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배수동,김주섭,이승락,정대윤 대한소화기학회 1992 대한소화기학회지 Vol.24 No.1
An experince of 180 cases of hepatobiliary operation with intraoperative bile culture were evaluated retrospectively from Oct. 1986 to Dec. 1990. The rate of positive culture was 75%. The results were as follows: E. coli was 51%, Klebsiella species were 16% and 85% of the positive cultures were gram-negative group. The incidence of the positive cultures increased with age of the patients. CBD obstruction, hyperbilirubinemia and acute cholecystitis also increased the incidence of positive culture. Postoperative wound infection was 4.4%. Preoperative positive blood cultrue were obtained in eight patients in this series. Five of these had positive blood culture and these microorganisms were identical to that of bile culture.
우측 폐상엽 기관지에 발생한 고립성 유두종: 1례 치험 및 문헌 고찰
배수동 대한흉부심장혈관외과학회 1972 Journal of Chest Surgery (J Chest Surg) Vol.5 No.2
Papilloma of the upper respiratory tract, particularly larynx and vocal cords are relatively common disease. However, solitary papilloma of the bronchus is extremely rare condition and only a handful cases were reported in the literature. The patient is a 39 year old housewife who has been suffering from productive cough and occasional hemoptysis in the past one year. X-ray of the chest showed complete atelectasis of the right upper lobe. Bronchography revealed a hemispherical protruding mass in the right main bronchus with complete occlusion of the upper lobe bronchus. Bronchoscopy showed a whitish friable mass in the lumen of the right main bronchus biopsy of which was reported as benign papilloma. Right upper lobectomy together with wedge resection of the portion of right main bronchus to include the tumor was done. Cut-edges of the bronchus were stitched together with interrupted fine dacron sutures. During this procedure, right main bronchus was gently clamped with non-crushing Satinsky type clamp. Patient has had uneventful recovery from surgery and was discharged without symptom. Patientis doing well three months following the operation.
외상성 비장 손상의 외과적 고찰 및 치료 방법에 대한 비교
배희열 ( Hee Yeol Bae ),정봉화 ( Bong Wha Chung ),이기주 ( Ki Chu Lee ),배수동 ( Soo Tong Pai ) 대한외상학회 1990 大韓外傷學會誌 Vol.3 No.2
Injuries to the speen are commonly encountered by surgeons treating the patients with abdominal trauma. With documentation that overwhelming postsplenectomy infection can occur after splenectomy for trauma, splenic salvage procedure rather than splenectomy have been considered the preferred treatment for traumatic splenic injuries. Splenic salvage has been most often accomplished by splenorrhaphy and more recently by a controversial non-operative approach. This report delineated results with splencetomy, splenorrhaphy and non-operative approach based on 7 years (1984-1990) inwhich 150 consecutive patients with splenic injuries were treated. Results were as follow: 1) The ratio of male to female patients was 2.75: 1 and peak incidence of age was the 3rd decade. 2) The most common cause of splenic injury(52%)was the traffic accident. 3) The most common site of associated trauma is liver(45%)in intraperitoneum and is rib fractures(98%)in extraperitoneum. 4) Of these, 95 patients were treated by splenectomy, 42 patients by splenorrhaphy and 13 patients by non-operative management. 5) Comparative studies of main complication were evaluated by analyzing the values of two groups dividing on each preoperative status concerning to the multiplicity of associated injury, grade of splenic injury and arrival time with X2-test to find higher significance in group of multiple injuries than the opposite group(p< 0.0005). 6) Comparative studies of operative methods were evaluated by analyzing value of two group dividing on duration of operation, amount of transfusion and complica-tion rate with t-test. On result, it was not found any evidence that splenectomy was superior to splenorrhaphy. 7) The overall motality rate was 9.3%.