservative means, such as either direct esophageal bouginage or retrograde dilation through a permanent gastrostomy for months or even years unti1 they cause to definitive reconstruction surgery. The organs chosen for the replacement were mostly right and left colon and the routes were intra .thoracic, subcutaneous, and substernal. ln 25 cases from the total, the anothers used their substernal tunneller in creating the substernal space safely and bringing up the organs chosen to be anatomosed to the proximal esophagus into the neck satisfactori1y. The authors feel that the usage of the tunneller has ‘ helped them a great deal in lowering the Post-operative complications, such as pneumothorax suppurative mediastinitis, and instantaneous vascular injuries of the bowel used for replacement. The cases of fistula resulted from the leakage at the site of anastomosis which were mostly from not properly functioning end to side anastomosis, and not healed up by conservative measures were re-operated and treated by end to end anastomosis rather than just closing the fistula in the usual fashion. From the experience the auahors emphsize that it would be advisable to perform an end to end esophago-colostomy rather than end to side anastomosis in case of reconstructing. the esophagus for caustic stricture. This benefits also not only the. surgeon, but also the patients in case the distal portion of the ulcerative, scarry, esophagus which is not function needs to be removed. The authors are rather strongly convinced that the partial resection of one-third of the clavicle and portion of the sternum together with paying attention to the length of thf colon used for esophageal replacement, must be just right 50 as not to stretch the organ and injure the colon vessels, has greatly reduced the incidence of postoperative regurgitation.