소아 총담관낭종의 임상적 고찰

남유희(Yu Hee Nam),정재희(Jae Hee Chung),송영택(Young Tack Song) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.75 No.5

Purpose: The object of this study is to evaluate the clinical findings and the outcome of choledochal cysts (CC) in children. Methods: All cases of CC that underwent operation between 1983 and 2006 were studied retrospectively. We evaluated the symptoms and signs, types, anomalous pancreaticobiliary union (APBDU) and complications of CC. Results: Forty-five children were included. The common age range was from 1 year to 5 years. The male to female ratio was 1 to 3. The most common symptom was abdominal pain (71.1%). The main methods of diagnosis were US and CT. According to Todani’s classification, type Ⅰ (60%) and type Ⅳ (35.6%) were most common types. APBDU was confirmed in 21 cases. B-P type (13 cases) was more common than P-B type (8 cases). Three among four patients with pancreatitis had a stone or protein plug in the common channel. Cyst excision with hepaticojejunostomy was performed in most cases. The overall morbidity and mortality were 8% and 0%, respectively. There were no problems, such as cholangitis, biliary stone and biliary cancer during the follow up. Intrahepatic duct dilatations of type IVa disappeared in the postoperative follow up study, except one. Conclusion: The outcome of cyst excision with hepaticojejunostomy was excellent. As for CC accompanied with the pancreatitis, the presence of stone or protein plug in the common channel needs to be examined. It is hard to precisely interpret that intrahepatic duct dilatation in type IVa normalize during the postoperative follow up until more evidence is accumulated.

복강 내 유착이 있는 췌장 가성 낭종 환자에서 복강경하 낭종 위 문합술

남유희(Yu Hee Nam),김민형(Min Hyung Kim),정혁준(Hyuk Jun Chung),성기영(Gi Young Sung),박일영(IL Young Park) 대한외과학회 2007 Annals of Surgical Treatment and Research(ASRT) Vol.73 No.1

A large symptomatic and unresolved pancreatic pseudocyst is treated surgically by internal drainage to a neighboring adherent viscus. Recently the various minimal invasive approaches have been used to treat this condition. A 30-year-old man who had been in clinical follow-up for a chronic pancreatitis. For the necrotizing pancreatitis, the patient had undergone surgical debridement and external drainage 5 years, and 3 years ago, respectively. Abdominal ultrasonography and computed tomography revealed 8.2×7.7 cm sized pseudocyst in the body of pancreas. Endoscopic internal fistula formation was tried, but it was failed due to bleeding. We underwent adhesiotomy and cystogastrostomy totally with laparoscopic techniques. The patient started a diet on the 5th postoperative day and discharged on the 11th postoperative day. There was no postoperative complicationand no recurrence during 6 months. Laparoscopic cystogastrostomy is safe and feasible method in the pancreatic pseudocyst even in case of severe abdominal adhesion.

자궁경부 편평상피암 조직에서 GeneFishing(TM) DEG PCR 기법을 이용한 유전자 발현 검색

유희정 ( Hee Jeong Yu ),김병훈 ( Byung Hoon Kim ),배수미 ( Su Mi Bae ),김용욱 ( Young Wook Kim ),이준모 ( Joon Mo Lee ),남궁성은 ( Sung Eun Namkoong ),전흥재 ( Heung Jea Chun ),남계현 ( Kye Hyun Nam ),조영래 ( Young Lae Cho ),김종 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.3

Objective: The aim of this study was to investigate the gene expression profiles using GeneFishing(TM) DEG kit in Korean women with cervical squamous cell carcinoma. Methods: Cervical cancer biopsies were obtained from patients at the Department of Obstet

Composite Large Cell Neuroendocrine Carcinoma and Adenocarcinoma of the Ampulla of Vater

Bo Sung Sohn(손보성),Yu Hee Nam(남유희),Jin A Lee(이진아),Il Young Park(박일영),Nam Ik Han(한남익),Hee Jeong Lee(이희정) 한국간담췌외과학회 2009 한국간담췌외과학회지 Vol.13 No.2

Large Cell Neuroendocrine Tumors (LCNEC) in the ampulla of Vater are extremely rare. This report addresses a case of concurrent LCNEC and adenocarcinoma in the ampulla of Vater. A 60-year-old male patient experienced fever, body chills and jaundice. He had a periampullary ulcerative lesion and underwent radical pancreaticoduodenectomy. Histopathologically, the tumor consisted of an LCNEC component and an adenocarcinoma component. Simultaneous LCNEC and adenocarcinoma has been reported in a few cases. Our patient had a coexisting LCNEC and an adenocarcinoma of the ampulla of Vater. We also present a review of the literature.

통합예술치료 프로그램이 여성 독거노인의 고독감, 자아존중감 및 대인관계에 미치는 효과

윤현정(Yoon, Hyun Joeng),유희남(Yu, Hee Nam) 한국통합예술심신치유학회 2015 통합심신치유연구 Vol.2 No.2

본 연구는 통합예술치료 프로그램이 여성 독거노인의 고독감과 자아존중감 및 대인관계 향상에 미치는 효과를 알아보고자 실시되었다. 통합예술치료프로그램의 효과분석을 통해 노인복지서비스 및 프로그램 개발에 적용할 수 있는 실질적인 자료를 제시하는데 의의가 있다. 본 연구의 대상은 OO시 소재의 영구임대아파트에 거주하는 65세 이상 여성 독거노인으로 사회복지사가 의뢰한 25명 중 프로그램 참여 의사가 있는 13명을 최종 실험집단으로 선정하였다. 프로그램의 구성은 선행연구를 기초로 하여 4인의 전문가와 토의를 거친후 연구자가 프로그램을 구성하였다. 프로그램 실행은 2013년 4월 25일부터 2013년 7월 11일까지 주 1회 60분씩 총12회기로 진행하였고, 프로그램 사전과 사후에 고독감과 자아존중감, 대인관계를 측정하였다. 프로그램의 효과성을 검증하기 위해 대응표본 t검정을 사용하여 분석하였다. 연구결과를 요약하면 통합예술치료 프로그램은 여성 독거노인의 고독감 감소와 자아존중감 및 대인관계 향상에 통계적으로 유의미한 차이를 보였다. 결론적으로 본연구를 통해 통합예술치료 프로그램이 심리ㆍ정서적, 사회적 상실을 경험하는 여성 독거노인의 고독감 감소와 자아존중감 및 대인관계 향상을 위한 효과적인 방법으로 이용될 수 있음을 확인할 수 있었다. The research tried to find the effects of Integrated Arts Therapy Program on reducing loneliness, promoting self-esteem and personal relationship of old solitary women. The effect analysis of Integrated Arts Therapy Program is significant for suggesting practical data which would apply to elderly welfare services and program development. For this study, 13 old women were finally chosen as experimental group subjects among 25 recommended by a social worker, who were aged over 65 old women living alone in a permanent rental apartment in ○○city and wanted to participate in the study. The program was constructed by a researcher after discussion with 4 experts on the basis of prior researches. The program was conducted for 60 minutes per week, total 12 times from April 25, 2013 to July 11, 2013, and loneliness self-esteem, and personal relationship were measured before and after. Results were analyzed using Paired sample t-test to verify the effectiveness. To summarize the findings, there were statistical significant differences with reducing loneliness, promoting self-esteem and personal relationship through Integrated Arts Therapy program. These results suggest that Integrated Arts Therapy Program can be an effective way to reduce loneliness, promote self-esteem and personal relationship for old solitary women's who experienced psychologyㆍemotional, social loss.

재발성 서혜부 탈장 환자에서 PerFix<SUP>®</SUP> Plug을 이용한 탈장 교정술의 경험

지성배(Sung Bae Ji),남유희(Yu Hee Nam),송영택(Young Tack Song) 대한외과학회 2008 Annals of Surgical Treatment and Research(ASRT) Vol.74 No.4

Purpose: The recurrence of a groin hernia presents few surgical options for repair. We investigated the safety and efficacy of herniorrhaphy using PerFix<SUP>ⓡ</SUP> plug for patients with recurrent groin hernias. Methods: Between October 2000 and December 2004, 30 herniorrhaphies for recurrent groin hernia were performed and followed-up. The operation time, length of hospital stay, time of analgesic use, complication rates, and recurrence were investigated. Results: Surgery had been initially performed in 26 patients with the non-mesh method, and with mesh in 4 patients; 12 patients had a direct recurrence at the medial side of the inguinal area near the pubic tubercle, 7 patients had a direct recurrence at other sites, and 11 patients had an indirect recurrence. Eight patients had urinary retention and 2 patients had minor wound complications. Hospital stays and analgesic use were comparable to non-recurrent groin hernia operations, although operation time was significantly longer in recurrent group, and there were no recurrences during the 70 months of followup. Conclusion: Comparing open or laparoscopic preperitoneal approach, the PerFix<SUP>ⓡ</SUP> plug method is simple and effective for recurrent groin hernia repair.

쌍태아에서 제 1태아의 분만 후 제 2태아의 지연분만 : 중례보고

김주환,서민정,유희정,노권일,조대현,박정규,이정헌,조성남,손영수 朝鮮大學校 附設 醫學硏究所 2005 The Medical Journal of Chosun University Vol.30 No.3

With the widespread use of fertility medications and techniques of in vitro fertilization, multiple gestation has become epidemic in modern obstetric practice. Delivery of the initial fetus in a multiple gestation usually is followed by delivery of the subsequent fetus or fetuses shortly thereafter. However in rare circumstances, the delivery is delayed for days due to disappearance of uterine contraction after delivery of the first fetus. When uterine activity ceases after the delivery of the first neonate, a policy of nonintervention may be considered in case of an immature or very premature delivery, in order to achieve a gestational age for the remaining fetus(es) more compatible with neonatal survival. We report a case of twin gestation with prolongation of the delivery interval between the twins for 46 days.